Treatment and Prevalence of generalized anxiety disorder and depression among primary health care attendees

Bah Med Bull 01/2010; 32:7-10.

ABSTRACT Objective: The aim of the study was to evaluate the prevalence of generalized anxiety disorder and depression and their treatment in a cross national sample of primary care patients.
Setting: Four primary health care facilities in four Governorates, in the Kingdom of Bahrain.
Design: Clinical Survey.
Method: Four primary health care facilities in four Governorates participated in one stage screening process to identify prevalence of generalized anxiety disorder and depression. Structured diagnostic interviews among 300 consecutive attendees in one day was used. The Mini International Neuro psychiatric Investigation (MINI) was used as screening tool. The association of depression and anxiety with factors such as age, sex, education and employment were evaluated.
Result: Generalized anxiety disorders prevalence rate was 52 (17.3), life time depression was 58 (19.3%) and current depression was 17 (5.6%). Only 22 (7.3%) of the sample had either anxiety or depression in the past, of whom 41% received treatment. None of the examined factors was significantly linked to anxiety or depression.
Conclusion: This study shows that generalized anxiety disorder and major depressive episode are very common among primary care attendees. Thus, primary care physicians should be alerted of this fact.
A multifaceted program should be adopted for the detection and management of GAD and depression.

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    ABSTRACT: Many people are unable to withstand the set point for usual vicissitudes of life and are overwhelmed by depression, especially when there is a potential stressor like a disease. Gender is very important in defining susceptibility and exposure to a number of mental health risks. The objective of this review is to systematically identify, appraise and synthesize the best available evidence on gender disparity in prevalence of depression among patient populations. Observational analytical studies done on patients of 18 years old were included. The JBI-MAStARI tool for extraction was used to pool quantitative data. Review Manager Software was used for meta-analysis and Odds ratios and their 95% confidence intervals were calculated. On Meta-analysis, a total of 19639 patients were involved, with male to female ratio of 1.14:1. The finding of the Meta analysis showed that male sex is 63% less likely to develop depression than female sex (Odds ratio=0.63, 95% Confidence Interval= 0.59, 0.68). The studies included were homogenous; Heterogeneity test: Chi(2) = 309.23, df = 30, (P < 0.00001). Depression is more common among females than male patients.
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