TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Anxiety Disorders/epidemiology
KW - Chi-Square Distribution
KW - China/epidemiology
KW - Comorbidity
KW - Depressive Disorder, Major/epidemiology
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Primary Health Care
KW - Psychiatric Status Rating Scales
KW - Questionnaires
KW - Risk Factors
KW - Socioeconomic Factors
AU - D. G. Ying
AU - S. Jiang
AU - H. Yang
AU - S. Zhu
A1 - 
AB - OBJECTIVE: This study aimed to assess the frequency of generalized anxiety disorder (GAD) among primary care patients in China. We also determined the rate of comorbid major depression (MD) in patients with GAD and explored the differences in sociodemographic and health-related characteristics between patients with and without GAD. METHOD: We invited consecutive outpatients who presented to 4 primary care facilities in Shanghai, China to fill out a survey composed of a screening questionnaire based on the Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition (DSM-IV) for GAD (GAD-7), the Zung Self-Rating Depression Scale (SDS), and various sociodemographic and health-related variables. The 4 primary care facilities covered urban and suburban areas of the city. Patients completed the survey in the reception area as they waited for their medical appointment. RESULTS: The frequency of GAD in Chinese primary care was 4.1% (3.9% for males and 4.3% for females). This estimate was based on 127 positive results among a total of 3073 surveys collected. Of the patients who screened positive for GAD, 72.4% also screened positive for MD. Patients with GAD were more likely to report chronic medical conditions and to attend a university-affiliated primary care clinic. CONCLUSION: Our results showed that the frequency of GAD was significantly high in Chinese primary care patients. Compared with the GAD prevalence in Chinese general population from previously published studies, our findings suggest a link between GAD and health-seeking behaviors. Generalized anxiety disorder was also strongly correlated with MD. Integration of a routine GAD screening regime merits serious consideration to screen, diagnose, and treat patients with GAD in the primary care setting.
BT - Postgraduate medicine
C5 - General Literature
CP - 4
CY - United States
DO - 10.3810/pgm.2010.07.2173
IS - 4
JF - Postgraduate medicine
N2 - OBJECTIVE: This study aimed to assess the frequency of generalized anxiety disorder (GAD) among primary care patients in China. We also determined the rate of comorbid major depression (MD) in patients with GAD and explored the differences in sociodemographic and health-related characteristics between patients with and without GAD. METHOD: We invited consecutive outpatients who presented to 4 primary care facilities in Shanghai, China to fill out a survey composed of a screening questionnaire based on the Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition (DSM-IV) for GAD (GAD-7), the Zung Self-Rating Depression Scale (SDS), and various sociodemographic and health-related variables. The 4 primary care facilities covered urban and suburban areas of the city. Patients completed the survey in the reception area as they waited for their medical appointment. RESULTS: The frequency of GAD in Chinese primary care was 4.1% (3.9% for males and 4.3% for females). This estimate was based on 127 positive results among a total of 3073 surveys collected. Of the patients who screened positive for GAD, 72.4% also screened positive for MD. Patients with GAD were more likely to report chronic medical conditions and to attend a university-affiliated primary care clinic. CONCLUSION: Our results showed that the frequency of GAD was significantly high in Chinese primary care patients. Compared with the GAD prevalence in Chinese general population from previously published studies, our findings suggest a link between GAD and health-seeking behaviors. Generalized anxiety disorder was also strongly correlated with MD. Integration of a routine GAD screening regime merits serious consideration to screen, diagnose, and treat patients with GAD in the primary care setting.
PP - United States
PY - 2010
SN - 1941-9260; 0032-5481
SP - 32
EP - 38
EP - 
T1 - Frequency of generalized anxiety disorder in Chinese primary care
T2 - Postgraduate medicine
TI - Frequency of generalized anxiety disorder in Chinese primary care
U1 - General Literature
U2 - 20675969
U3 - 10.3810/pgm.2010.07.2173
VL - 122
VO - 1941-9260; 0032-5481
Y1 - 2010
ER -