Framing the process in the implementation of care for people with generalized anxiety disorder in primary care: a qualitative evidence synthesis.

BMC Family Practice
Ana Toledo-ChávarriLilisbeth Perestelo-Pérez

Abstract

Generalized anxiety disorder (GAD) is one of the most common mental disorders in primary care (PC). GAD has low remission and high relapse rates over long follow-up periods. Qualitative evidence was synthesized to understand the implementation of care and treatment options for people with GAD in PC. Research published from 2008 to September 2020 was searched in five databases (MEDLINE, EMBASE, CINAHL, WOS and PsycArticles). Studies that used qualitative methods for data collection and analysis to investigate the implementation of care and treatment options for people with GAD in PC and outpatient settings were included. Non-qualitative studies, mixed methods studies that did not separately report qualitative findings and studies in languages other than English or Spanish were excluded. We used the Confidence in the Evidence from Reviews of Qualitative Research (CERQual) framework to assess the overall confidence in the findings. The results with a moderate level of confidence showed that the trajectory of care for people with GAD in PC and outpatient settings is long and fluctuates over time, involving multiple difficulties in accessing and maintaining initial treatment or successive treatment options. In addition, there are wi...Continue Reading

References

Sep 7, 2000·The British Journal of Psychiatry : the Journal of Mental Science·K A YonkersM B Keller
Jun 18, 2005·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Hans-Ulrich Wittchen, Frank Jacobi
Mar 16, 2007·Journal of General Internal Medicine·Joan M CookJames C Coyne
Jun 26, 2008·European Archives of Psychiatry and Clinical Neuroscience·Jules AngstWulf Rössler
Jul 12, 2008·BMC Medical Research Methodology·James Thomas, Angela Harden
Apr 23, 2009·The Journal of Clinical Psychiatry·Larry Culpepper
Apr 23, 2009·The Journal of Clinical Psychiatry·Mark H Pollack
Apr 1, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Rebecca DickinsonDavid K Raynor
Dec 28, 2010·Journal of Clinical Epidemiology·Gordon H GuyattAndre Knottnerus
Jun 7, 2011·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Madalyn MarcusAngela Kertes
Sep 8, 2011·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·H U WittchenH-C Steinhausen
Feb 3, 2012·Journal of Clinical Epidemiology·Trudy van der WeijdenGlyn Elwyn
Jun 27, 2013·Primary Health Care Research & Development·Helen CramerChris Salisbury
Nov 19, 2015·The New England Journal of Medicine·Murray B Stein, Jitender Sareen
Dec 8, 2015·Patient Preference and Adherence·Neena S AbrahamLiana Fraenkel
Apr 17, 2016·The Lancet. Psychiatry·Dan ChisholmShekhar Saxena
Aug 17, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Renske C BosmanNeeltje M Batelaan
Apr 17, 2017·Journal of Clinical Epidemiology·Vivian A WelchPeter Tugwell
Apr 23, 2017·Clinical Drug Investigation·Marina Dyskant MochcovitchAntonio Egidio Nardi
Sep 13, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Katie O'BrienJames McElvaney
Dec 16, 2017·Journal of Clinical Epidemiology·Jane NoyesJames Thomas
Jan 20, 2018·Annual Review of Clinical Psychology·David M Clark
Jan 24, 2018·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Melissa L ButtonMartin M Antony
May 31, 2018·Health Research Policy and Systems·Jenny MobergUNKNOWN GRADE Working Group
Jan 8, 2020·International Journal of Mental Health Nursing·María M HurtadoJosé Miguel Morales-Asencio

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Methods Mentioned

BETA
Cognitive
pharmacotherapy

Software Mentioned

SPICE
CERQual
Critical Appraisal Skills Programme ( CASPe ) tool for
GRADE To
Google Scholar
EMBASE
NVivo
WOS Analytics
Cochrane Qualitative and Implementation Methods Group

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