BACKGROUND: Primary care physicians often treat older adults with Generalized Anxiety Disorder. Objective To estimate physician diagnosis and recognition of anxiety and compare health service use among older adults with GAD with two comparison samples with and without other DSM diagnoses. METHODS: Participants were 60+ patients of a multi-specialty medical organization. Administrative database and medical records were reviewed for a year. Differences in frequency of health service use were analyzed with logistic regression and between-subjects analysis of covariance. RESULTS: Physician diagnosis of GAD was 1.5% and any anxiety was 9%, and recognition of anxiety symptoms was 34% in older adults with GAD. After controlling for medical comorbidity, radiology appointments were increased in the GAD group relative to those with and without other psychiatric diagnoses, chi(2) (2, N = 225) = 4.75, p < .05. CONCLUSIONS: Most patients with anxiety do not have anxiety or symptoms documented in their medical records.
BACKGROUND: Primary care physicians often treat older adults with Generalized Anxiety Disorder. Objective To estimate physician diagnosis and recognition of anxiety and compare health service use among older adults with GAD with two comparison samples with and without other DSM diagnoses. METHODS:Participants were 60+ patients of a multi-specialty medical organization. Administrative database and medical records were reviewed for a year. Differences in frequency of health service use were analyzed with logistic regression and between-subjects analysis of covariance. RESULTS: Physician diagnosis of GAD was 1.5% and any anxiety was 9%, and recognition of anxiety symptoms was 34% in older adults with GAD. After controlling for medical comorbidity, radiology appointments were increased in the GAD group relative to those with and without other psychiatric diagnoses, chi(2) (2, N = 225) = 4.75, p < .05. CONCLUSIONS: Most patients with anxiety do not have anxiety or symptoms documented in their medical records.
Authors: Bruce L Rollman; Bea Herbeck Belnap; Sati Mazumdar; Fang Zhu; Kurt Kroenke; Herbert C Schulberg; M Katherine Shear Journal: J Gen Intern Med Date: 2005-07 Impact factor: 5.128
Authors: Murray B Stein; Cathy D Sherbourne; Michelle G Craske; Adrienne Means-Christensen; Alexander Bystritsky; Wayne Katon; Greer Sullivan; Peter P Roy-Byrne Journal: Am J Psychiatry Date: 2004-12 Impact factor: 18.112
Authors: Eric J Lenze; Jordan F Karp; Benoit H Mulsant; Stephen Blank; M Katherine Shear; Patricia R Houck; Charles F Reynolds Journal: J Geriatr Psychiatry Neurol Date: 2005-06 Impact factor: 2.680
Authors: Martin D Marciniak; Maureen J Lage; Eduardo Dunayevich; James M Russell; Lee Bowman; Ronald P Landbloom; Louise R Levine Journal: Depress Anxiety Date: 2005 Impact factor: 6.505
Authors: M Ansseau; M Dierick; F Buntinkx; P Cnockaert; J De Smedt; M Van Den Haute; D Vander Mijnsbrugge Journal: J Affect Disord Date: 2004-01 Impact factor: 4.839
Authors: Ignacio I De La Cruz; Karen M Freund; Tracy A Battaglia; Clara A Chen; Sharon Bak; Richard Kalish; Barbara Lottero; Patrick Egan; Tim Heeren; Andrea C Kronman Journal: J Health Care Poor Underserved Date: 2014-02
Authors: Srijana Shrestha; Nancy Wilson; Mark E Kunik; Paula Wagener; Amber B Amspoker; Terri Barrera; Jessica Freshour; Cynthia Kraus-Schuman; Jane Bavineau; Maria Turner; Melinda A Stanley Journal: J Psychiatr Pract Date: 2017-05 Impact factor: 1.325
Authors: Andrea C Kronman; Karen M Freund; Tim Heeren; Kristine A Beaver; Mary Flynn; Tracy A Battaglia Journal: J Gen Intern Med Date: 2011-11-15 Impact factor: 5.128
Authors: Martin A Katzman; Pierre Bleau; Pierre Blier; Pratap Chokka; Kevin Kjernisted; Michael Van Ameringen; Martin M Antony; Stéphane Bouchard; Alain Brunet; Martine Flament; Sophie Grigoriadis; Sandra Mendlowitz; Kieron O'Connor; Kiran Rabheru; Peggy M A Richter; Melisa Robichaud; John R Walker Journal: BMC Psychiatry Date: 2014-07-02 Impact factor: 3.630
Authors: Ilias A Grammatikopoulos; Gary Sinoff; Athanasios Alegakis; Dimitrios Kounalakis; Maria Antonopoulou; Christos Lionis Journal: Ann Gen Psychiatry Date: 2010-01-05 Impact factor: 3.455