Generalized anxiety disorder in older medical patients: Diagnostic recognition, mental health management and service utilization

Journal of Clinical Psychology in Medical Settings

Volumn 16, Issue 2, 2009, Pages 178-185

  Calleo, Jessica ^a   Stanley, Melinda A ^a,b   Greisinger, Anthony ^c   Wehmanen, Oscar ^c   Johnson, Michael ^b,d   Novy, Diane ^e   Wilson, Nancy ^a,b   Kunik, Mark ^a,b,f  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c Kelsey Research Foundation   (United States)

^d UNIVERSITY OF HOUSTON   (United States)

^e UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

^f Education and Clinical Center   (United States)

Author keywords

Database study; Generalized anxiety disorder; Medical record review; Older patients; Primary care

Indexed keywords

ANTIDEPRESSANT AGENT; BENZODIAZEPINE DERIVATIVE; SEDATIVE AGENT;

ANXIETY DISORDER; ARTICLE; BIPOLAR DISORDER; COMORBIDITY; DEPRESSION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; GENERAL PRACTITIONER; GENERALIZED ANXIETY DISORDER; GERONTOPSYCHIATRY; HEALTH CARE UTILIZATION; HUMAN; MEDICAL DOCUMENTATION; MEDICAL RECORD REVIEW; MENTAL HEALTH CARE; MENTAL HEALTH SERVICE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PSYCHIATRIC DIAGNOSIS; PSYCHOSIS; STRUCTURED INTERVIEW; SUBSTANCE ABUSE; SUICIDAL BEHAVIOR;

AGED; AGED, 80 AND OVER; ANXIETY DISORDERS; COGNITIVE THERAPY; COMORBIDITY; CROSS-SECTIONAL STUDIES; DEPRESSIVE DISORDER; DIAGNOSIS, DIFFERENTIAL; FEMALE; HEALTH SERVICES MISUSE; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; PRIMARY HEALTH CARE; PSYCHOTROPIC DRUGS; REFERRAL AND CONSULTATION; SICK ROLE; SOMATOFORM DISORDERS; TEXAS; UTILIZATION REVIEW;

EID: 67349097355     PISSN: 10689583     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10880-008-9144-5     Document Type: Article

References (28)

1. Allgulander, C. (2006). Generalized anxiety disorder: What are we missing? European Neuropsychopharmacology, 16, 5101-5108. doi: 10.1016/ j.euroneuro.2006.04.001.
2. Ansseau, M., Dierick, M., Butinkx, F., Cnockaert, P., De Smedt, J., van den Haute, M., et al. (2004). High prevalence of mental disorders in primary care. Journal of Affective Disorders, 78, 49-55. doi: 10.1016/ S0165-0327(02)00219-7.
3. Bebbington, P. E., Brugha, T. A., Meltzer, H., Jenkins, R., Ceresa, C., Farrell, M., et al. (2000). Neurotic disorders and the receipt of psychiatric treatment. Psychiatric Medicine, 30, 1369-1376. doi: 10.1017/ S0033291799002974.
4. Belanger, L., Ladouceur, R., & Morin, C. M. (2005). Generalized anxiety disorder and health care use. Canadian Family Physician Medecin de Famille Canadien, 51, 1362-1363.
5. Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Chronic Disease, 4, 373-383. doi: 10.1016/0021-9681(87)90171-8.
6. Culpepper, L. (2002). Generalized anxiety disorder in primary care: Emerging issues in management and treatment. The Journal of Clinical Psychiatry, 63(suppl 8), 35-42.
7. deBeurs, E., Beekman, A. T. F., van Balkom, A. J. L. M., Deeg, D. J. H., van Dyck, R., & van Tilburg, W. (1999). Consequences of anxiety in older persons: Its effect on disability, well-being and use of health services. Psychological Medicine, 29, 583-593.
8. Deyo, R. A., Cherkin, D. C., & Ciol, M. A. (1992). Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. Journal of Clinical Epidemiology, 45, 613-619.
9. Gurmankin Levy, A., Maselko, J., Bauer, M., Richaman, L., & Kubzansky, L. (2007). Why do people with an anxiety disorder utilize more nonmental health care than those without? Health Psychology, 26, 545. 533.
10. Hoehn-Saric, R. (2005). Generalized anxiety disorder in medical practice. Primary Psychiatry, 12, 30-34.
11. Klap, R., Unroe, K. T., & Unutzer, J. (2003). Caring for mental illness in the United States: A focus on older adults. American Journal of Geriatric Psychiatry, 11, 517-524.
12. Lenze, E. J., Karp, J. F., Mulsant, B. H., Blank, S., Shear, M. K., Houck, P. R., et al. (2005). Somatic symptoms in late-life anxiety: Treatment issues. Journal of Geriatric Psychiatry and Neurology, 18, 89-96.
13. Logue, M. B., Thomas, A. M., Barbee, J. G., Hoehn-Saric, R., Maddock, R. J., Schwab, J., et al. (1993). Generalized anxiety disorder patients seek evaluation for cardiological symptoms at the same frequency as patients with panic disorder. Journal of Psychiatric Residency, 27, 55-59.
14. Marciniak, M. D., Lage, M. J., Dunayevich, E., Russell, M. M., Bowman, L., Landbloom, R. P., et al. (2005). The costs of treating anxiety: The medical and demographic correlates that impact total medical costs. Depression and Anxiety, 21, 178-184.
15. Pollack, M. H., Meoni, P., Otto, M. W., & Hackett, D. (2003). Predictors of outcome following venlafaxine extended-release treatment of DSM-IV generalized anxiety disorder: A pooled analysis of short- and long-term studies. Journal of Clinical Psychopharmacology, 23, 250-259.
16. Rollman, B. L., Belnap, B. H., Mazumdar, S., Zhu, F., Kroenke, K., Schulberg, H. C., et al. (2005). Symptomatic severity of PRIME-MD diagnosed panic and generalized anxiety disorder in primary care. Journal of General Internal Medicine, 20, 623-628.
17. Roundy, K., Culley, J. A., Stanley, M. A., Veazey, C., Souchek, J., Wray, N. P., et al. (2005). Are anxiety and depression addressed in primary care patients with chronic obstructive pulmonary disease? A chart review. Primary Care Companion to the Journal of Clinical Psychiatry, 7, 213-218.
18. Roy-Byrne, P. P., & Wagner, A. (2004). Primary care perspective on generalized anxiety disorder. Journal of Clinical Psychiatry, 65(Suppl 13), 20-26.
19. Schulz, J., Gotto, J. G., & Rapaport, M. H. (2005). The diagnosis and treatment of generalized anxiety disorder. Primary Psychiatry, 12, 58-67.
20. Skopp, N. A., Novy, D., Kunik, M., Daza, P., Adams, J. H., Senior, A., et al. (2006). Investigation of cognitive behavior therapy. American Journal of Geriatric Psychiatry, 14, 292.
21. Spitzer, R. L., Williams, J. B., Kroenke, K., Linzer, M., de Gruy, F. V., Hahn, S. R., I. I. I., et al. (1994). Utility of new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. Journal of the American Medical Association, 272, 1749-1756.
22. Stanley, M. A., Diefenbach, G. J., Hopko, D. R., Novy, D., Kunik, M. E., Wilson, N., et al. (2003). The nature of generalized anxiety in older primary care patients: Preliminary findings. Journal of Psychopathology and Behavioral Assessment, 25, 273-280.
23. Stein, M. B., Sherbourne, C. D., Craske, M. G., Means-Christensen, A., Bystritsky, A., Katon, W., et al. (2004). Quality of care for primary care patients with anxiety disorders. American Journal of Psychiatry, 161, 2230-2237.
24. Weiller, E., Bisserbe, J. C., Maier, W., & Lecrubier, Y. (1998). Prevalence and recognition of anxiety syndromes in five European primary care settings: A report from the WHO study on psychological problems in general health care. British Journal of Psychiatry, 173, 18-23.
25. Wittchen, H. U. (2002). Generalized anxiety disorder: Prevalence burden, and cost to society. Depression and Anxiety, 16, 162-171.
26. Wittchen, H. U., Kessler, R. C., Beesko, K., Krause, P., Hofler, M., & Hoyer, J. (2002). Generalized anxiety and depression in primary care: Prevalence, recognition, and management. Journal of Clinical Psychiatry, 63(suppl 8), 24-34.
27. Wulsin, L. R., Arnold, L. M., & Hillard, J. R. (1991). Axis I disorders in ER patients with atypical chest pain. International Journal of Psychiatry in Medicine, 21, 37-46.
28. Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001). The quality of care and depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58, 55-61.