Evidence map›Paper›PMID 34196743›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Trends in the recording of anxiety in UK primary care: a multi-method approach.

Charlotte Archer, Katrina Turner, David Kessler, Becky Mars, Nicola Wiles

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  16. 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 · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Charlotte ArcherBristol Medical School, Centre for Academic Mental Health, University of Bristol, Population Health Sciences, Bristol, BS8 2BN, UK. charlotte.archer@bristol.ac.uk.ORCID http://orcid.org/0000-0003-4762-2950
Katrina TurnerBristol Medical School, Centre for Academic Mental Health, University of Bristol, Population Health Sciences, Bristol, BS8 2BN, UK.
David KesslerBristol Medical School, Centre for Academic Mental Health, University of Bristol, Population Health Sciences, Bristol, BS8 2BN, UK.
Becky MarsBristol Medical School, Centre for Academic Mental Health, University of Bristol, Population Health Sciences, Bristol, BS8 2BN, UK.
Nicola WilesBristol Medical School, Centre for Academic Mental Health, University of Bristol, Population Health Sciences, Bristol, BS8 2BN, UK.
University of Bristol · GBAt Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

NIHR School for Primary Care Research CA2017
6 · The paper itself

Abstract

purposeAnxiety disorders are common. Between 1998 and 2008, in the UK, GP recording of anxiety symptoms increased, but the recording of anxiety disorders decreased. We do not know whether such trends have continued. This study examined recent trends in the recording of anxiety and explored factors that may influence GPs' coding of anxiety.

methodsWe used data from adults (n = 2,569,153) registered with UK general practices (n = 176) that contributed to the Clinical Practice Research Datalink between 2003 and 2018. Incidence rates and 95% confidence intervals were calculated for recorded anxiety symptoms and diagnoses and were stratified by age and gender. Joinpoint regression was used to estimate the years trends changed. In addition, in-depth interviews were conducted with 15 GPs to explore their views and management of anxiety. Interviews were audio-recorded, transcribed verbatim and analysed thematically.

resultsThe incidence of anxiety symptoms rose from 6.2/1000 person-years at risk (PYAR) in 2003 to 14.7/1000 PYAR in 2018. Between 2003 and 2008, the incidence of anxiety diagnoses fell from 13.2 to 10.1/1000 PYAR; markedly increasing between 2013 and 2018 to 15.3/1000 PYAR. GPs mentioned that they preferred using symptom codes to diagnostic codes to avoid assigning potentially stigmatising or unhelpful labels, and commented on a rise in anxiety in recent years, especially in young adults.

conclusionRecent increases in the recording of both anxiety diagnoses and symptoms may reflect increased presentation to primary care, especially in young adults. There is a clear need to understand the reasons for this, and this knowledge may be critical in the prevention and treatment of anxiety.

Indexed as

Anxiety DisordersPrimary Health CareAnxietyHumansIncidenceUnited KingdomYoung AdultAnxiety disordersGeneral practiceMental healthMulti-methodsPrimary careTrends

Identifiers

PMID34196743
PMCPMC8246441
OpenAlexW3175744973

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.