Health Care Utilization and Costs in Patients with Generalized Anxiety Disorder Initiating Add-on Therapy with Benzodiazepines

2012 ◽  
Vol 3 (1) ◽  
pp. e45-e54 ◽  
Author(s):  
Ariel Berger ◽  
John Edelsberg ◽  
Vamsi Bollu ◽  
Jose Ma. J. Alvir ◽  
Ashish Dugar ◽  
...  
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health Care Utilization ◽  
Generalized Anxiety Disorder ◽  
Care Utilization ◽  
Generalized Anxiety

The association of generalized anxiety disorder and Somatic Symptoms with frequent attendance to health care services

2017 ◽  
Vol 52 (2) ◽  
pp. 147-159 ◽  
Author(s):  
Tero S Kujanpää ◽  
Jari Jokelainen ◽  
Juha P Auvinen ◽  
Markku J Timonen
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health Care Utilization ◽  
Generalized Anxiety Disorder ◽  
Health Care Services ◽  
Somatic Symptoms ◽  
Care Utilization ◽  
Generalized Anxiety ◽  
Care Services ◽  
Frequent Attendance

Objective Generalized anxiety disorder is associated with higher rate of physical comorbities, unexplained symptoms, and health care utilization. However, the role of somatic symptoms in determining health care utilization is unclear. The present study aims to assess the association of frequent attendance of health care services between generalized anxiety disorder symptoms and somatic symptoms. Method This study was conducted cross-sectionally using the material of the 46-year follow-up survey of the Northern Finland Birth Cohort 1966. Altogether, 5585 cohort members responded to the questionnaires concerning health care utilization, illness history, physical symptoms, and generalized anxiety disorder-7 screening tool. Odds ratios belonging to the highest decile in health care utilization were calculated for generalized anxiety disorder symptoms and all (n = 4) somatic symptoms of Hopkins Symptom Checklist-25 controlled for confounding factors. Results Adjusted Odds ratios for being frequent attender of health care services were 2.29 (95% CI 1.58–3.31) for generalized anxiety disorder symptoms and 1.28 (95% CI 0.99–1.64), 1.94 (95% CI 1.46–2.58), 2.33 (95% CI 1.65–3.28), and 3.64 (95% CI 2.15–6.18) for 1, 2, 3, and 4 somatic symptoms, respectively. People with generalized anxiety disorder symptoms had on average a higher number of somatic symptoms (1.8) than other cohort members (0.9). Moreover, 1.6% of people without somatic symptoms tested positive for generalized anxiety disorder, meanwhile 22.6% of people with four somatic symptoms tested positive for generalized anxiety disorder. Conclusions Both generalized anxiety disorder symptoms and somatic symptoms are associated with a higher risk for being a health care frequent attender.

scholarly journals Descriptive Epidemiology of Generalized Anxiety Disorder in Canada

2016 ◽  
Vol 62 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Rita A. Watterson ◽  
Jeanne V. A. Williams ◽  
Dina H. Lavorato ◽  
Scott B. Patten
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Common Mental Disorder ◽  
Well Being ◽  
Care Utilization ◽  
Generalized Anxiety ◽  
Health Care Planning ◽  
Sampling Weights

Objective: The first national survey to assess the prevalence of generalized anxiety disorder (GAD) in Canada was the 2012 Canadian Community Health Survey: Mental Health and Well-Being (CCHS-MH). The World Mental Health Composite International Diagnostic Interview (WMH-CIDI), used within the representative sample of the CCHS-MH, provides the best available description of the epidemiology of this condition in Canada. This study uses the CCHS-MH data to describe the epidemiology of GAD. Method: The analysis estimated proportions and odds ratios and used logistic regression modelling. All results entailed appropriate sampling weights and bootstrap variance estimation procedures. Results: The lifetime prevalence of GAD is 8.7% (95% CI, 8.2% to 9.3%), and the 12-month prevalence is 2.6% (95% CI, 2.3% to 2.8%). GAD is significantly associated with being female (OR 1.6; 95% CI, 1.3 to 2.1); being middle-aged (age 35-54 years) (OR 1.6; 95% CI, 1.0 to 2.7); being single, widowed, or divorced (OR 1.9; 95% CI, 1.4 to 2.6); being unemployed (OR 1.9; 95% CI, 1.5 to 2.5); having a low household income (<$30 000) (OR 3.2; 95% CI, 2.3 to 4.5); and being born in Canada (OR 2.0; 95% CI, 1.4 to 2.8). Conclusions: The prevalence of GAD was slightly higher than international estimates, with similar associated demographic variables. As expected, GAD was highly comorbid with other psychiatric conditions but also with indicators of pain, stress, stigma, and health care utilization. Independent of comorbid conditions, GAD showed a significant degree of impact on both the individual and society. Our results show that GAD is a common mental disorder within Canada, and it deserves significant attention in health care planning and programs.

scholarly journals A single-center study on impact of psychological intervention to acclimatize medical staffs who are serving COVID-19 disease patients, to continue hospital activities without any disruption

2021 ◽  
Vol 8 (6) ◽  
pp. 3048
Author(s):  
Dhaval Dalal ◽  
Kamalpriya Thiyagarajan ◽  
Humeshwari Nipane ◽  
Vijaykumar Gawali
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Health Care Workers ◽  
Psychological Intervention ◽  
P Value ◽  
Generalized Anxiety ◽  
Chi Square ◽  
Care Workers ◽  
Chi Square Test

Background: COVID-19 has brought psychological disorders that affect health care workers and the general public. Hence it is important to have necessary counselling to address the psychological, social aspects of the pandemic to ensure psychological well-being of especially Health-care Workers and preserve their innate and acquired immunity.Methods: The study was planned as single centre retrospective study and conducted between April and June 2020 at dedicated COVID-19 hospital in India. Front-line HCWs more than 18 years, of any gender working in COVID-19 hospital and willing to participate for the study were enrolled in the study. Study included two questionnaires, generalized anxiety disorder scale, and socio-demographics and COVID-19 related awareness questionnaire. Measurements were taken pre and post the psychological counselling intervention.Results: As per generalized anxiety disorder (GAD) scale people suffering from moderate anxiety disorder dropped from 19% (pre counselling) to 5% (post counselling) and severe cases dropped from 14% (pre counseling) to 2% (post counseling), there was statistically significant difference observed due to psychological intervention in GAD scale (Chi square test-10.794, p value=3.67E-27). Socio demographics and COVID-19 related awareness questionnaire results were statistically significant (Chi square test-11.945, p value=6.91E-33).Conclusions: Counselling interventions based on scientific data offered in groups by investigator with an accurate knowledge of the COVID-19 and its manifestation increased the confidence of health care workers (HCWs) and reduced anxiety level. This was translated into the full availability of HCWs on the clinical study site, although medical services were disrupted while other hospitals were starving due to lack of staff.

Treatment and Effectiveness of the Medication in Generalized Anxiety Disorder in Primary Health Care

2015 ◽  
Vol 30 ◽  
pp. 535
Author(s):  
K. Paschalidis ◽  
P. Dalli ◽  
I. Chaviaras ◽  
P. Argitis ◽  
C. Chatzidai
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Generalized Anxiety ◽  
Primary Health

scholarly journals The Prevalence of Generalized Anxiety Disorder Among Health Care Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Amir Adibi ◽  
Mohamad Golitaleb ◽  
Iman Farrahi-Ashtiani ◽  
Davoud Pirani ◽  
Kosar Yousefi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Health Care Workers ◽  
Meta Analysis ◽  
Psychological Problems ◽  
Health Staff ◽  
Generalized Anxiety ◽  
Care Workers

Introduction: Health care workers, due to be involved in caring for COVID-19 patients may experience various psychological problems including anxiety disorders. This study aimed to investigate the prevalence of Generalized Anxiety Disorder (GAD) among health care workers during the COVID-19 pandemic by systematic review and meta-analysis.Methods: The PRISMA guideline was used for conducting this study. Related keywords were searched in credited resources including ISC, Magiran, PubMed, Scopus, Web of Science, Cochrane, ProQuest, Science Direct, Google Scholar, and Embase to find the articles published on the prevalence of GAD among health care workers during the COVID-19 pandemic from the first of January to the end of June 2020. Meta-analysis was conducted by the random effects model.Results: In this study, 553 articles were initially identified, from which 19 studies were finally included in the meta-analysis. The results showed that the prevalence of GAD in health care workers based on the GAD-7 and GAD-2 instruments were 32.04% (95% CI: 26.89–37.19, I2 = 98.2%, p &lt; 0.001) and 22.62% (95% CI: 9.01–36.24, I2 = 97.7%, p &lt; 0.001). The overall prevalence of GAD was obtained 30.5% (95% CI: 25.58–35.42, I2 = 98.4%, p &lt; 0.001).Conclusion: This study showed a relatively high GAD prevalence, as one of the fundamental psychological problems, among health care workers during the COVID-19 pandemic. Therefore, health system managers should implement preventive strategies to protect health staff from contracting the virus and monitor them for psychological problems and provide them with supportive measures if necessary.

scholarly journals Generalized Anxiety Disorder and Its Associated Factors Among Health Care Workers Fighting COVID-19 in Southern Ethiopia

2020 ◽  
Vol Volume 13 ◽  
pp. 907-917
Author(s):  
Abinet Teshome ◽  
Mustefa Glagn ◽  
Mulugeta Shegaze ◽  
Beemnet Tekabe ◽  
Asmare Getie ◽  
...  
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Health Care Workers ◽  
Associated Factors ◽  
Southern Ethiopia ◽  
Generalized Anxiety ◽  
Care Workers
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