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Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04702711
Recruitment Status : Recruiting
First Posted : January 11, 2021
Last Update Posted : January 11, 2021
Sponsor:
Collaborator:
Linnaeus University
Information provided by (Responsible Party):
Kronoberg County Council

Brief Summary:

Symptoms of generalized anxiety is common in the general population and is often treated in primary health care. Anger is an emotion that can lead to interpersonal problems but can also be an agent for justice and change. Previous research has shown a link between generalized anxiety and anger but there is a lack of qualitative research investigating how individuals with symptoms of generalized anxiety experience anger.

The aim of this research study is to increase knowledge about how anger is experienced in adult patients in primary health care with symptoms of generalized anxiety and about the experiences of health care professionals working with patients with symptoms of generalized anxiety.


Condition or disease Intervention/treatment
Generalized Anxiety Anger Primary Health Care Other: No intervention

Detailed Description:

Symptoms of generalized anxiety is common in the general population and is often treated in primary health care. The core of the diagnostic criteria for generalized anxiety disorder (GAD) is excessive long-term worry that is difficult to control and concerns a number of events or activities. In this study we use the term "symptoms of generalized anxiety" by which we refer to these symptoms, regardless of whether the patient has a clinically established diagnosis of GAD or not.

Anger is an emotion that can lead to interpersonal problems but can also be an agent for justice and change. Previous research has shown a link between generalized anxiety and anger but there is a lack of qualitative research on how individuals with symptoms of generalized anxiety experience anger.

The aim of this research study is to increase knowledge about how anger is experienced in adult patients in primary health care with symptoms of generalized anxiety and about the experiences of health care professionals working with patients with symptoms of generalized anxiety.

The study has the following research questions:

  1. How do adult patients in primary health care with symptoms of generalized anxiety experience their own anger?
  2. How do health care professionals experience anger in patients in primary health care with symptoms of generalized anxiety?
  3. How do health care professionals experience attitudes towards and treatment of adult patients with symptoms of generalized anxiety in primary health care with special focus on the patients' anger?

Patients with symptoms of generalized anxiety and health care professionals at primary health care centers are interviewed (se section on eligibility). The goal is to include 15-20 patients and 15-20 health care professionals. A questionnaire with background questions is completed and the interviews follow an interview guide. The background questionnaire and interview guide differ between patients and health care professionals. The interviews are audio recorded and transcribed into text. The data is analyzed using thematic analysis according to the guidelines given by Braun and Clarke (2006; 2013).

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Study Type : Observational
Estimated Enrollment : 40 participants
Observational Model: Ecologic or Community
Time Perspective: Cross-Sectional
Official Title: Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety - a Qualitative Study From the Perspective of Patients and Health Care Professionals
Actual Study Start Date : October 19, 2020
Estimated Primary Completion Date : August 2021
Estimated Study Completion Date : August 2021

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Patients with symptoms of generalized anxiety in primary health care
Patients (18 years or older) with symptoms of generalized anxiety at a primary health care center.
Other: No intervention
No intervention

Health care professionals
Health care professionals working with patients with symptoms of generalized anxiety in a primary health care center.
Other: No intervention
No intervention




Primary Outcome Measures :
  1. Patients' experiences of anger [ Time Frame: Up to 6 months after enrollment ]
    Qualitative interview with adult patients with symptoms of generalized anxiety

  2. Health care professionals' experiences of anger in adult patients with symptoms of generalized anxiety [ Time Frame: Up to 6 months after enrollment ]
    Qualitative interview with health care professionals

  3. Health care professionals' experiences of attitudes towards and treatment of adult patients with symptoms of generalized anxiety [ Time Frame: Up to 6 months after enrollment ]
    Qualitative interview with health care professionals



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

The study has two populations:

  • Patients with symptoms of generalized anxiety in primary health care.
  • Health care professionals working in primary health care who come into contact with or treat patients with symptoms of generalized anxiety
Criteria

Patients with symptoms of generalized anxiety

Inclusion Criteria:

  • Clinically significant level of symptoms of generalized anxiety which is confirmed by a self-rated diagnose of GAD on the questionnaire GAD-Q-IV (Newman et al., 2002; Moore et al., 2014). The questions of the GAD-Q-IV correspond to the A, B, C and D criteria of GAD in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  • Sufficient knowledge in Swedish to be able to answer questionnaires and take part in an interview.
  • If the patient receives any medical or psychological treatment for generalized anxiety this should be recently started and/or not yet have led to any notable decrease of symptoms. In the case of pharmacological treatment this should not be associated with more extensive psychological side-effects.

Exclusion Criteria:

  • Severe psychiatric difficulties where the patient needs specialized psychiatric care
  • Known brain-injury or symptoms of dementia
  • The patient is in an acute crisis
  • Obvious alcohol or substance abuse

Health care professionals

Inclusion Criteria:

  • Have a health care profession and work at a primary health care center.
  • Current working experience of at least one year at a primary health care center which included contact with patients with symptoms of generalized anxiety

Exclusion Criteria:

- Being at the primary health care center in the role of an external student


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04702711


Contacts
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Contact: Viktor Carlsson, Phd +46720831953 viktor.carlsson@kronoberg.se
Contact: Karin Pernebo, Phd +46709844427 karin.pernebo@kronoberg.se

Locations
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Sweden
Region Kronoberg Recruiting
Växjö, Sweden
Contact: Viktor Carlsson, Phd    +46720831953    viktor.carlsson@kronoberg.se   
Sponsors and Collaborators
Kronoberg County Council
Linnaeus University
Investigators
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Study Director: Viktor Carlsson, Phd Regional Department of Competence in Family Medicine and Primary Health Care, Region Kronoberg
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Responsible Party: Kronoberg County Council
ClinicalTrials.gov Identifier: NCT04702711    
Other Study ID Numbers: 20RGK1676
First Posted: January 11, 2021    Key Record Dates
Last Update Posted: January 11, 2021
Last Verified: January 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Kronoberg County Council:
Generalized Anxiety
Worry
Anger
Primary Health Care
Additional relevant MeSH terms:
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Anxiety Disorders
Mental Disorders