Titre
Associations of specific phobia and its subtypes with physical diseases: an adult community study.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Witthauer, C.
Auteure/Auteur
Ajdacic-Gross, V.
Auteure/Auteur
Meyer, A.H.
Auteure/Auteur
Vollenweider, P.
Auteure/Auteur
Waeber, G.
Auteure/Auteur
Preisig, M.
Auteure/Auteur
Lieb, R.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1471-244X
Statut éditorial
Publié
Date de publication
2016-05-21
Volume
16
Première page
155
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
Specific phobia is the most prevalent anxiety disorder in the community and is associated with substantial impairment. Comorbidity with physical diseases is assumed and has important implications for etiology, treatment, or prevention of the comorbid conditions. However, due to methodological issues data are limited and subtypes of specific phobia have not been investigated yet. We examined the association of specific phobia and its subtypes with physical diseases in a representative community sample with physician-diagnosed physical diseases and diagnostic criteria of specific phobia.
Data of the German Mental Health Survey from 4181 subjects aged 18-65 years were used. Specific phobia was diagnosed using M-CIDI/DIA-X interview; physical diseases were assessed through a self-report questionnaire and a medical interview. Logistic regression analyses adjusted for sex were calculated.
Specific phobia was associated with cardiac diseases, gastrointestinal diseases, respiratory diseases, arthritic conditions, migraine, and thyroid diseases (odds ratios between 1.49 and 2.53). Among the subtypes, different patterns of associations with physical diseases were established. The findings were partially replicated in the Swiss PsyCoLaus Study.
Our analyses show that subjects with specific phobia have an increased probability for specific physical diseases. From these analyses etiological mechanisms of specific phobia and physical disease can be deduced. As subtypes differed in their patterns of associations with physical diseases, different etiological mechanisms may play a role. The findings are highly relevant for public health in terms of prevention and therapy of the comorbid conditions.
Data of the German Mental Health Survey from 4181 subjects aged 18-65 years were used. Specific phobia was diagnosed using M-CIDI/DIA-X interview; physical diseases were assessed through a self-report questionnaire and a medical interview. Logistic regression analyses adjusted for sex were calculated.
Specific phobia was associated with cardiac diseases, gastrointestinal diseases, respiratory diseases, arthritic conditions, migraine, and thyroid diseases (odds ratios between 1.49 and 2.53). Among the subtypes, different patterns of associations with physical diseases were established. The findings were partially replicated in the Swiss PsyCoLaus Study.
Our analyses show that subjects with specific phobia have an increased probability for specific physical diseases. From these analyses etiological mechanisms of specific phobia and physical disease can be deduced. As subtypes differed in their patterns of associations with physical diseases, different etiological mechanisms may play a role. The findings are highly relevant for public health in terms of prevention and therapy of the comorbid conditions.
Sujets
PID Serval
serval:BIB_A308B4D292CF
PMID
Open Access
Oui
Date de création
2016-05-23T07:10:43.935Z
Date de création dans IRIS
2025-05-21T01:52:09Z
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Nom
BIB_A308B4D292CF.P001.pdf
Version du manuscrit
preprint
Taille
521.54 KB
Format
Adobe PDF
PID Serval
serval:BIB_A308B4D292CF.P001
URN
urn:nbn:ch:serval-BIB_A308B4D292CF6
Somme de contrôle
(MD5):dee1098121d4ed1c220ac11bb89daa6f