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A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study

OBJECTIVE: Many patients receiving medical treatment for anxiety relapse or do not improve. Research has therefore been turning to coping mechanisms as a way to decrease anxiety rates. Previously, we showed that living in a deprived area significantly increases the risk of anxiety in women, but not...

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Autores principales: Remes, Olivia, Wainwright, Nicholas W J, Surtees, Paul, Lafortune, Louise, Khaw, Kay-Tee, Brayne, Carol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914722/
https://www.ncbi.nlm.nih.gov/pubmed/29685997
http://dx.doi.org/10.1136/bmjopen-2017-018501
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author Remes, Olivia
Wainwright, Nicholas W J
Surtees, Paul
Lafortune, Louise
Khaw, Kay-Tee
Brayne, Carol
author_facet Remes, Olivia
Wainwright, Nicholas W J
Surtees, Paul
Lafortune, Louise
Khaw, Kay-Tee
Brayne, Carol
author_sort Remes, Olivia
collection PubMed
description OBJECTIVE: Many patients receiving medical treatment for anxiety relapse or do not improve. Research has therefore been turning to coping mechanisms as a way to decrease anxiety rates. Previously, we showed that living in a deprived area significantly increases the risk of anxiety in women, but not in men. The objective of this study is to assess whether sense of coherence (coping mechanism) buffers the influence of area deprivation on women’s risk of generalised anxiety disorder using data from the European Prospective Investigation of Cancer-Norfolk. DESIGN: Large, population study. SETTING: UK population-based cohort. PARTICIPANTS: 30 445 people over the age of 40 years were recruited through general practice registers in England. Of these, 20 919 completed a structured health and lifestyle questionnaire used to assess generalised anxiety disorder and sense of coherence. Area deprivation was measured using 1991 Census data, and sense of coherence and anxiety were examined in 1996–2000. 10 183 women had data on all variables. MAIN OUTCOME MEASURE: Past-year generalised anxiety disorder defined according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. RESULTS: In this study, 2.6% (260/10 183) of women had generalised anxiety disorder. In those with a strong sense of coherence, area deprivation was not significantly associated with anxiety (OR 1.29, 95% CI 0.77 to 2.17). However, among women with a weak sense of coherence, those living in deprived areas were almost twice as likely to have generalised anxiety disorder compared with those living in more affluent areas (OR 1.99, 95% CI 1.37 to 2.91). CONCLUSION: The number of women living in deprived conditions is large worldwide, and significant numbers are affected by generalised anxiety disorder. Sense of coherence moderates the association between area deprivation and anxiety in women; therefore, interventions targeting coping mechanisms may need to be considered for people with anxiety.
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spelling pubmed-59147222018-04-27 A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study Remes, Olivia Wainwright, Nicholas W J Surtees, Paul Lafortune, Louise Khaw, Kay-Tee Brayne, Carol BMJ Open Mental Health OBJECTIVE: Many patients receiving medical treatment for anxiety relapse or do not improve. Research has therefore been turning to coping mechanisms as a way to decrease anxiety rates. Previously, we showed that living in a deprived area significantly increases the risk of anxiety in women, but not in men. The objective of this study is to assess whether sense of coherence (coping mechanism) buffers the influence of area deprivation on women’s risk of generalised anxiety disorder using data from the European Prospective Investigation of Cancer-Norfolk. DESIGN: Large, population study. SETTING: UK population-based cohort. PARTICIPANTS: 30 445 people over the age of 40 years were recruited through general practice registers in England. Of these, 20 919 completed a structured health and lifestyle questionnaire used to assess generalised anxiety disorder and sense of coherence. Area deprivation was measured using 1991 Census data, and sense of coherence and anxiety were examined in 1996–2000. 10 183 women had data on all variables. MAIN OUTCOME MEASURE: Past-year generalised anxiety disorder defined according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. RESULTS: In this study, 2.6% (260/10 183) of women had generalised anxiety disorder. In those with a strong sense of coherence, area deprivation was not significantly associated with anxiety (OR 1.29, 95% CI 0.77 to 2.17). However, among women with a weak sense of coherence, those living in deprived areas were almost twice as likely to have generalised anxiety disorder compared with those living in more affluent areas (OR 1.99, 95% CI 1.37 to 2.91). CONCLUSION: The number of women living in deprived conditions is large worldwide, and significant numbers are affected by generalised anxiety disorder. Sense of coherence moderates the association between area deprivation and anxiety in women; therefore, interventions targeting coping mechanisms may need to be considered for people with anxiety. BMJ Publishing Group 2018-04-23 /pmc/articles/PMC5914722/ /pubmed/29685997 http://dx.doi.org/10.1136/bmjopen-2017-018501 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Mental Health
Remes, Olivia
Wainwright, Nicholas W J
Surtees, Paul
Lafortune, Louise
Khaw, Kay-Tee
Brayne, Carol
A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study
title A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study
title_full A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study
title_fullStr A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study
title_full_unstemmed A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study
title_short A strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: British population study
title_sort strong sense of coherence associated with reduced risk of anxiety disorder among women in disadvantaged circumstances: british population study
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914722/
https://www.ncbi.nlm.nih.gov/pubmed/29685997
http://dx.doi.org/10.1136/bmjopen-2017-018501
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