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Associations of specific phobia and its subtypes with physical diseases: an adult community study
BACKGROUND: 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 methodolo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4875678/ https://www.ncbi.nlm.nih.gov/pubmed/27209067 http://dx.doi.org/10.1186/s12888-016-0863-0 |
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author | Witthauer, Cornelia Ajdacic-Gross, Vladeta Meyer, Andrea Hans Vollenweider, Peter Waeber, Gerard Preisig, Martin Lieb, Roselind |
author_facet | Witthauer, Cornelia Ajdacic-Gross, Vladeta Meyer, Andrea Hans Vollenweider, Peter Waeber, Gerard Preisig, Martin Lieb, Roselind |
author_sort | Witthauer, Cornelia |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
format | Online Article Text |
id | pubmed-4875678 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-48756782016-05-22 Associations of specific phobia and its subtypes with physical diseases: an adult community study Witthauer, Cornelia Ajdacic-Gross, Vladeta Meyer, Andrea Hans Vollenweider, Peter Waeber, Gerard Preisig, Martin Lieb, Roselind BMC Psychiatry Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. BioMed Central 2016-05-21 /pmc/articles/PMC4875678/ /pubmed/27209067 http://dx.doi.org/10.1186/s12888-016-0863-0 Text en © Witthauer et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Witthauer, Cornelia Ajdacic-Gross, Vladeta Meyer, Andrea Hans Vollenweider, Peter Waeber, Gerard Preisig, Martin Lieb, Roselind Associations of specific phobia and its subtypes with physical diseases: an adult community study |
title | Associations of specific phobia and its subtypes with physical diseases: an adult community study |
title_full | Associations of specific phobia and its subtypes with physical diseases: an adult community study |
title_fullStr | Associations of specific phobia and its subtypes with physical diseases: an adult community study |
title_full_unstemmed | Associations of specific phobia and its subtypes with physical diseases: an adult community study |
title_short | Associations of specific phobia and its subtypes with physical diseases: an adult community study |
title_sort | associations of specific phobia and its subtypes with physical diseases: an adult community study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4875678/ https://www.ncbi.nlm.nih.gov/pubmed/27209067 http://dx.doi.org/10.1186/s12888-016-0863-0 |
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