{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T03:41:54Z","timestamp":1778643714657,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T00:00:00Z","timestamp":1505952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Anxiety and depression rates among emergency department (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>) patients are substantially higher than those in the general population. Additionally, those with mental health issues often have difficulty accessing care. Unfortunately, issues of anxiety and depression are frequently not addressed in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> due to competing care priorities. This may lead to increased burden and overcrowding in <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study related anxiety and depression with <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> utilization and perceived barriers to care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To limit the impact of insurance coverage on <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> utilization and access to care, a convenience sample of adults 45 to 85 years of age in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> were surveyed. The Generalized Anxiety Disorder 7 and Patient Health Questionnaire 9 were used to measure anxiety and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 251 subjects were enrolled. Severe anxiety was observed in 10% of patients, while moderately severe or severe depression was observed in 12%. Patients who were both severely anxious and depressed visited the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> nearly twice as often as nonanxious and nondepressed patients. The majority of patients cited at least one moderate barrier to care, and greater anxiety and depression scores were related to greater perceived barriers to care. Perceived barriers to care were\u00a0more than three times higher among patients who were both anxious and depressed compared to those in patients who were neither depressed nor anxious and twice as high as in those who were either depressed or anxious (p\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients identified with internalizing mental health concerns utilize the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> at elevated rates while also reporting the greatest difficulties accessing care. These findings highlight the need for <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> interventions aimed at identifying patient mental health concerns, as well as perceived barriers to care, to design interventions to effectively improve continuity of care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.13261","type":"journal-article","created":{"date-parts":[[2017,7,25]],"date-time":"2017-07-25T10:52:58Z","timestamp":1500979978000},"page":"1286-1289","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Depression and Anxiety Among Emergency Department Patients: Utilization and Barriers to Care"],"prefix":"10.1111","volume":"24","author":[{"given":"Beau","family":"Abar","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center Rochester NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Holub","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Rochester NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Rochester NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"DeRienzo","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Rochester NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"Nobay","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Rochester NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710002291"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0147116"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2012.1276"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.05.002"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2011.03.100170"},{"key":"e_1_2_7_7_1","article-title":"Access to care and depression among emergency department patients","author":"Abar B","journal-title":"J Emerg Med Still epub. Will be published in issue 53 in July 2017. Page numbering not yet available."},{"key":"e_1_2_7_8_1","first-page":"2016","volume-title":"Annual Social and Economic (ASEC) Supplement","author":"U.S. Bureau of Labor Statistics (BLS). Current Population Survey (CPS)","year":"2016"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/HPC.0000000000000050"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.10.1788"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2014.08.014"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facem.13261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.13261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T17:52:02Z","timestamp":1696009922000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acem.13261"}},"subtitle":[],"editor":[{"given":"Damon R.","family":"Kuehl","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2017,9,21]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1111\/acem.13261"],"URL":"https:\/\/doi.org\/10.1111\/acem.13261","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,21]]},"assertion":[{"value":"2017-04-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-07-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}