ArticleThe British journal of psychiatry : the journal of mental science2021
Trends in generalised anxiety disorders and symptoms in primary care: UK population-based cohort study.
Article in The British journal of psychiatry : the journal of mental science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- The chronic effects of a combination of herbal extracts (EuphytoseJournal of psychopharmacology (Oxford, England) · 2022Trial
- Primary Care Prescribing Patterns for Benzodiazepines and Z-Drugs, and Evidence Gaps Concerning Hydroxyzine and Seasonality: A Systematic Review.Clinics and practice · 2026Review
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- Annual Research Review: Improving school climate to improve child and adolescent mental health and reduce inequalities.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- Stroboscopic light stimulation safety within and beyond laboratory settings: Observational evidence and practical guidance.PloS one · 2026Article
- Change over time in perceived schoolwork pressure and associations with emotional problems among 11-16-year-olds: A repeat cross-sectional study in Wales, UK.JCPP advances · 2025Article
- Climate Anxiety in Perspective: A Look at Dominant Stressors in Youth Mental Health and Sleep.Annals of the New York Academy of Sciences · 2025Article
- Heritability of generalized anxiety stability: a longitudinal twin study among young adults.Psychological medicine · 2025Article
- Temporal trends of psychiatric disorders incidence by sex, education and immigration status among young and middle-aged adults in Sweden, 2004-2019.BMC psychiatry · 2025Article
- Defining Mental Health Conditions Within Primary Care Data: A Validation Study With a Mixed Qualitative and Quantitative Approach.Journal of evaluation in clinical practice · 2025Article
- Associations of generalized anxiety and social anxiety symptoms with sleep duration, amount of intense exercise, and excessive internet use among adolescents.BMC psychiatry · 2024Article
- The Path from Personality to Anxiety and Depression Is Mediated by Cognition in Multiple Sclerosis.Journal of personalized medicine · 2024Article
- Involvement of propranolol in suicides: cross-sectional study using coroner-reported data.BJPsych open · 2024Article
- Trends in psychological distress in Great Britain, 1991-2019: evidence from three representative surveys.Journal of epidemiology and community health · 2023Article
- Trends in the registration of anxiety in Belgian primary care from 2000 to 2021: a registry-based study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Twins Early Development Study (TEDS): A genetically sensitive investigation of mental health outcomes in the mid-twenties.JCPP advances · 2023Article
- Employees' preferences on organisational aspects of psychotherapeutic consultation at work by occupational area, company size, requirement levels and supervisor function - a cross-sectional study in Germany.BMC public health · 2023Article
- [Effect of the direct healthcare professional communication on citalopram and escitalopram drug utilization for inpatient treatment of anxiety disorders].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Mental distress among young adults in Great Britain: long-term trends and early changes during the COVID-19 pandemic.Social psychiatry and psychiatric epidemiology · 2022Article
- Change in the incidence of Parkinson's disease in a large UK primary care database.NPJ Parkinson's disease · 2022Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundGeneralised anxiety disorder and symptoms are associated with poor physical, emotional and social functioning and frequent primary and acute care visits. We investigated recent temporal trends in anxiety and related mental illness in UK general practice.
aimsThe aims of this analysis are to examine temporal changes in recording of generalised anxiety in primary care and initial pharmacologic treatments.
methodAnnual incidence rates of generalised anxiety diagnoses and symptoms were calculated from 795 UK general practices contributing to The Health Improvement Network (THIN) database between 1998 and 2018. Poisson mixed regression was used to account for age, gender and general practitioner practice. Subsequent pharmacologic treatment was examined.
resultsGeneralised anxiety recording rates increased in both genders aged 18-24 between 2014 and 2018. For women, the increase was from 17.06 to 23.33/1000 person years at risk (PYAR); for men, 8.59 to 11.65/1000 PYAR. Increases persisted for a composite of anxiety and depression (49.74 to 57.81/1000 PYAR for women; 25.41 to 31.45/1000 PYAR for men). Smaller increases in anxiety were seen in both genders age 25-34 and 35-44. Anxiety rates among older patients remained stable, although a composite of anxiety and depression decreased for older women. About half of drug-naïve patients were prescribed anxiety drugs within 1 year following diagnosis. The most common choice was a selective serotonin reuptake inhibitor. Benzodiazepine prescription rate has fallen steadily.
conclusionsWe observed a substantial increase in general practitioner consulting for generalised anxiety and depression recently, concentrated within younger people and in particular women.
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