tailieunhanh - Báo cáo y học: "Disability and health-related quality of life in outpatients with generalised anxiety disorder treated in psychiatric clinics: is there still room for improvement"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Disability and health-related quality of life in outpatients with generalised anxiety disorder treated in psychiatric clinics: is there still room for improvement? | Bobes et al. Annals of General Psychiatry 2011 10 7 http content 10 1 7 ANNALS OF GENERAL PSYCHIATRY PRIMARY RESEARCH Open Access Disability and health-related quality of life in outpatients with generalised anxiety disorder treated in psychiatric clinics is there still room for improvement Julio Bobes1 Luis Caballero2 Inma Vilardaga3 Javier Rejas4 Abstract Objective We assessed the impact of generalised anxiety disorder GAD on disability and health-related quality of life in outpatients treated in psychiatric clinics via a secondary analysis conducted in 799 patients from a crosssectional study of prevalence of GAD in psychiatric clinics. Methods Patients were allocated into two groups follow-up and newly diagnosed patients and were administered the Hamilton Anxiety Scale HAM-A Clinical Global Impressions Scale CGI Sheehan Disability Scale SDS and 36-item short form structured quality of life questionnaire SF-36 scales. Results The newly diagnosed group showed higher significant intensity of anxiety vs HAM-A 24 psychiatrist s CGI Severity CGI-S scores vs and perceived stress according to SDS vs . They also showed lower scores in mental health-related quality of life vs . Statistical differences by gender were not observed. GAD was shown to have a significant impact on patient quality of life and disability with a substantial portion having persistent out of control symptoms despite treatment. Conclusions These results suggest that there is still room for improvement in the medical management of patients with GAD treated in psychiatric clinics. Introduction The prevalence of generalised anxiety disorder GAD has markedly increased over the last few years 1 . Moreover given its chronicity of symptoms and associated disability this disorder implies high direct costs for national healthcare systems as well as indirect costs due to related absenteeism and lost wages 1-6 . The patient suffers