Literature DB >> 15935421

Prevalence and impact of generalized anxiety disorder and major depression in primary care in Belgium and Luxemburg: the GADIS study.

Marc Ansseau1, Benjamin Fischler, Michel Dierick, Annick Mignon, Sophie Leyman.   

Abstract

PURPOSE: GADIS aims at determining the prevalence of generalized anxiety disorder (GAD) and major depression (MD) in primary care and their impact on the patient's functioning in Belgium and Luxemburg.
METHOD: A large scale screening program was conducted at the consultation of general practitioners to detect patients with GAD and MD according to DSM-IV criteria. We collected additional data regarding the use of hypnotic, tranquilizer, antidepressant and analgesic medications. Impact on the patient was assessed with the Sheehan disability scale.
RESULTS: Three hundred GP's in Belgium and Luxemburg were asked to screen 50 consecutive patients. Of the 13,677 analyzed patients, 8.3% were diagnosed to have GAD and 6.3% MD. Comorbidity was observed in 4.2% of patients. The prevalence was much higher in the French-speaking part of Belgium. GAD and MD were associated with impairment in social, familial and professional functioning. Only a minority of patients with GAD and/or MD was treated with an antidepressant and almost half of subjects with GAD and/or MD were treated with a tranquilizer.
CONCLUSION: Prevalence rates of GAD and MD in primary care in Belgium are comparable to other countries. GAD and MD are disabling conditions. Antidepressants are still used only in a minority of subjects with GAD and/or MD in primary care in Belgium and Luxemburg. The prevalence of GAD and MD appears to be much higher in French-speaking parts of Belgium.

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Year:  2005        PMID: 15935421     DOI: 10.1016/j.eurpsy.2004.09.035

Source DB:  PubMed          Journal:  Eur Psychiatry        ISSN: 0924-9338            Impact factor:   5.361


  15 in total

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Review 2.  Current considerations in the treatment of generalized anxiety disorder.

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Journal:  Aten Primaria       Date:  2009-02-03       Impact factor: 1.137

4.  Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP).

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5.  Health-related quality of life and utilities in primary-care patients with generalized anxiety disorder.

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Review 6.  Atypical antipsychotics in primary generalized anxiety disorder or comorbid with mood disorders.

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9.  Efficacy of duloxetine for the treatment of generalized anxiety disorder: implications for primary care physicians.

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Journal:  Prim Care Companion J Clin Psychiatry       Date:  2007

10.  Functional impairment related to painful physical symptoms in patients with generalized anxiety disorder with or without comorbid major depressive disorder: post hoc analysis of a cross-sectional study.

Authors:  Irene Romera; Angel L Montejo; Fernando Caballero; Luis Caballero; José Arbesú; Pepa Polavieja; Durisala Desaiah; Inmaculada Gilaberte
Journal:  BMC Psychiatry       Date:  2011-04-21       Impact factor: 3.630

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