Cost-effectiveness of a primary care model for anxiety disorders.

Background: Individuals with anxiety disorders often do not receive an accurate diagnosis or adequate treatment in primary care.

Aims: To analyse the cost-effectiveness of an optimised care model for people with anxiety disorders in primary care.

Method: In a cluster randomised controlled trial, 46 primary care practices with 389 individuals positively screened with anxiety were randomised to intervention (23 practices, 201 participants) or usual care (23 practices, 188 participants).

[Psychological abnormalities in patients with complex regional pain syndrome (CRPS)].

Question: Do comorbid psychological disorders, dysfunctional pain processing, and psychosocial pain coping occur with complex regional pain syndrome (CRPS) and is a connection between clinical and psychological manifestations apparent?

Methods: In addition to securing information on case histories and performing clinical neurological examinations of chronic CRPS patients, the structured clinical interview (SCID), pain perception scale, and the Kiel Pain Inventory were employed.

Results: The structured clinical interview revealed evidence of a depressive episode in 65% of CRPS patients. Pain perception is similar to neuropathic pain syndromes and patient history revealed a slightly increased frequency of anxiety and affective disorders.