prevention of anxiety disorders in primary care a feasibility study预防焦虑症在初级保健可行性研究.pdfVIP

Batelaan et al. BMC Psychiatry 2012, 12:206 /1471-244X/12/206 RESEARCH ARTICLE Open Access Prevention of anxiety disorders in primary care: A feasibility study Neeltje M Batelaan1,2*, Jan H Smit1,2, Pim Cuijpers2,3, Harm WJ van Marwijk2,4, Berend Terluin2,4 and Anton JLM van Balkom1,2 Abstract Background: Anxiety disorders are highly prevalent in primary care and cause a substantial burden of disease. Screening on risk status, followed by preventive interventions in those at risk may prevent the onset of anxiety disorders, and thereby reduce the disease burden. The willingness to participate in screening and interventions is crucial for the scope of preventive strategies, but unknown. This feasibility study, therefore, investigated participation rates of screening and preventive services for anxiety disorders in primary care, and explored reasons to refrain from screening. Methods: In three general practices, screening was offered to individuals visiting their general practitioner (total n = 2454). To assess risk status, a 10-item questionnaire was followed by a telephone interview (including the CIDI) when scoring above a predefined threshold. Preventive services were offered to those at risk. Participation rates for screening and preventive services for anxiety disorders were assessed. Those not willing to be screened were asked for their main reason to refrain from screening. Results: Of all individuals, 17.3% participated in initial screening, and of those with a possible risk status, 56.0% continued screening. In 30.1% of those assessed, a risk status to develop an anxiety disorder was verified. Of these, 22.6% already received some form of mental health treatment and 38.7% of them agreed to participate in a preventive intervention and were referred. The most frequently mentioned reasons to refrain fro