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Anxiety and depression in general practice outpatients: the long-term change process
BACKGROUND AND OBJECTIVES: Patients who come for a consultation at a general practice clinic as outpatients often suffer from background anxiety and depression. The psychological state of such patients can alleviate naturally; however, there are cases when these symptoms persist. This study investig...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810524/ https://www.ncbi.nlm.nih.gov/pubmed/29445294 http://dx.doi.org/10.2147/IJGM.S130025 |
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author | Shimada, Fumio Ohira, Yoshiyuki Hirota, Yusuke Ikegami, Akiko Kondo, Takeshi Shikino, Kiyoshi Suzuki, Shingo Noda, Kazutaka Uehara, Takanori Ikusaka, Masatomi |
author_facet | Shimada, Fumio Ohira, Yoshiyuki Hirota, Yusuke Ikegami, Akiko Kondo, Takeshi Shikino, Kiyoshi Suzuki, Shingo Noda, Kazutaka Uehara, Takanori Ikusaka, Masatomi |
author_sort | Shimada, Fumio |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Patients who come for a consultation at a general practice clinic as outpatients often suffer from background anxiety and depression. The psychological state of such patients can alleviate naturally; however, there are cases when these symptoms persist. This study investigated the realities and factors behind anxiety/depression becoming prolonged. METHODS: Participants were 678 adult patients, who came to Department of General Medicine at Chiba University Hospital within a 1-year period starting from April 2012 and who completed the Hospital Anxiety and Depression Scale (HADS) during their initial consultation. Participants whose Anxiety or Depression scores in the HADS, or both, were 8 points or higher were defined as being within the anxiety/depression group, with all other participants making up the control group. A telephone interview was also conducted with participants. Furthermore, age, sex, the period from the onset of symptoms to the initial consultation at our department, the period from the initial department consultation to the telephone survey, and the existence of mental illness at the final department diagnosis were investigated. RESULTS: A total of 121 patients (17.8% response rate) agreed to the phone survey. The HADS score during the phone survey showed that the anxiety/depression group had a significantly higher score than the control group. The HADS scores obtained between the initial consultation and telephone survey showed a positive correlation. Logistic regression analysis extracted “age” and the “continuation of the symptoms during the initial consultation” as factors that prolonged anxiety/depression. CONCLUSION: Anxiety and depression in general practice outpatients have the possibility of becoming prolonged for an extended period of time. Being aged 65 years or over and showing a continuation of symptoms past the initial consultation are the strongest factors associated with these prolonged conditions. When patients with anxiety and depression exhibit these risk factors, they should be further evaluated for treatment. |
format | Online Article Text |
id | pubmed-5810524 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-58105242018-02-14 Anxiety and depression in general practice outpatients: the long-term change process Shimada, Fumio Ohira, Yoshiyuki Hirota, Yusuke Ikegami, Akiko Kondo, Takeshi Shikino, Kiyoshi Suzuki, Shingo Noda, Kazutaka Uehara, Takanori Ikusaka, Masatomi Int J Gen Med Original Research BACKGROUND AND OBJECTIVES: Patients who come for a consultation at a general practice clinic as outpatients often suffer from background anxiety and depression. The psychological state of such patients can alleviate naturally; however, there are cases when these symptoms persist. This study investigated the realities and factors behind anxiety/depression becoming prolonged. METHODS: Participants were 678 adult patients, who came to Department of General Medicine at Chiba University Hospital within a 1-year period starting from April 2012 and who completed the Hospital Anxiety and Depression Scale (HADS) during their initial consultation. Participants whose Anxiety or Depression scores in the HADS, or both, were 8 points or higher were defined as being within the anxiety/depression group, with all other participants making up the control group. A telephone interview was also conducted with participants. Furthermore, age, sex, the period from the onset of symptoms to the initial consultation at our department, the period from the initial department consultation to the telephone survey, and the existence of mental illness at the final department diagnosis were investigated. RESULTS: A total of 121 patients (17.8% response rate) agreed to the phone survey. The HADS score during the phone survey showed that the anxiety/depression group had a significantly higher score than the control group. The HADS scores obtained between the initial consultation and telephone survey showed a positive correlation. Logistic regression analysis extracted “age” and the “continuation of the symptoms during the initial consultation” as factors that prolonged anxiety/depression. CONCLUSION: Anxiety and depression in general practice outpatients have the possibility of becoming prolonged for an extended period of time. Being aged 65 years or over and showing a continuation of symptoms past the initial consultation are the strongest factors associated with these prolonged conditions. When patients with anxiety and depression exhibit these risk factors, they should be further evaluated for treatment. Dove Medical Press 2018-02-09 /pmc/articles/PMC5810524/ /pubmed/29445294 http://dx.doi.org/10.2147/IJGM.S130025 Text en © 2018 Shimada et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Shimada, Fumio Ohira, Yoshiyuki Hirota, Yusuke Ikegami, Akiko Kondo, Takeshi Shikino, Kiyoshi Suzuki, Shingo Noda, Kazutaka Uehara, Takanori Ikusaka, Masatomi Anxiety and depression in general practice outpatients: the long-term change process |
title | Anxiety and depression in general practice outpatients: the long-term change process |
title_full | Anxiety and depression in general practice outpatients: the long-term change process |
title_fullStr | Anxiety and depression in general practice outpatients: the long-term change process |
title_full_unstemmed | Anxiety and depression in general practice outpatients: the long-term change process |
title_short | Anxiety and depression in general practice outpatients: the long-term change process |
title_sort | anxiety and depression in general practice outpatients: the long-term change process |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810524/ https://www.ncbi.nlm.nih.gov/pubmed/29445294 http://dx.doi.org/10.2147/IJGM.S130025 |
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