Scandinavian journal of primary health care · 2016
Generalised anxiety disorder symptoms and utilisation of health care services. A cross-sectional study from the "Northern Finland 1966 Birth Cohort".
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Kujanpää Tero, Jokelainen Jari, Auvinen Juha, Timonen Markku
Аннотация
OBJECTIVE: To analyse the utilization of health care services of people who tested positive for GAD compared to those who tested negative.
SETTING: A cross-sectional study from the Northern Finland 1966 Birth Cohort.
SUBJECTS: A total of 10,282 members followed from birth in a longitudinal study were asked to participate in a follow-up survey at the age of 46. As part of this survey they filled in questionnaries concerning health care utilization and their illness history as well as the GAD-7 screening tool. Althogether 5,480 cohort members responded to the questionnaries.
MAIN OUTCOME MEASURES: Number of visits in different health care services among people who tested positive for GAD with the GAD-7 screening tool compared to those who tested negative.
RESULTS: People who tested positive for GAD had 112% more total health care visits, 74% more total physician visits, 115% more visits to health centres, 133% more health centre physician visits, 160% more visits to secondary care, and 775% more mental health care visits than those who tested negative.
CONCLUSION: People with GAD symptoms utilize health care services more than other people. Key Points Generalised anxiety disorder (GAD) is a common but poorly identified mental health problem in primary care. People who tested positive for GAD utilise more health care services than those who tested negative. About 58% of people who tested positive for GAD had visited their primary care physician during the past year. Only 29% of people who tested positive for GAD had used mental health services during the past year.
SETTING: A cross-sectional study from the Northern Finland 1966 Birth Cohort.
SUBJECTS: A total of 10,282 members followed from birth in a longitudinal study were asked to participate in a follow-up survey at the age of 46. As part of this survey they filled in questionnaries concerning health care utilization and their illness history as well as the GAD-7 screening tool. Althogether 5,480 cohort members responded to the questionnaries.
MAIN OUTCOME MEASURES: Number of visits in different health care services among people who tested positive for GAD with the GAD-7 screening tool compared to those who tested negative.
RESULTS: People who tested positive for GAD had 112% more total health care visits, 74% more total physician visits, 115% more visits to health centres, 133% more health centre physician visits, 160% more visits to secondary care, and 775% more mental health care visits than those who tested negative.
CONCLUSION: People with GAD symptoms utilize health care services more than other people. Key Points Generalised anxiety disorder (GAD) is a common but poorly identified mental health problem in primary care. People who tested positive for GAD utilise more health care services than those who tested negative. About 58% of people who tested positive for GAD had visited their primary care physician during the past year. Only 29% of people who tested positive for GAD had used mental health services during the past year.