Alameri Fayeza, Yaslam Manea, Alraeesi Nahed, Alshereif Sojoud, Darwish Ebtihal, Heena Humariya
Department of Family Medicine, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.
Department of Family Medicine, University of Sharjah, Sharjah, United Arab Emirates.
J Family Med Prim Care. 2024 Nov;13(11):4824-4830. doi: 10.4103/jfmpc.jfmpc_1658_23. Epub 2024 Nov 18.
Anxiety disorders are common. However, individuals suffering from anxiety disorders often do not seek treatment. These disorders impose a high individual and societal burden, especially on military personnel and their families, and place a significant burden on healthcare systems as care is often sought from primary care physicians rather than specialized professionals. This study was undertaken to determine the prevalence and correlates of anxiety among visitors at a Military Primary Health Center.
Anxiety disorders were high in our study population. Generalized Anxiety Disorder (GAD) was the most common, while social phobia was less prevalent. 72.5% were 18-40 years old and 63.5% were males. 68% were military personnel, 23% were military personnel family, and the rest were retired. The most common symptoms were sleep disturbances (60.4%), irritability (55%), and restlessness (51.4%). GAD, specific phobia, and panic disorder were more likely in divorced people, and chronic diseases were more likely in people suffering from GAD.
The prevalence of anxiety disorders was considerably higher among visitors at a Military Primary Health Center due to the high stress levels and occupational difficulties associated with an unstable social and family life. Counseling services and follow-up of diagnosed cases should be available at the primary health care level for improved healthcare delivery by the primary care or family health physicians.
焦虑症很常见。然而,患有焦虑症的个体往往不寻求治疗。这些疾病给个人和社会带来了沉重负担,尤其是对军事人员及其家属而言,并且由于患者常常向初级保健医生而非专业专科医生寻求治疗,给医疗系统带来了巨大负担。本研究旨在确定军事初级卫生中心就诊者中焦虑症的患病率及其相关因素。
我们研究人群中的焦虑症患病率较高。广泛性焦虑障碍(GAD)最为常见,而社交恐惧症的患病率较低。72.5%的患者年龄在18 - 40岁之间,63.5%为男性。68%为军事人员,23%为军事人员家属,其余为退休人员。最常见的症状是睡眠障碍(60.4%)、易怒(55%)和坐立不安(51.4%)。离婚者患广泛性焦虑障碍、特定恐惧症和惊恐障碍的可能性更高,而患有广泛性焦虑障碍的人患慢性病的可能性更大。
由于与不稳定的社会和家庭生活相关的高压力水平和职业困难,军事初级卫生中心就诊者中焦虑症的患病率相当高。初级卫生保健层面应提供咨询服务并对确诊病例进行随访,以便初级保健医生或家庭健康医生改善医疗服务。