Prevalence of Generalised Anxiety Disorder among Urban Omani Patients Attending Primary Care Centres: A Cross-Sectional Study

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Abstract

Background: Anxiety disorders are common mental health illnesses in primary care. Undiagnosed and thus untreated mental disorders can interfere with the patient’s quality of life, ultimately resulting in poor daily functioning, a greater number of doctor consultations, and increased disability. Objective: The objective of this study was to establish the prevalence of generalised anxiety disorder (GAD) among an urban adult Omani population as well as associated sociodemographic and clinical variables. Methodology: This study utilised a cross-sectional design and was performed between December 2019 and January 2020. A total of 250 Omani patients were recruited from eight randomised government-funded primary care centres in Muscat, Oman. The prevalence of GAD among the participants was determined by utilising an Arabic version of the validated 7-item General Anxiety Disorder tool delivered during face-to-face interviews. Results: Overall, a total of 33 patients had GAD (13.2%). According to the univariate analysis, a personal history of anxiety (P = 0.001), chronic medical illnesses (P = 0.025), low monthly income (P = 0.018), divorced individuals (P = 0.015), and housewives with extra part-time employment (P = 0.032) were significantly associated with GAD. However, only the absence of a personal history of anxiety (P = 0.001), and high monthly income (P = 0.002) remained a statistically significant protector against GAD in the multivariate analysis. Conclusion: We found a high prevalence of GAD among an adult urban Omani population. Moreover, certain clinical and sociodemographic variables were found to be significantly associated with the disorder, including a personal history of anxiety and low monthly income. The quality of life of Omani GAD patients may be improved via rapid screening of the general population.
在阿曼城市初级保健中心就诊的患者中,广泛性焦虑症的患病率:一项横断面研究
背景:焦虑症是初级保健中常见的心理健康疾病。未经诊断和治疗的精神障碍会干扰患者的生活质量,最终导致日常功能差、更多的医生咨询和更多的残疾。目的:本研究的目的是确定广泛性焦虑症(GAD)在阿曼城市成年人中的患病率以及相关的社会人口统计学和临床变量。方法:本研究采用横断面设计,于2019年12月至2020年1月进行。从阿曼马斯喀特8个随机的政府资助的初级保健中心共招募了250名阿曼患者。通过使用面对面访谈中提供的经过验证的7项一般性焦虑障碍工具的阿拉伯语版本来确定参与者中广泛性焦虑症的患病率。结果:总体而言,共有33例患者患有广泛性焦虑症(13.2%)。单变量分析显示,个人焦虑史(P = 0.001)、慢性疾病(P = 0.025)、月收入低(P = 0.018)、离婚(P = 0.015)、家庭主妇兼职(P = 0.032)与GAD显著相关。然而,在多变量分析中,只有没有个人焦虑史(P = 0.001)和高月收入(P = 0.002)仍然是预防广广性焦虑症的统计学显著保护因素。结论:我们发现广泛性焦虑症在阿曼成年城市人群中有很高的患病率。此外,某些临床和社会人口学变量被发现与这种疾病有显著关联,包括个人焦虑史和低月收入。阿曼广泛性焦虑症患者的生活质量可以通过对一般人群的快速筛查得到改善。
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