Sapra Amit, Bhandari Priyanka, Sharma Shivani, Chanpura Trupesh, Lopp Lauri
Family Medicine, Southern Illinois University School of Medicine, Springfield, USA.
Internal Medicine, Springfield Clinic, Springfield, USA.
Cureus. 2020 May 21;12(5):e8224. doi: 10.7759/cureus.8224.
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.
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。