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Anxiety Disorders Often Untreated

Researchers discover nearly 20 percent of patients seen by primary care physicians have a least one anxiety disorder. The new study outlines a new screening tool which can alert physicians to those patients with one or more anxiety disorders.

Currently, diagnosis of anxiety disorders, which now appear to occur as frequently as depression, are often missed. The study led by Kurt Kroenke, M.D., of the Indiana University School of Medicine and the Regenstrief Institute, Inc. is published in the March 6 issue of the Annals of Internal Medicine.

The GAD-7, a seven-question, self-administered screening tool, identifies patients with undiagnosed generalized anxiety disorder, panic disorder, post traumatic stress disorder or social anxiety disorder. The new study, which looked at 965 patients in 15 primary care clinics, found anxiety to be as prevalent as depression, and much more common than previously thought, in patients who were visiting a physician for a physical problem or illness.

“Anxiety often manifests as a physical symptom like pain, fatigue, or inability to sleep, so it is not surprising that one out of five patients who come to a doctor’s office with a physical complaint have anxiety,” said Dr. Kroenke, I.U. School of Medicine professor of medicine and Regenstrief Institute, Inc. research scientist.

Dr. Kroenke and colleagues found that even administering the first two questions of the GAD-7 flagged those patients with possible anxiety disorders for physician follow-up. These questions ask the patient if he or she has felt nervous or has been unable to stop or control worrying over the previous two weeks. Bringing this information to the physician’s attention is important because the doctor may be focused on the patient’s physical complaints and unless prompted by the patient or test results is unlikely to assess the patient’s mental status.

“Doctors like to quantify things. We can objectively measure blood pressure, blood sugar or cholesterol, but symptoms of anxiety can be missed in a busy primary care practice. The seven-question GAD-7 and remarkably even the two-question “ultra brief” version gives the physician a tool to quantify the patient’s symptoms – sort of a lab test for anxiety,” he said.

Patients with anxiety have worse functional status, more disability days and more physician visits than patients without mental illness. Untreated anxiety disorders can be disabling.

Source: Indiana University

Anxiety Disorders Often Untreated

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Anxiety Disorders Often Untreated. Psych Central. Retrieved on August 20, 2018, from https://psychcentral.com/news/2007/03/13/anxiety-disorders-often-untreated/683.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.