scholarly journals Descriptive Epidemiology of Generalized Anxiety Disorder in Canada

2016 ◽  
Vol 62 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Rita A. Watterson ◽  
Jeanne V. A. Williams ◽  
Dina H. Lavorato ◽  
Scott B. Patten
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Common Mental Disorder ◽  
Well Being ◽  
Care Utilization ◽  
Generalized Anxiety ◽  
Health Care Planning ◽  
Sampling Weights

Objective: The first national survey to assess the prevalence of generalized anxiety disorder (GAD) in Canada was the 2012 Canadian Community Health Survey: Mental Health and Well-Being (CCHS-MH). The World Mental Health Composite International Diagnostic Interview (WMH-CIDI), used within the representative sample of the CCHS-MH, provides the best available description of the epidemiology of this condition in Canada. This study uses the CCHS-MH data to describe the epidemiology of GAD. Method: The analysis estimated proportions and odds ratios and used logistic regression modelling. All results entailed appropriate sampling weights and bootstrap variance estimation procedures. Results: The lifetime prevalence of GAD is 8.7% (95% CI, 8.2% to 9.3%), and the 12-month prevalence is 2.6% (95% CI, 2.3% to 2.8%). GAD is significantly associated with being female (OR 1.6; 95% CI, 1.3 to 2.1); being middle-aged (age 35-54 years) (OR 1.6; 95% CI, 1.0 to 2.7); being single, widowed, or divorced (OR 1.9; 95% CI, 1.4 to 2.6); being unemployed (OR 1.9; 95% CI, 1.5 to 2.5); having a low household income (<$30 000) (OR 3.2; 95% CI, 2.3 to 4.5); and being born in Canada (OR 2.0; 95% CI, 1.4 to 2.8). Conclusions: The prevalence of GAD was slightly higher than international estimates, with similar associated demographic variables. As expected, GAD was highly comorbid with other psychiatric conditions but also with indicators of pain, stress, stigma, and health care utilization. Independent of comorbid conditions, GAD showed a significant degree of impact on both the individual and society. Our results show that GAD is a common mental disorder within Canada, and it deserves significant attention in health care planning and programs.

Health Care Utilization and Costs in Patients with Generalized Anxiety Disorder Initiating Add-on Therapy with Benzodiazepines

2012 ◽  
Vol 3 (1) ◽  
pp. e45-e54 ◽  
Author(s):  
Ariel Berger ◽  
John Edelsberg ◽  
Vamsi Bollu ◽  
Jose Ma. J. Alvir ◽  
Ashish Dugar ◽  
...  
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health Care Utilization ◽  
Generalized Anxiety Disorder ◽  
Care Utilization ◽  
Generalized Anxiety

The association of generalized anxiety disorder and Somatic Symptoms with frequent attendance to health care services

2017 ◽  
Vol 52 (2) ◽  
pp. 147-159 ◽  
Author(s):  
Tero S Kujanpää ◽  
Jari Jokelainen ◽  
Juha P Auvinen ◽  
Markku J Timonen
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health Care Utilization ◽  
Generalized Anxiety Disorder ◽  
Health Care Services ◽  
Somatic Symptoms ◽  
Care Utilization ◽  
Generalized Anxiety ◽  
Care Services ◽  
Frequent Attendance

Objective Generalized anxiety disorder is associated with higher rate of physical comorbities, unexplained symptoms, and health care utilization. However, the role of somatic symptoms in determining health care utilization is unclear. The present study aims to assess the association of frequent attendance of health care services between generalized anxiety disorder symptoms and somatic symptoms. Method This study was conducted cross-sectionally using the material of the 46-year follow-up survey of the Northern Finland Birth Cohort 1966. Altogether, 5585 cohort members responded to the questionnaires concerning health care utilization, illness history, physical symptoms, and generalized anxiety disorder-7 screening tool. Odds ratios belonging to the highest decile in health care utilization were calculated for generalized anxiety disorder symptoms and all (n = 4) somatic symptoms of Hopkins Symptom Checklist-25 controlled for confounding factors. Results Adjusted Odds ratios for being frequent attender of health care services were 2.29 (95% CI 1.58–3.31) for generalized anxiety disorder symptoms and 1.28 (95% CI 0.99–1.64), 1.94 (95% CI 1.46–2.58), 2.33 (95% CI 1.65–3.28), and 3.64 (95% CI 2.15–6.18) for 1, 2, 3, and 4 somatic symptoms, respectively. People with generalized anxiety disorder symptoms had on average a higher number of somatic symptoms (1.8) than other cohort members (0.9). Moreover, 1.6% of people without somatic symptoms tested positive for generalized anxiety disorder, meanwhile 22.6% of people with four somatic symptoms tested positive for generalized anxiety disorder. Conclusions Both generalized anxiety disorder symptoms and somatic symptoms are associated with a higher risk for being a health care frequent attender.

Mental health impact of COVID-19 pandemic among physicians, nurses, and other healthcare providers, in the province of Alberta (Preprint)

2021 ◽  
Author(s):  
Hany ElGindi ◽  
Reham Shalaby ◽  
April Gusnowski ◽  
Wesley Vuong ◽  
Shireen Surood ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
High Stress ◽  
Well Being ◽  
Self Report ◽  
Generalized Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND During the COVID-19 pandemic, threats to mental health, psychological safety, and well-being are evident, particularly among the first responders and the healthcare staff. OBJECTIVE This study aimed to examine the prevalence and the potential predictors of the likely stress, generalized anxiety disorder, and major depressive disorder among healthcare workers (HCW). METHODS A cross-sectional survey was used through a survey link sent to gather demographic information and responses on several self-report scales, including the Perceived Stress Scale (PSS), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire-9 (PHQ-9) among the various HCW groupings who subscribed to the Text4Hope program. RESULTS This study revealed that the HCW expressed an estimated high prevalence of moderate/high stress rates 840 (81.2%), while the likelihood of moderate/severe anxiety and depressive symptoms were 369 (38.6%), and 317 (32.7%), respectively, during COVID-19 pandemic. Nurses and other HCW were significantly more likely to report depressive symptoms, compared to physicians, (F (2, 159.47) =15.89, 95% CI= (-5.05) -(-2.04). Younger age groups of HCW (≤30 y) were more prone to report likely stress, anxiety, and depressive symptoms, compared to HCW 41-50y and >50y (Odd’s ratio range: 1.82- 3.03). Similarly, females and those who reported a lack of social support (separated/divorced and single) among HCW, had a higher likelihood to report likely stress and depressive symptoms, respectively (OR=1.8 and 1.6). CONCLUSIONS This cross-sectional study revealed the significant impact of COVID-19 pandemic on mental health and indicated significant vulnerability among groups of HCW in Alberta. CLINICALTRIAL Ethical approval for this research was obtained through the University of Alberta Health Research Ethics Board (Pro00086163).

DSM-IV generalized anxiety disorder in the Australian National Survey of Mental Health and Well-Being

2002 ◽  
Vol 32 (4) ◽  
pp. 649-659 ◽  
Author(s):  
C. HUNT ◽  
C. ISSAKIDIS ◽  
G. ANDREWS
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
National Survey ◽  
Population Data ◽  
Well Being ◽  
Generalized Anxiety ◽  
Co Morbidity ◽  
Dsm Iv ◽  
Health And Well Being

Background. This paper reports population data on DSM-IV generalized anxiety disorder from the Australian National Survey of Mental Health and Well-Being.Methods. The data were obtained from a nationwide household survey of adults using a stratified multi-stage sampling process. A response rate of 78·1% resulted in 10641 persons being interviewed. Diagnoses were made using the Composite International Diagnostic Interview. The interview was computerized and conducted by trained lay interviewers.Results. Prevalence in the total sample was 2·8% for 1-month GAD and 3·6% for 12-month GAD. Persons over 55 years of age were less likely to have GAD than those in the younger age groups. Logistic regression analysis also showed that a diagnosis of GAD was significantly associated with being of younger to middle age, being separated divorced or widowed, not having tertiary qualifications or being unemployed. Co-morbidity with another affective, anxiety, substance use or personality disorders was common, affecting 68% of the sample with 1-month DSM-IV GAD. GAD was associated with significant disablement, and 57% of the sample with DSM-IV GAD had consulted a health professional for a mental health problem in the prior 12 months.Conclusions. The survey provides population data on DSM-IV GAD and its correlates. GAD is a common disorder that is accompanied by significant morbidity and high rates of co-morbidity with affective and anxiety disorders, and is associated with marital status, education, employment status, but not sex. Changes to DSM-IV diagnostic criteria did not appear to affect the prevalence rate compared to previous population surveys.

Psychometric Properties of the Spontaneous and Deliberate Mind Wandering Scales

2019 ◽  
Vol 35 (6) ◽  
pp. 878-890 ◽  
Author(s):  
David Marcusson-Clavertz ◽  
Oscar N. E. Kjell
Keyword(s):  
Anxiety Disorder ◽  
Psychometric Properties ◽  
Generalized Anxiety Disorder ◽  
Social Desirability ◽  
Cognitive Task ◽  
Experience Sampling ◽  
Well Being ◽  
Mind Wandering ◽  
Generalized Anxiety ◽  
Psychological Variables

Abstract. Thinking about task-unrelated matters (mind wandering) is related to cognition and well-being. However, the relations between mind wandering and other psychological variables may depend on whether the former commence spontaneously or deliberately. The current two studies investigated the psychometric properties of the Spontaneous and Deliberate Mind Wandering Scales (SDMWS; Carriere, Seli, & Smilek, 2013 ). Study 1 evaluated the stability of the scales over 2 weeks ( N = 284 at Time 1), whereas Study 2 ( N = 323) evaluated their relations to Generalized anxiety disorder symptoms, Openness, Social desirability, and experience-sampling reports of intentional and unintentional mind wandering during an online cognitive task. The results indicated that the SDMWS were better fitted with a two-factor than a one-factor solution, although the fit was improved with the exclusion of one item. The scales exhibited strong measurement invariance across gender and time, and moderately high test-retest reliability. Spontaneous mind wandering predicted Generalized anxiety disorder and experience-sampling reports of unintentional mind wandering, whereas Deliberate mind wandering predicted Openness and experience-sampling reports of intentional mind wandering. Furthermore, Spontaneous mind wandering showed a negative association with social desirability of weak-to-medium strength. In sum, the scales generally showed favorable psychometric properties.

scholarly journals A single-center study on impact of psychological intervention to acclimatize medical staffs who are serving COVID-19 disease patients, to continue hospital activities without any disruption

2021 ◽  
Vol 8 (6) ◽  
pp. 3048
Author(s):  
Dhaval Dalal ◽  
Kamalpriya Thiyagarajan ◽  
Humeshwari Nipane ◽  
Vijaykumar Gawali
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Health Care Workers ◽  
Psychological Intervention ◽  
P Value ◽  
Generalized Anxiety ◽  
Chi Square ◽  
Care Workers ◽  
Chi Square Test

Background: COVID-19 has brought psychological disorders that affect health care workers and the general public. Hence it is important to have necessary counselling to address the psychological, social aspects of the pandemic to ensure psychological well-being of especially Health-care Workers and preserve their innate and acquired immunity.Methods: The study was planned as single centre retrospective study and conducted between April and June 2020 at dedicated COVID-19 hospital in India. Front-line HCWs more than 18 years, of any gender working in COVID-19 hospital and willing to participate for the study were enrolled in the study. Study included two questionnaires, generalized anxiety disorder scale, and socio-demographics and COVID-19 related awareness questionnaire. Measurements were taken pre and post the psychological counselling intervention.Results: As per generalized anxiety disorder (GAD) scale people suffering from moderate anxiety disorder dropped from 19% (pre counselling) to 5% (post counselling) and severe cases dropped from 14% (pre counseling) to 2% (post counseling), there was statistically significant difference observed due to psychological intervention in GAD scale (Chi square test-10.794, p value=3.67E-27). Socio demographics and COVID-19 related awareness questionnaire results were statistically significant (Chi square test-11.945, p value=6.91E-33).Conclusions: Counselling interventions based on scientific data offered in groups by investigator with an accurate knowledge of the COVID-19 and its manifestation increased the confidence of health care workers (HCWs) and reduced anxiety level. This was translated into the full availability of HCWs on the clinical study site, although medical services were disrupted while other hospitals were starving due to lack of staff.

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