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Anxiety Disorders in Older Puerto Rican Primary Care Patients

Received October 16, 2002; revised January 28, March 24, 2004; accepted March 31, 2004. From the Anxiety Disorders Center, The Institute of Living/Hartford Hospital’s Mental Health Network, Hartford, CT (DFT), the Univ. of Connecticut School of Medicine (DFT,JTR,KB), and the Braceland Center for Mental Health and Aging, The Institute of Living, Hartford Hospital (JTR,SG,KB). Send correspondence to David F. Tolin, Ph.D., Anxiety Disorders Center, The Institute of Living/Hartford Hospital’s Mental Health Network, 200 Retreat Avenue, Hartford, CT 06106. e-mail: dtolin{at}harthosp.org
© 2005 American Association for Geriatric Psychiatry

Objective: Authors examined the frequency and comorbidity of anxiety disorders among aging Puerto Ricans seen in primary care. Methods: A group of 303 middle-aged and older low-socioeconomic-status Puerto Ricans attending primary-care clinics were surveyed, using a Spanish-language diagnostic interview. Results: Twenty-four percent of participants met probable DSM criteria for at least one anxiety disorder in the previous year, especially generalized anxiety disorder, specific phobia, and panic attacks. Psychiatric comorbidity was common; the occurrence of most anxiety disorders increased the conditional risk of a comorbid disorder from 5- to 30-fold. Conclusions: The present results suggest a need to screen at-risk patients in primary care settings serving this population.

Key Words: Anxiety Disorders • Latino Patients • Primary Care Patients

This article has been cited by other articles:

				D. F. Tolin, J. T. Robison, S. Gaztambide, S. Horowitz, and K. Blank Ataques de Nervios and Psychiatric Disorders in Older Puerto Rican Primary Care Patients Journal of Cross-Cultural Psychology, November 1, 2007; 38(6): 659 - 669. [Abstract] [PDF]