Rodriguez BF, Weisberg RB, Pagano ME, Bruce SE, Spencer MA, Culpepper L, Keller MB
journal
J Nerv Ment Dis
Date Published
2006 Feb
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Study Summary
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What They Studied
The researchers aimed to examine the naturalistic course of generalized anxiety disorder (GAD) in primary care patients over a 2-year period.
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What They Found
They found that most patients were still symptomatic after two years, but the rates of full and partial recovery were higher than in previous studies of psychiatric patients.
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What This Means
These findings suggest that generalized anxiety disorder (GAD) tends to be a long-term condition, even for primary care patients. This aligns with previous evidence showing GAD as a persistent illness, indicating the importance of ongoing management.
Study Summary
Study Overview
The study explored the journey of generalized anxiety disorder (GAD) in primary care patients over two years. Researchers observed that GAD often remains persistent in this group. They noted that treatment approaches need to focus not just on symptoms but also on improving daily life and social interactions.
The findings indicate that recovery rates can vary and that many who do recover may face relapses, highlighting the complexity of GAD.
Abstract: background
The current study examined the naturalistic course of generalized anxiety disorder (GAD) in a sample of 113 primary care patients across a 2-year period.
Chronic Nature of GAD
"Results underscore that GAD is a chronic and persistent illness in primary care patients."
Treatment Focus
"Our findings suggest that symptom-focused approaches ultimately may not be sufficient and that interventions that specifically try to improve psychosocial functioning in addition to reducing symptoms may be more effective strategies for treating GAD."
Persistent Symptoms
"A substantial proportion of those who did experience a period of full recovery from GAD had a recurrence of symptoms just within the 2-year period of observation."
Study Summary
Methods
To diagnose patients initially, structured clinical interviews were conducted. These interviews followed the DSM-IV diagnostic criteria, a standard classification of mental disorders used by mental health professionals.
By adhering to these rigorous diagnostic standards, the researchers ensured that the identified patients indeed met the criteria for GAD, providing a reliable foundation for later assessment of their progress over the two-year span.
Abstract: methods
Initial diagnoses were established using structured clinical interviews according to DSM-IV diagnostic criteria.
Study Summary
Results
The study found that most patients diagnosed with GAD were still showing symptoms after two years, though to varying degrees. It also revealed that recovery rates, whether full or partial, were higher compared to past studies on psychiatric patients with GAD.
Key factors influencing recovery included the presence of other diagnoses, how severely daily life was impacted, and gender. Interestingly, receiving psychiatric treatment did not seem to hasten recovery, possibly due to biases in treatment allocation. Ultimately, this underscores GAD's chronic nature among primary care patients.
Abstract: results
Results indicated that the majority of patients meeting DSM-IV diagnostic criteria for GAD were still symptomatic to some degree after 2 years of follow-up. Rates of full and partial recovery from GAD, however, were found to be higher than those repo...more
Study Summary
Conclusions
The findings clearly indicate that GAD is a chronic and persistent condition among primary care patients. Despite higher recovery rates observed compared to past studies, the majority of patients continued to experience symptoms after two years.
Essentially, the chronicity of GAD is evident from the data, emphasizing the need for ongoing support and targeted intervention strategies for patients within the primary care setting.
Abstract: conclusions
These results underscore that GAD is a chronic and persistent illness in primary care patients.
Background Information
Patient Guide
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Diagnostic Comorbidity
GAD often coexists with other mental health disorders like depression, complicating treatment. π
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Severity of Impairment
GAD can significantly impact daily life, causing physical symptoms like fatigue and trouble sleeping. π€
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Gender Differences in GAD
Gender is associated with different rates of recovery from GAD in primary care patients. π«
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Chronic Nature of GAD
GAD is often a long-term condition with a risk of relapse even with treatment. π
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Treatment Approaches
Common treatments include CBT and medications like SSRIs, though effectiveness varies. π
Professional Guide
Expert Opinion: Recovery from Generalized Anxiety Disorder in Primary Care
In line with the findings, current professional recommendations emphasize multiple approaches for managing GAD effectively.
Cognitive-behavioral therapy (CBT) is shown to reduce symptoms and improve functioning across genders.
SSRIs and SNRIs are favored pharmacological treatments, and the combination of pharmacotherapy with CBT may enhance outcomes.
Exercise may also serve as a beneficial adjunct to treatment.
Evidence Summary
CBT vs. Applied Relaxation: Two Paths to Managing Anxiety
Cognitive Behavioral Therapy (CBT) and Applied Relaxation target different aspects of anxiety. CBT works by changing harmful thought patterns and behaviors that feed anxiety, helping people reshape how they respond to stress. Applied Relaxation, on the other hand, teaches muscle relaxation techniques to ease the physical tension that often accompanies anxiety.
Both approaches offer distinct methods to address the symptoms of Generalized Anxiety Disorder, focusing on different pathways to relief.
Evidence Summary
Living with Generalized Anxiety Disorder in Older Adults
Older adults living with generalized anxiety disorder often face persistent worry, trouble sleeping, and irritability, which can severely affect their daily routines and relationships. Late-life GAD not only disrupts mental well-being but also presents physical challenges due to lack of rest.
Managing the symptoms with accurate diagnosis and treatment is key to improving their overall quality of life, allowing for better mental and physical health.
Evidence Summary
How Stress Affects Relapse in Generalized Anxiety Disorder
Stressful life events can lead to relapses in people with Generalized Anxiety Disorder. Those experiencing significant stress are more likely to have these setbacks. Managing stress effectively and having strong support systems can reduce the likelihood of relapse.
High stress environments are directly linked to increased relapse rates, highlighting the importance of proactive management and support during challenging periods.