Suppr超能文献

在初级保健环境中使用广泛性焦虑障碍量表-2(GAD-2)和广泛性焦虑障碍量表-7(GAD-7)

Using Generalized Anxiety Disorder-2 (GAD-2) and GAD-7 in a Primary Care Setting.

作者信息

Sapra Amit, Bhandari Priyanka, Sharma Shivani, Chanpura Trupesh, Lopp Lauri

机构信息

Family Medicine, Southern Illinois University School of Medicine, Springfield, USA.

Internal Medicine, Springfield Clinic, Springfield, USA.

出版信息

Cureus. 2020 May 21;12(5):e8224. doi: 10.7759/cureus.8224.

Abstract

Anxiety disorders are highly prevalent in the primary care setting and are responsible for significant morbidity as well as a loss of productivity. Evaluation by mental health specialists and behavioral specialists can sometimes be confounded with problems of availability, accessibility, and the patient's hesitancy to talk to new providers due to lack of prior relationship and trust. Primary care providers already have the advantage of being available for their patients, and have built years of trust behind them to strengthen this relationship. The biggest problems which confront primary care are the time constraints as well as the presence of multiple medical demands. This leads to a constant need for tools that facilitate early recognition and diagnosis of mental health disorders while also providing judicious utilization of clinic time. This article attempts to review the use of two of these popular tools: Generalized Anxiety Disorder scale-2 (GAD-2) and GAD-7 in the primary care setting.

摘要

焦虑症在初级保健环境中极为普遍,会导致严重的发病率以及生产力损失。心理健康专家和行为专家的评估有时会因可及性问题、患者因缺乏先前关系和信任而不愿与新提供者交谈等问题而受到干扰。初级保健提供者已经具备随时为患者服务的优势,并且多年来建立起的信任进一步巩固了这种关系。初级保健面临的最大问题是时间限制以及多种医疗需求。这就持续需要有助于早期识别和诊断心理健康障碍,同时合理利用门诊时间的工具。本文试图综述其中两种常用工具:广泛性焦虑障碍量表-2(GAD-2)和GAD-7在初级保健环境中的应用。

相似文献

1
Using Generalized Anxiety Disorder-2 (GAD-2) and GAD-7 in a Primary Care Setting.
Cureus. 2020 May 21;12(5):e8224. doi: 10.7759/cureus.8224.
2
Prevalence of comorbid anxiety disorders in primary care outpatients.
Arch Fam Med. 1996 Jan;5(1):27-34; discussion 35. doi: 10.1001/archfami.5.1.27.
3
Generalized anxiety disorder in primary care: mental health services use and treatment adequacy.
BMC Fam Pract. 2015 Oct 22;16:146. doi: 10.1186/s12875-015-0358-y.
4
Prevalence of Generalized Anxiety Disorder in Japan: A General Population Survey.
Neuropsychiatr Dis Treat. 2024 Jun 26;20:1355-1366. doi: 10.2147/NDT.S456272. eCollection 2024.
5
Frequency of generalized anxiety disorder in Chinese primary care.
Postgrad Med. 2010 Jul;122(4):32-8. doi: 10.3810/pgm.2010.07.2173.
6
Cognitive behavior therapy for late-life generalized anxiety disorder delivered by lay and expert providers has lasting benefits.
Int J Geriatr Psychiatry. 2016 Nov;31(11):1225-1232. doi: 10.1002/gps.4431. Epub 2016 Feb 28.
7
Primary care perspectives on generalized anxiety disorder.
J Clin Psychiatry. 2004;65 Suppl 13:20-6.
8
Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment seeking and primary care medical samples.
J Anxiety Disord. 2014 Jan;28(1):25-30. doi: 10.1016/j.janxdis.2013.10.009. Epub 2013 Nov 20.
9
Generalized anxiety disorder: prevalence, burden, and cost to society.
Depress Anxiety. 2002;16(4):162-71. doi: 10.1002/da.10065.

引用本文的文献

1
Increasing Utilization of Standardized Tools for Measurement-Based Care in the Management of Generalized Anxiety Disorder.
Glob J Qual Saf Healthc. 2025 Feb 11;8(3):127-134. doi: 10.36401/JQSH-24-36. eCollection 2025 Aug.
5
Psychometric properties of the Arabic generalized anxiety disorder scale (GAD-5) in a non-clinical sample of Arabic-speaking adults.
Front Psychol. 2025 Jul 8;16:1582398. doi: 10.3389/fpsyg.2025.1582398. eCollection 2025.
6
Subthreshold anxiety in Chinese college students: prevalence, gender differences, and correlates.
BMC Psychol. 2025 Jul 17;13(1):803. doi: 10.1186/s40359-025-03084-2.
7
Exploring the non-linear association of daily cigarette consumption behavior and food security- An application of CMP GAM regression.
PLoS One. 2025 Jul 17;20(7):e0328109. doi: 10.1371/journal.pone.0328109. eCollection 2025.
8
Urban-rural differences in the prevalence and influencing factors of insomnia: a cross-sectional study in Foshan, China.
Front Psychiatry. 2025 Jun 27;16:1580013. doi: 10.3389/fpsyt.2025.1580013. eCollection 2025.
9
Feasibility, acceptability, patient experience, and preliminary efficacy of a virtual reality guided imagery intervention for chronic pain.
Front Digit Health. 2025 Jun 24;7:1505861. doi: 10.3389/fdgth.2025.1505861. eCollection 2025.

本文引用的文献

1
Adaptation and validation of the Patient Health Questionnaire-9 to evaluate major depression in a primary care sample in Latvia.
Nord J Psychiatry. 2018 Feb;72(2):112-118. doi: 10.1080/08039488.2017.1397191. Epub 2017 Nov 6.
3
Psychometric analysis of the Generalized Anxiety Disorder scale (GAD-7) in primary care using modern item response theory.
PLoS One. 2017 Aug 3;12(8):e0182162. doi: 10.1371/journal.pone.0182162. eCollection 2017.
4
Screening for generalized anxiety disorder in Spanish primary care centers with the GAD-7.
Psychiatry Res. 2017 Oct;256:312-317. doi: 10.1016/j.psychres.2017.06.023. Epub 2017 Jun 12.
5
Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis.
Gen Hosp Psychiatry. 2016 Mar-Apr;39:24-31. doi: 10.1016/j.genhosppsych.2015.11.005. Epub 2015 Nov 18.
6
Development and validation of the Japanese version of Primary Care Assessment Tool.
Fam Pract. 2016 Feb;33(1):112-7. doi: 10.1093/fampra/cmv087. Epub 2015 Nov 5.
7
Comorbidity of depressive and anxiety disorders: challenges in diagnosis and assessment.
Shanghai Arch Psychiatry. 2014 Aug;26(4):227-31. doi: 10.3969/j.issn.1002-0829.2014.04.006.
8
Prevalence of anxiety disorders among Finnish primary care high utilizers and validation of Finnish translation of GAD-7 and GAD-2 screening tools.
Scand J Prim Health Care. 2014 Jun;32(2):78-83. doi: 10.3109/02813432.2014.920597. Epub 2014 Jun 12.
10
Mental disorders in primary care.
Dialogues Clin Neurosci. 2003 Jun;5(2):115-28. doi: 10.31887/DCNS.2003.5.2/huwittchen.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验