Explained and Unexplained Medical Symptoms in Generalized Anxiety and Panic Disorder: Relationship to the Somatoform Disorders

Barbee, James G.; Todorov, Alexandre A.; Kuczmierczyk, Andrzej; Mancuso, Donna; Schwab, John J.; Maddock, Richard J.; Hoehn‐Saric, Rudolf; Kelley, Lee Ann; Davidson, Jonathan

doi:10.3109/10401239709147790

Cited by 10 publications

(2 citation statements)

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“…These aspects of functioning are important to most clients and have direct relevance to cost. Indeed, when these factors have been assessed, researchers consistently have found that prior to treatment, clients with anxiety disorders tended to have greater psychosocial impairment, poorer general medical health, and more active chronic medical conditions than nonanxious persons (Barbee, et al, 1997; Greenberg et al, 1999; Wells, Golding, & Burnam, 1989). Clients also exhibited increased use of hospital emergency departments and higher rates of hospital admission (Brawman-Mintzer & Lydiard, 1996; Candilis & Pollack, 1997; Wittchen & Essau, 1993).…”

Section: We May Be Underestimating the Cost-benefit Of Standard Inter...mentioning

confidence: 99%

Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example.

Newman

2000

Journal of Consulting and Clinical Psychology

149

120

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As inexpensive interventions gain empirical support, there is an increasing risk that such data may be used by health maintenance organizations to unfairly restrict the number and type of therapy sessions reimbursed for all clients, even those less likely to benefit from economical treatments. As a result, it is important to identify clients who may not respond to specific therapies and to empirically support ways to treat them. Successful treatment of nonresponders is also valuable because predictors of treatment failure tend to predict cost related to medical and disability expenses. Using generalized anxiety disorder as an example, this article suggests a flexible and comprehensive approach to cost-benefit analysis in psychotherapy that includes clients who may not improve in response to current data-based interventions. In addition, suggestions are made for the identification of alternative treatment approaches, and a potential treatment allocation model is recommended.

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Section: We May Be Underestimating the Cost-benefit Of Standard Inter...mentioning

confidence: 99%

Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example.

Newman

2000

Journal of Consulting and Clinical Psychology

149

120

View full text Add to dashboard Cite

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“…14 Patients with GAD have had often a high number of both explained and unexplained physical symptoms. 25 Moreover, GAD has been associated with high rate of physical comorbidities, such as hypertension, cardiac disorders, gastrointestinal problems, genitourinary disorders, and migraine. 26 Both GAD and anxiety symptoms have been associated with a high rate of headaches.…”

Section: Introductionmentioning

confidence: 99%

The association of generalized anxiety disorder and Somatic Symptoms with frequent attendance to health care services

Kujanpää

Jokelainen

Auvinen

et al. 2017

Int J Psychiatry Med

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Objective Generalized anxiety disorder is associated with higher rate of physical comorbities, unexplained symptoms, and health care utilization. However, the role of somatic symptoms in determining health care utilization is unclear. The present study aims to assess the association of frequent attendance of health care services between generalized anxiety disorder symptoms and somatic symptoms. Method This study was conducted cross-sectionally using the material of the 46-year follow-up survey of the Northern Finland Birth Cohort 1966. Altogether, 5585 cohort members responded to the questionnaires concerning health care utilization, illness history, physical symptoms, and generalized anxiety disorder-7 screening tool. Odds ratios belonging to the highest decile in health care utilization were calculated for generalized anxiety disorder symptoms and all (n = 4) somatic symptoms of Hopkins Symptom Checklist-25 controlled for confounding factors. Results Adjusted Odds ratios for being frequent attender of health care services were 2.29 (95% CI 1.58-3.31) for generalized anxiety disorder symptoms and 1.28 (95% CI 0.99-1.64), 1.94 (95% CI 1.46-2.58), 2.33 (95% CI 1.65-3.28), and 3.64 (95% CI 2.15-6.18) for 1, 2, 3, and 4 somatic symptoms, respectively. People with generalized anxiety disorder symptoms had on average a higher number of somatic symptoms (1.8) than other cohort members (0.9). Moreover, 1.6% of people without somatic symptoms tested positive for generalized anxiety disorder, meanwhile 22.6% of people with four somatic symptoms tested positive for generalized anxiety disorder. Conclusions Both generalized anxiety disorder symptoms and somatic symptoms are associated with a higher risk for being a health care frequent attender.

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Generalised anxiety disorder

Emilien

Dinan

Lepola³

et al. 2002

Anxiety Disorders

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Explained and Unexplained Medical Symptoms in Generalized Anxiety and Panic Disorder: Relationship to the Somatoform Disorders

Cited by 10 publications

References 0 publications

Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example.

Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example.

The association of generalized anxiety disorder and Somatic Symptoms with frequent attendance to health care services

Generalised anxiety disorder

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