Quality of life and associated factors among patients with generalized anxiety disorder at Hai Phong Psychiatric Hospital in 2023

Tóm tắt

Generalized anxiety disorder (GAD) is a prevalent condition characterized by persistent worry and associated psychological and somatic symptoms, leading to impaired quality of life (QoL). However, evidence from Vietnam remains limited. This cross-sectional study assessed QoL in 55 patients with GAD diagnosed according to ICD-10 criteria at Hai Phong Psychiatric Hospital in 2023, using the WHOQOL-BREF instrument. Sociodemographic, clinical, and psychosocial data were collected through structured interviews and analyzed with descriptive statistics, chi-square tests, and multivariate logistic regression. Results showed that most participants were female (60.0%) and aged 30–49 years (50.9%), nearly half were unemployed (45.5%), and half had low monthly income (<3 million VND). Overall, 58.2% rated their QoL as poor or very poor, with the greatest impairments observed in psychological and social domains. Multivariate analysis identified stress (OR=3.15, 95% CI: 1.12–8.86), unemployment (OR=2.74, 95% CI: 1.05–7.16), low income (OR=2.89, 95% CI: 1.09–7.66), and illness duration ≥2 years (OR=3.45, 95% CI: 1.21–9.80) as independent predictors of poor QoL. These findings emphasize the substantial burden of GAD on patients’ daily functioning and highlight the importance of interventions that target both clinical symptoms and socioeconomic determinants to improve outcomes.