Associations of specific phobia and its subtypes with physical diseases: an adult community study.

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Serval ID
serval:BIB_A308B4D292CF
Type
Article: article from journal or magazin.
Collection
Publications
Title
Associations of specific phobia and its subtypes with physical diseases: an adult community study.
Journal
BMC psychiatry
Author(s)
Witthauer C., Ajdacic-Gross V., Meyer A.H., Vollenweider P., Waeber G., Preisig M., Lieb R.
ISSN
1471-244X (Electronic)
ISSN-L
1471-244X
Publication state
Published
Issued date
21/05/2016
Peer-reviewed
Oui
Volume
16
Pages
155
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.

Keywords
Adolescent, Adult, Aged, Arthritis/epidemiology, Comorbidity, Female, Gastrointestinal Diseases/epidemiology, Health Surveys, Humans, Male, Middle Aged, Migraine Disorders/epidemiology, Phobic Disorders/epidemiology, Prevalence, Residence Characteristics, Respiration Disorders/epidemiology, Self Report, Thyroid Diseases/epidemiology, Young Adult, Physical diseases, Representative survey, Specific phobia
Pubmed
Web of science
Open Access
Yes
Create date
23/05/2016 9:10
Last modification date
20/08/2019 16:08
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