recent trends in the incidence of anxiety diagnoses and symptoms in primary care最近的趋势在焦虑的发生率在初级护理诊断和症状.pdfVIP

Recent Trends in the Incidence of Anxiety Diagnoses and Symptoms in Primary Care Kate Walters*, Greta Rait, Mark Griffin, Marta Buszewicz, Irwin Nazareth Department of Primary Care and Population Health, University College London (UCL), London, United Kingdom Abstract Background: 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. Methodology/Principal Findings: 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. Conclusions/Significance: 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