Dr. Qasim Ahmad Lamfon
Joint program of family medicine Makkah – 2014
Background: Generalized anxiety disorder (GAD) is associated with a significant economic burden owing to decreased work productivity and increased use of health care services, particularly primary health care .
Objectives: To determine the prevalence of anxiety and its associated factors among primary health care physicians in Makkah Al-Mokarramah, 2014.
Subjects and Methods: Analytical cross sectional study was adopted. It included a representative sample of primary healthcare physicians working in inner sectors of PHC in in Makkah Al-Mokarramah. By using simple random technique, two inner PHC sectors out of the four present in Makkah city were chosen. All primary health care physicians in these two sectors were recruited in the study. Self administration questionnaire was utilized for data collection. It contains three main parts: participants’ personal characteristics, questions about factors that may be associated with the development of GAD and the criteria needed to make the diagnosis of GAD. Generalized Anxiety Disorder 7-item (GAD-7) scale was utilized in this regard.
Results: The study included 96 PHC physicians with a response rate of 83.5%. Almost two-thirds (65.6%) were males. More than one quarter of them (27.2%) were in the age group 30-34 years and more than half of them (53.1%) were Saudis. Almost one third of them (30.2%) had mild and 10.4% had moderate anxiety disorders. Severe anxiety was not reported among them. Younger (p=0.015), Saudi (p=0.001), less experienced physicians (p=0.042) as well as those reported childhood physical abuse (p=0.019), sexual abuse (p=0.033), early separation from parents (p<0.001), those having mental disorders (p=0.014), bronchial asthma (p=0.015), family history of GAD (p=0.010) and those reported stressful life (p<0.001) were more likely to have moderate forms of GAD.
Conclusion: Our study demonstrated that generalized anxiety disorders were common among primary health care physicians in Makkah. They are either mild or moderate forms. Severe form was not reported among them