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Prevalence, Diagnosis, and Treatment of Depression and Generalized Anxiety Disorder in a Diverse Urban Community

Gwynn, R. C. ; Mcquistion, H. L. ; Mcveigh, K. H. ; Garg, R. K. ; Frieden, T. R. ; Thorpe, L. E.

Psychiatric Services, 06/01/2008, Vol.59(6), pp.641-647 [Tạp chí có phản biện]

ISSN: 1075-2730 ; DOI: http://dx.doi.org/10.1176/appi.ps.59.6.641

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  • Nhan đề:
    Prevalence, Diagnosis, and Treatment of Depression and Generalized Anxiety Disorder in a Diverse Urban Community
  • Tác giả: Gwynn, R. C. ; Mcquistion, H. L. ; Mcveigh, K. H. ; Garg, R. K. ; Frieden, T. R. ; Thorpe, L. E.
  • Chủ đề: Anxiety Disorders ; Depression
  • Là 1 phần của: Psychiatric Services, 06/01/2008, Vol.59(6), pp.641-647
  • Mô tả: This study assessed the prevalence, diagnosis, and treatment of major depressive disorder and generalized anxiety disorder among New York City adults. As part of the first community-specific Health and Nutrition Examination Survey in the United States, depression and anxiety were assessed in a representative sample of 1,817 noninstitutionalized adults in 2004. A total of 8% had major depressive disorder and 4% had generalized anxiety disorder. Respondents with depression were more likely to be formerly married, publicly insured, younger, and U.S. born. Only 55% of adults with depression were diagnosed, and 38% of those with depression or anxiety were in treatment; individuals with a diagnosis of depression were more likely to receive treatment than those without a diagnosis (61% versus 7%; p<.001). Immigrants with depression were 60% less likely to be diagnosed than their U.S.-born counterparts; immigrants arriving in this country ten or more years ago had slightly more anxiety than immigrants arriving less than ten years ago (3% versus 2%, not significant). Among respondents with anxiety, 23% reported disability compared with 15% of those with depression. Compared with adults with neither diagnosis, adults with depression or anxiety were twice as likely to smoke tobacco (p<.05), adults with depression were twice as likely to have diabetes (p<.01),... Mental disorders are often disabling and inadequately diagnosed and treated. Foreign-born adults experience barriers to diagnosis and treatment despite having less depression; anxiety may increase with time since immigration. Increased awareness of and linkage to mental health services are needed, especially in larger, more diverse urban communities.
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 1075-2730 ; DOI: http://dx.doi.org/10.1176/appi.ps.59.6.641

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