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Medical utilization across the anxiety disorders
Brett Deacon1, James Lickel, Jonathan S Abramowitz
1University of Wyoming, Department of Psychology, Laramie, WY 82071, USA. bdeacon@uwyo.edu
Journal of Anxiety Disorders
|April 11, 2007
Summary
Patients with anxiety disorders frequently use medical services before effective treatment. Panic disorder patients had the most visits, especially to cardiology and emergency medicine, highlighting a need for better recognition.
Area of Science:
- Psychiatry
- Medical Health Services
Background:
- Anxiety disorders are common mental health conditions.
- Patients often seek medical care for physical symptoms before diagnosis.
- Limited data exists on medical service utilization for various anxiety disorders.
Purpose of the Study:
- To investigate the frequency and settings of medical service utilization by patients with different anxiety disorders.
- To compare medical visit patterns among panic disorder, generalized anxiety disorder, obsessive-compulsive disorder, and phobias.
Main Methods:
- Electronic health records of 171 outpatients referred to an anxiety disorders clinic were reviewed.
- Medical service utilization (general and specialty) was coded.
- Data was analyzed to identify patterns in healthcare seeking behavior.
Main Results:
- Panic disorder patients had the highest number of overall medical visits.
- Panic disorder patients frequently visited cardiology, family medicine, and emergency departments.
- Minimal differences in medical utilization were observed among generalized anxiety disorder, obsessive-compulsive disorder, social phobia, and specific phobias.
Conclusions:
- Anxiety disorder patients are frequent users of medical services before receiving appropriate mental health treatment.
- Improved recognition and management of anxiety disorders, particularly panic disorder, are needed across various medical settings.
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