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

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

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04702711
Enrollment
40
Registered
2021-01-11
Start date
2020-10-19
Completion date
2026-12-31
Last updated
2025-04-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anger, Generalized Anxiety, Primary Health Care

Keywords

Generalized Anxiety, Worry, Anger, Primary Health Care

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.

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).

Interventions

OTHERNo intervention

No intervention

Sponsors

Linnaeus University
CollaboratorOTHER
Kronoberg County Council
Lead SponsorOTHER_GOV

Study design

Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion 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

Design outcomes

Primary

MeasureTime frameDescription
Health care professionals' experiences of attitudes towards and treatment of adult patients with symptoms of generalized anxietyUp to 6 months after enrollmentQualitative interview with health care professionals
Patients' experiences of angerUp to 6 months after enrollmentQualitative interview with adult patients with symptoms of generalized anxiety
Health care professionals' experiences of anger in adult patients with symptoms of generalized anxietyUp to 6 months after enrollmentQualitative interview with health care professionals

Countries

Sweden

Contacts

Primary ContactViktor Carlsson, Phd
viktor.carlsson@kronoberg.se+46720831953
Backup ContactKarin Pernebo, Phd
karin.pernebo@kronoberg.se+46709844427

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026