phobic disorders;
longitudinal studies;
epidemiology;
aged;
anxiety;
anxiety disorders;
cohort studies;
prevalence;
prognosis;
IV SPECIFIC PHOBIA;
NATIONAL EPIDEMIOLOGIC SURVEY;
DSM-IV;
LIFETIME PREVALENCE;
ANXIETY DISORDER;
FEARS;
AGE;
DEPRESSION;
GOTHENBURG;
ALCOHOL;
D O I:
10.1002/da.22459
中图分类号:
B849 [应用心理学];
学科分类号:
040203 ;
摘要:
BackgroundLittle is known about the long-term course of specific phobia (SP) in the general population. We examined the prevalence and course of SP and subthreshold fears in an older population followed over 9 years. MethodA psychiatric examination was performed in a population-based sample of 558 70-year-olds, among whom 303 dementia-free survivors were followed up at both ages 75 and 79. Fears were rated with respect to level of anxiety and social or other consequences. DSM-IV SP was diagnosed when fears were associated with prominent anxiety and had social or other consequences. All other fears were labeled subthreshold fears. ResultsThe prevalence of SP declined from 9.9% at age 70 to 4.0% at age 79. The reason was that the prevalence of fears associated with prominent anxiety (mandatory in the diagnosis) decreased whereas the prevalence of fears that gave social or other consequences remained stable. A total of 14.5% of the population had SP at least once during the study. Among these, 11.4% had SP and 65.9% had specific fear at all three examinations. ConclusionThe prevalence of fears associated with prominent anxiety decreased with age, resulting in an overall decline in the prevalence of SP. SP seems to be a fluctuating disorder, and in most cases an exacerbation of chronic subthreshold fears.
机构:
Univ Iowa, Coll Med, Psychiat Res MEB, Dept Psychiat, Iowa City, IA 52242 USAUniv Iowa, Coll Med, Psychiat Res MEB, Dept Psychiat, Iowa City, IA 52242 USA
Black, DW
Okiishi, C
论文数: 0引用数: 0
h-index: 0
机构:Univ Iowa, Coll Med, Psychiat Res MEB, Dept Psychiat, Iowa City, IA 52242 USA
Okiishi, C
Schlosser, S
论文数: 0引用数: 0
h-index: 0
机构:Univ Iowa, Coll Med, Psychiat Res MEB, Dept Psychiat, Iowa City, IA 52242 USA
机构:
Division of Gastro-Intestinal Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, MumbaiDivision of Gastro-Intestinal Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai
Banerjee A.
Almel S.
论文数: 0引用数: 0
h-index: 0
机构:
Division of Medical Oncology, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, MumbaiDivision of Gastro-Intestinal Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai
Almel S.
Shah S.R.
论文数: 0引用数: 0
h-index: 0
机构:
Division of Gastro-Intestinal Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, MumbaiDivision of Gastro-Intestinal Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai
机构:
Brown Univ, Mem Hosp Rhode Isl, Sch Med, Dept Clin Neurosci, Pawtucket, RI 02860 USABrown Univ, Mem Hosp Rhode Isl, Sch Med, Dept Clin Neurosci, Pawtucket, RI 02860 USA
Friedman, JH
Friedman, H
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Mem Hosp Rhode Isl, Sch Med, Dept Clin Neurosci, Pawtucket, RI 02860 USABrown Univ, Mem Hosp Rhode Isl, Sch Med, Dept Clin Neurosci, Pawtucket, RI 02860 USA
机构:
Ontario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, CanadaOntario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, Canada
Eke, Angela W.
Hilton, N. Zoe
论文数: 0引用数: 0
h-index: 0
机构:Ontario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, Canada
Hilton, N. Zoe
Meloy, J. Reid
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USAOntario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, Canada
Meloy, J. Reid
Mohandie, Kris
论文数: 0引用数: 0
h-index: 0
机构:Ontario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, Canada
Mohandie, Kris
Williams, Jennette
论文数: 0引用数: 0
h-index: 0
机构:
Ontario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, CanadaOntario Prov Police, Res Unit, Behav Sci & Anal Serv, Orillia, ON L3V 7V3, Canada