ClinicalTrials.gg
RecruitingNCT04702711Updated Apr 16, 2025

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

An observational study in Generalized Anxiety, Anger and Primary Health Care, sponsored by Kronoberg County Council. Recruiting at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-16.

Sponsored by Kronoberg County Council · Observational

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Oct 2020; still recruiting 6 years later.
Study type
Observational
Model
Ecologic or community
Time perspective
Cross-sectional
Enrollment
40
Ages
18 Years and older
Sex
All
01

Study 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.

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:

  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).

02

Conditions studied

  • Generalized Anxiety
  • Anger
  • Primary Health Care

Keywords

  • Generalized Anxiety
  • Worry
  • Anger
  • Primary Health Care
03

In context

Generalized Anxiety Disorder

517 studies on the registry are indexed under Generalized Anxiety Disorder; 124 are open to participants now.

This study's planned enrollment of 40 is below the median of 270 across 62 observational studies indexed under Generalized Anxiety Disorder.

Browse Generalized Anxiety Disorder studies →

Lead sponsor

Kronoberg County Council is the lead sponsor of 13 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

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

Eligibility criteria

Patients with symptoms of generalized anxiety

Inclusion Criteria:

  • 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 , 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

Exclusion Criteria:

  • Being at the primary health care center in the role of an external student
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Observational model
Ecologic or community
Time perspective
Cross-sectional
Enrollment
40 participants (estimated)
Patient registry
No

Groups and cohorts

  • 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.

    Other: No intervention

  • Health care professionals

    Health care professionals working with patients with symptoms of generalized anxiety in a primary health care center.

    Other: No intervention

Interventions

  • OtherNo intervention

    No intervention

06

What researchers measure

Primary outcomes

  1. Patients' experiences of anger

    Qualitative interview with adult patients with symptoms of generalized anxiety

    Time frame: Up to 6 months after enrollment

  2. Health care professionals' experiences of anger in adult patients with symptoms of generalized anxiety

    Qualitative interview with health care professionals

    Time frame: Up to 6 months after enrollment

  3. Health care professionals' experiences of attitudes towards and treatment of adult patients with symptoms of generalized anxiety

    Qualitative interview with health care professionals

    Time frame: Up to 6 months after enrollment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2020 (actual). Primary completion is estimated for Aug 2026, 70 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 10, 2020
First posted
Jan 11, 2021
StartActual
Oct 19, 2020
Primary completionEst.
Aug 2026
CompletionEst.
Dec 2026
Last update
Apr 16, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04702711
Lead sponsor
Kronoberg County Council
Collaborators
Linnaeus University
Responsible party
Sponsor
First posted
Jan 11, 2021
Start date
Oct 19, 2020
Primary completion
Aug 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Apr 16, 2025

Study contacts

Viktor Carlsson, Phd
Contact
viktor.carlsson@kronoberg.se
+46720831953
Karin Pernebo, Phd
Contact
karin.pernebo@kronoberg.se
+46709844427
Viktor Carlsson, Phd
study director · Regional Department of Competence in Family Medicine and Primary Health Care, Region Kronoberg

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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