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	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 5 No. 1, January 1996   Archives  •  Online Features Original Contributions  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Prevalence of Comorbid Anxiety Disorders in Primary Care Outpatients Cathy Donald Sherbourne, PhD; Catherine A. Jackson, PhD; Lisa S. Meredith, PhD; Patti Camp, MA; Kenneth B. Wells, MD Arch Fam Med. 1996;5(1):27-34. Abstract Objective To estimate the extent to which anxiety disorders (eg, panic disorder, phobia, and generalized anxiety disorder [GAD]) co-occur in patients with major medical and psychiatric conditions. Design Observational study. Setting Offices of primary care providers in three US cities, with mental health specialty providers included for comparative purposes. Patients Adult patients (N=2494) with hypertension, diabetes, heart disease (congestive heart failure or myocardial infarction), current depressive disorder, or subthreshold depression. Measures Current (past 12 months) and lifetime panic disorder, phobia, GAD, perceived need for help for emotional or family problems, and unmet need (ie, failure to get help that was needed). Methods Comparisons of the prevalence of anxiety comorbidity in medically ill nondepressed patients of primary care providers and in depressed patients of both primary care and mental health specialty providers. Results Among primary care patients, those with chronic medical illnesses or subthreshold depression had low rates of lifetime (1.5% to 3.5%) and current (1.0% to 1.7%) panic disorder, but those with current depressive disorder had much higher rates (10.9% lifetime and 9.4% current panic disorder). Concurrent phobia and GAD were more common (10.4% to 12.4% current GAD), especially among depressed patients (25% to 54% current GAD). Depending on the type of medical illness or depression, 14% to 66% of primary care patients had at least one concurrent anxiety disorder. Patient-perceived unmet need for care for personal or emotional problems was high among all primary care patients (54.6% to 72.9%). Conclusion Primary care clinicians should be aware of the possible coexistence of anxiety disorders (especially GAD) among their patients with chronic medical conditions, but especially among those with current depressive disorder. Author Affiliations From RAND, Santa Monica, Calif (Drs Sherbourne, Jackson, Meredith, and Wells and Ms Camp), and the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (Dr Wells). THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Brief Intervention for Anxiety in Primary Care Patients Roy-Byrne et al. J Am Board Fam Med 2009;22:175-186. ABSTRACT | FULL TEXT   Impact of Comorbid Anxiety Disorders on Health-Related Quality of Life Among Patients With Major Depressive Disorder Mittal et al. Psychiatr. Serv. 2006;57:1731-1737. ABSTRACT | FULL TEXT   Disability and poor quality of life associated with comorbid anxiety disorders and physical conditions. Sareen et al. Arch Intern Med 2006;166:2109-2116. ABSTRACT | FULL TEXT   A Randomized Trial to Improve the Quality of Treatment for Panic and Generalized Anxiety Disorders in Primary Care Rollman et al. Arch Gen Psychiatry 2005;62:1332-1341. ABSTRACT | FULL TEXT   Quality of Care for Primary Care Patients With Anxiety Disorders Stein et al. Am. J. Psychiatry 2004;161:2230-2237. ABSTRACT | FULL TEXT   Consultation-Liaison Psychiatry: A Longitudinal and Integrated Approach Szigethy et al. Am. J. Psychiatry 2002;159:373-378. FULL TEXT   Accuracy of general practitioner's prognosis of the 1-year course of depression and generalised anxiety BRINK et al. Br. J. Psychiatry 2001;178:18-22. ABSTRACT | FULL TEXT   Traumatic Life Events in Primary Care Patients: A Study in an Ethnically Diverse Sample Holman et al. Arch Fam Med 2000;9:802-810. ABSTRACT | FULL TEXT   Anxiety Syndromes and Symptoms Among Men With AIDS: A Longitudinal Controlled Study Sewell et al. Psychosomatics 2000;41:294-300. ABSTRACT | FULL TEXT   Psychotherapy for patients with complex disorders and chronic symptoms: The need for a new research paradigm GUTHRIE Br. J. Psychiatry 2000;177:131-137. ABSTRACT | FULL TEXT   Impairment in Pure and Comorbid Generalized Anxiety Disorder and Major Depression at 12 Months in Two National Surveys Kessler et al. Am. J. Psychiatry 1999;156:1915-1923. ABSTRACT | FULL TEXT   Development of a Brief Diagnostic Screen for Panic Disorder in Primary Care Stein et al. Psychosom. Med. 1999;61:359-364. ABSTRACT | FULL TEXT   Prevalence of dementia, delirium and psychiatric symptoms in various care settings for the elderly Sandberg et al. Scand J Public Health 1998;26:56-62. ABSTRACT   Mental Disorders and Disability Among Patients in a Primary Care Group Practice Olfson et al. Am. J. Psychiatry 1997;154:1734-1740. ABSTRACT | FULL TEXT   Treatment Typically Provided for Comorbid Anxiety Disorders Meredith et al. Arch Fam Med 1997;6:231-237. ABSTRACT   Moving Diabetes Management From Clinic to Community: Development of a Prototype Based on Automated Voice Messaging Piette The Diabetes Educator 1997;23:672-680.   Comorbid Anxiety Disorder and the Functioning and Well-being of Chronically Ill Patients of General Medical Providers Sherbourne et al. Arch Gen Psychiatry 1996;53:889-895. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1996 American Medical Association. All Rights Reserved.