Background
: Anxiety is a common disorder, but its diagnosis is often overlooked. Although there are several evaluating instruments, they are difficult to use in busy outpatient clinics because of its length. Furthermore, scales developed for screening are insufficient in the standardization. The purpose of this study is to measure reliability and validity of scale that can efficiently detect the anxiety patients in busy primary care setting.

Methods : With translation and assistance from psychiatrist, the questionnaire was developed. From March to July 2000, anxiety and control group at the department of family medicine in Seoul Joongang Hospital were tested with the questionnaire. After one week later, test was retaken. Reliability was verified by calculating Kappa value. Also validity was validity was verified by comparing the scores between the anxiety group and the control group. Then sensitivity and specificity were evaluated, and the cutoff point was determined.

Results : Kappa values were ranging from 0.65 to 0.88. For each cutoff point 3,4,5 and 6 in validity. As the purpose was screening, we determined score 5 as the best cutoff points.

Background
: In evaluation and managing obese patients, it is more important to assess obesity itself as well as the associated disease than to focusing on reduction of body weight alone. Our study was carried out to identify the characteristics of hypertension and hyperlipidemia.

Methods : We selected obese adult patients over twenty who visited the obesity clinic at Asan Medical Center. Questionnaire was given on medical history, eating behavior, food frequency, activity degree and so on. we collected the 233 data of questionnaire and medical records, and analysed the characteristics of hypertension, hyperlipidemia.

Results : The frequency of hypertension and hyperlipidemia was higher in men than women. but that of binge eating was higher in women than men. For men, waist circumference was significantly higher in hypertensive group with 108.9±12.7cm than normotensive group with 101.2±9.1cm (p<0.05). For women, there were trends for increased frequency of hypertension and hyperlipidemia with age, and decreased frequency of binge eating with age (p<0.05). The BMI was significantly higher in female hypertensive group with 30.8±5.4kg/㎡ than in normotensive group with 29.4±3.2kg/㎡ after adjusting for age.

Conclusion : The accompanying health problems with obesity depend on gender, age, distribution of adiposity and nutritional intake. In evaluating obese patients, it should be stressed to assess co-morbidity and associated factors, and to manage comprehensively.