Beesdo K, Krause P, Höfler M, Wittchen H U
Institut für Klinische Psychologie und Psychotherapie, TU Dresden.
Fortschr Med Orig. 2001;119 Suppl 1:13-6.
This paper examines attitudes and characteristics of service providers for generalized anxiety disorders (GAD) in primary care. Based on a nationwide sample of 558 primary care doctors, the study found: 56.9% of all primary care doctors consider GAD to be an independent disorder, younger doctors more frequently than older ones. On average, they see on average at least 2.3 GAD definite patients a day. 27.4% indicate that they treat GAD differently than they treat depression. Doctors with frequent postgraduate courses on either depression or GAD reveal more favourable competence ratings with regard to recognition/diagnoses and therapy and refer such patients less frequently. Suggested treatments for GAD, however, are diffuse and by and large inconsistent with current research knowledge. Overall these findings suggest that the majority of primary care doctors view GAD as a prevalent independent disorder with special treatment needs.
本文研究了初级保健中广泛性焦虑症（GAD）服务提供者的态度和特征。基于全国范围内558名初级保健医生的样本，该研究发现：所有初级保健医生中有56.9%认为广泛性焦虑症是一种独立的疾病，年轻医生比年长医生更频繁地持此观点。平均而言，他们每天至少会见到2.3名确诊为广泛性焦虑症的患者。27.4%的医生表示，他们对广泛性焦虑症的治疗方式与治疗抑郁症的方式不同。参加过抑郁症或广泛性焦虑症方面频繁研究生课程的医生，在识别/诊断和治疗方面的能力评级更有利，且转诊此类患者的频率更低。然而，针对广泛性焦虑症的建议治疗方法较为分散，总体上与当前的研究知识不一致。总体而言，这些发现表明，大多数初级保健医生将广泛性焦虑症视为一种普遍存在的、有特殊治疗需求 的独立疾病。
