Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.

<h4>Background</h4>Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) record...

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Autores principales:	Kate Walters, Greta Rait, Mark Griffin, Marta Buszewicz, Irwin Nazareth
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/47b56fd4fab34922a6cc931ffa85fd6f
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spelling	oai:doaj.org-article:47b56fd4fab34922a6cc931ffa85fd6f2021-11-18T07:09:52ZRecent trends in the incidence of anxiety diagnoses and symptoms in primary care.1932-620310.1371/journal.pone.0041670https://doaj.org/article/47b56fd4fab34922a6cc931ffa85fd6f2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22870242/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms.<h4>Methodology/principal findings</h4>Annual incidence rates of anxiety diagnoses and symptoms were calculated from 361 UK general practices contributing to The Health Improvement Network (THIN) database between 1998 and 2008, adjusted for year of diagnosis, gender, age, and deprivation. Incidence of GP recorded anxiety diagnosis fell from 7.9 to 4.9/1000PYAR from 1998 to 2008, while incidence of anxiety symptoms rose from 3.9 to 5.8/1000PYAR. Incidence of mixed anxiety/depression fell from 4.0 to 2.2/1000PYAR, and incidence of panic disorder fell from 0.9/1000PYAR in 1998 to 0.5/1000PYAR in 2008. All these entries were approximately twice as common in women and more common in deprived areas. GP-recorded anxiety diagnoses, symptoms and mixed anxiety/depression were commonest aged 45-64 years, whilst panic disorder/attacks were more common in those 16-44 years. GPs predominately use broad non-specific codes to record anxiety problems in the UK.<h4>Conclusions/significance</h4>GP recording of anxiety diagnoses has fallen whilst recording of anxiety symptoms has increased over time. The incidence of GP recorded diagnoses of anxiety diagnoses was lower than in screened populations in primary care. The reasons for this apparent under-recording and whether it represents under-detection in those being seen, a reluctance to report anxiety to their GP, or a reluctance amongst GPs to label people with anxiety requires investigation.Kate WaltersGreta RaitMark GriffinMarta BuszewiczIrwin NazarethPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 8, p e41670 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kate Walters Greta Rait Mark Griffin Marta Buszewicz Irwin Nazareth Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
description	<h4>Background</h4>Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms.<h4>Methodology/principal findings</h4>Annual incidence rates of anxiety diagnoses and symptoms were calculated from 361 UK general practices contributing to The Health Improvement Network (THIN) database between 1998 and 2008, adjusted for year of diagnosis, gender, age, and deprivation. Incidence of GP recorded anxiety diagnosis fell from 7.9 to 4.9/1000PYAR from 1998 to 2008, while incidence of anxiety symptoms rose from 3.9 to 5.8/1000PYAR. Incidence of mixed anxiety/depression fell from 4.0 to 2.2/1000PYAR, and incidence of panic disorder fell from 0.9/1000PYAR in 1998 to 0.5/1000PYAR in 2008. All these entries were approximately twice as common in women and more common in deprived areas. GP-recorded anxiety diagnoses, symptoms and mixed anxiety/depression were commonest aged 45-64 years, whilst panic disorder/attacks were more common in those 16-44 years. GPs predominately use broad non-specific codes to record anxiety problems in the UK.<h4>Conclusions/significance</h4>GP recording of anxiety diagnoses has fallen whilst recording of anxiety symptoms has increased over time. The incidence of GP recorded diagnoses of anxiety diagnoses was lower than in screened populations in primary care. The reasons for this apparent under-recording and whether it represents under-detection in those being seen, a reluctance to report anxiety to their GP, or a reluctance amongst GPs to label people with anxiety requires investigation.
format	article
author	Kate Walters Greta Rait Mark Griffin Marta Buszewicz Irwin Nazareth
author_facet	Kate Walters Greta Rait Mark Griffin Marta Buszewicz Irwin Nazareth
author_sort	Kate Walters
title	Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
title_short	Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
title_full	Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
title_fullStr	Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
title_full_unstemmed	Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
title_sort	recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/47b56fd4fab34922a6cc931ffa85fd6f
work_keys_str_mv	AT katewalters recenttrendsintheincidenceofanxietydiagnosesandsymptomsinprimarycare AT gretarait recenttrendsintheincidenceofanxietydiagnosesandsymptomsinprimarycare AT markgriffin recenttrendsintheincidenceofanxietydiagnosesandsymptomsinprimarycare AT martabuszewicz recenttrendsintheincidenceofanxietydiagnosesandsymptomsinprimarycare AT irwinnazareth recenttrendsintheincidenceofanxietydiagnosesandsymptomsinprimarycare
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Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.

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