Generalized AnxietyNCT04702711
Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety
An observational study of Generalized Anxiety and Anger, run by Kronoberg County Council at 1 site in Sweden.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Generalized Anxiety, Anger, Primary Health Care
- How many people
- 40 participants
- Where
- 1 siteSweden
- Study dates
- 19 Oct 2020to Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
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
Who may be able to join
- 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.
- 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
Who cannot join
- 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
- Being at the primary health care center in the role of an external student
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Sweden1 site, 1 recruiting
- Recruiting
Region Kronoberg
Vaxjo
Viktor Carlsson, Phd, +46720831953, viktor.carlsson@kronoberg.se
About this study
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
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.
Read the 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:
- How do adult patients in primary health care with symptoms of generalized anxiety experience their own anger?
- How do health care professionals experience anger in patients in primary health care with symptoms of generalized anxiety?
- 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).
- Conditions
- Generalized Anxiety, Anger, Primary Health Care
- Being tested
- No intervention
- Keywords
- Generalized Anxiety, Worry, Anger, Primary Health Care
- Medical subject headings
- Generalized Anxiety Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No interventionOther
No intervention
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: Other: No intervention | |
| Health care professionals | Health care professionals working with patients with symptoms of generalized anxiety in a primary health care center. Receives: Other: No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patients' experiences of anger
Qualitative interview with adult patients with symptoms of generalized anxiety
Measured: Up to 6 months after enrollment
Health care professionals' experiences of anger in adult patients with symptoms of generalized anxiety
Qualitative interview with health care professionals
Measured: Up to 6 months after enrollment
Health care professionals' experiences of attitudes towards and treatment of adult patients with symptoms of generalized anxiety
Qualitative interview with health care professionals
Measured: Up to 6 months after enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jan 2021
- Study start19 Oct 2020
- Primary completionAug 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Generalized AnxietyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kronoberg County Council
- Sponsor type
- Other government
- Collaborators
- Linnaeus University
- Responsible party
- Sponsor
- Investigators
- Viktor Carlsson, Phd, Study director, Regional Department of Competence in Family Medicine and Primary Health Care, Region Kronoberg
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04702711
- Sponsor's protocol ID
- 20RGK1676
- Status last verified
- Apr 2025
- First submitted
- 10 Dec 2020
- Last updated
- 16 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT04702711
- Acronym / sponsor ID
- 20RGK1676
- Conditions
- Generalized Anxiety, Anger, Primary Health Care
- Keywords
- Generalized Anxiety, Worry, Anger, Primary Health Care
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Kronoberg County CouncilOther government
- Collaborators
- Linnaeus University
- Study start
- 19 Oct 2020 (actual)
- Primary completion
- Aug 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 11 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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:
- How do adult patients in primary health care with symptoms of generalized anxiety experience their own anger?
- How do health care professionals experience anger in patients in primary health care with symptoms of generalized anxiety?
- 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).
Study design
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Patients with symptoms of generalized anxiety in primary health care | – | Other: No interventionPatients (18 years or older) with symptoms of generalized anxiety at a primary health care center. |
| Health care professionals | – | Other: No interventionHealth care professionals working with patients with symptoms of generalized anxiety in a primary health care center. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- 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
Key inclusion criteria (5 listed)
- 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.
- 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
Key exclusion criteria (6 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| No interventionNo intervention | Other | Health care professionals, Patients with symptoms of generalized anxiety in primary health care |
Primary outcome
Patients' experiences of anger
Time frame: Up to 6 months after enrollment
Qualitative interview with adult patients with symptoms of generalized anxiety
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
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
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Apr 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Viktor Carlsson, Phd study director
Regional Department of Competence in Family Medicine and Primary Health Care, Region Kronoberg
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Generalized Anxiety and Anger, run by Kronoberg County Council at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 16 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Viktor Carlsson, Phd (+46720831953, viktor.carlsson@kronoberg.se), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patients' experiences of anger (time frame: Up to 6 months after enrollment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Apr 2025.