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Published in: Social Psychiatry and Psychiatric Epidemiology 12/2010

Open Access 01-12-2010 | Original Paper

Specific phobia predicts psychopathology in young women

Authors: Julia Trumpf, Jürgen Margraf, Noortje Vriends, Andrea H. Meyer, Eni S. Becker

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 12/2010

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Abstract

Background

Although specific phobia is characterized by an early age at onset and by high rates of comorbidity, few studies have examined comorbid relationships prospectively.

Objectives

The present study investigated the association between specific phobia and the risk of a broad range of psychopathology among young women in the community.

Method

Data came from the Dresden Predictor Study in which 1,538 German women (18–25 years) completed a diagnostic interview at two time points.

Results

Women with specific phobia had a twofold increase in odds of developing any anxiety disorder, generalized anxiety disorder, depression, and any somatoform disorder during 17 months, compared to women without specific phobia. Except for depression, these associations persisted after adjustment for all comorbid mental disorders.

Conclusions

Specific phobia thus appears to be a risk factor for a variety of problems. The result further underpins the necessity for early intervention for specific phobia to prevent later mental health problems.
Literature
1.
go back to reference Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H et al (2004) Prevalence of mental disorders in Europe: results from the European Study of Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 109(420):21–27CrossRef Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H et al (2004) Prevalence of mental disorders in Europe: results from the European Study of Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 109(420):21–27CrossRef
2.
go back to reference American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, vol 4th. APA, Washington, DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, vol 4th. APA, Washington, DC
3.
go back to reference Becker ES, Rinck M, Türke V, Krause P, Goodwin R, Neumer S-P et al (2007) Epidemiology of specific phobia subtypes: findings from the Dresden Mental Health Study. Eur Psychiatry 22:69–74CrossRefPubMed Becker ES, Rinck M, Türke V, Krause P, Goodwin R, Neumer S-P et al (2007) Epidemiology of specific phobia subtypes: findings from the Dresden Mental Health Study. Eur Psychiatry 22:69–74CrossRefPubMed
4.
go back to reference Becker ES, Türke V, Neumer S-P, Margraf J (2000) Incidence and prevalence rates of mental disorders in a community sample of young women: results of the Dresden study. In: Manz R, Kirch W (eds) Public health research and practice: report of the public health research association Saxony. Roderer, Germany, pp 259–291 Becker ES, Türke V, Neumer S-P, Margraf J (2000) Incidence and prevalence rates of mental disorders in a community sample of young women: results of the Dresden study. In: Manz R, Kirch W (eds) Public health research and practice: report of the public health research association Saxony. Roderer, Germany, pp 259–291
5.
go back to reference Bittner A, Goodwin RD, Wittchen H-U, Beesdo K, Höfler M, Lieb R (2004) What characteristics of primary anxiety disorders predict subsequent major depressive disorder? J Clin Psychiatry 65:618–626CrossRefPubMed Bittner A, Goodwin RD, Wittchen H-U, Beesdo K, Höfler M, Lieb R (2004) What characteristics of primary anxiety disorders predict subsequent major depressive disorder? J Clin Psychiatry 65:618–626CrossRefPubMed
6.
go back to reference Brown TA, Campbell LA, Lehmann CL, Grisham JR, Mancill RB (2001) Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol 4:585–599CrossRef Brown TA, Campbell LA, Lehmann CL, Grisham JR, Mancill RB (2001) Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol 4:585–599CrossRef
7.
go back to reference Burke KC, Burke JD, Regier DA, Rae DS (1990) Age at onset of selected mental disorders in five community populations. Arch Gen Psychiatry 47:51–518 Burke KC, Burke JD, Regier DA, Rae DS (1990) Age at onset of selected mental disorders in five community populations. Arch Gen Psychiatry 47:51–518
8.
go back to reference Choy Y, Fyer AJ, Goodwin RD (2007) Specific phobia and comorbid depression: a closer look at the National Comorbidity Survey data. Compr Psychiatry 48:132–136CrossRefPubMed Choy Y, Fyer AJ, Goodwin RD (2007) Specific phobia and comorbid depression: a closer look at the National Comorbidity Survey data. Compr Psychiatry 48:132–136CrossRefPubMed
9.
go back to reference de Graaf R, Bijl RV, Spijker J, Beekman ATF, Vollebergh WAM (2003) Temporal sequencing of lifetime mood disorders in relation to comorbid anxiety and substance use disorders: findings from the Netherlands Mental Health Survey and Incidence Study. Soc Psychiatry Psychiatr Epidemiol 38:1–11CrossRefPubMed de Graaf R, Bijl RV, Spijker J, Beekman ATF, Vollebergh WAM (2003) Temporal sequencing of lifetime mood disorders in relation to comorbid anxiety and substance use disorders: findings from the Netherlands Mental Health Survey and Incidence Study. Soc Psychiatry Psychiatr Epidemiol 38:1–11CrossRefPubMed
10.
go back to reference Depla MFIA, ten Have ML, van Balkom AJLM, de Graaf R (2008) Specific fears and phobias in the general population: results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 43:200–208CrossRefPubMed Depla MFIA, ten Have ML, van Balkom AJLM, de Graaf R (2008) Specific fears and phobias in the general population: results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 43:200–208CrossRefPubMed
11.
go back to reference de Ruiter C, Rijken H, Garssen B, van Schaik A, Kraaimaat F (1989) Comorbidity among the anxiety disorders. J Anxiety Disord 3:57–68CrossRef de Ruiter C, Rijken H, Garssen B, van Schaik A, Kraaimaat F (1989) Comorbidity among the anxiety disorders. J Anxiety Disord 3:57–68CrossRef
12.
go back to reference Di Nardo PA, Brown TA, Barlow DH (1995) Anxiety Disorders Interview Schedule for DSM-IV: lifetime version (ADIS-IV-L). Graywind Publications, Albany Di Nardo PA, Brown TA, Barlow DH (1995) Anxiety Disorders Interview Schedule for DSM-IV: lifetime version (ADIS-IV-L). Graywind Publications, Albany
13.
go back to reference Essau CA, Conradt J, Petermann F (2000) Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. J Anxiety Disord 14:263–279CrossRefPubMed Essau CA, Conradt J, Petermann F (2000) Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. J Anxiety Disord 14:263–279CrossRefPubMed
14.
go back to reference Giaconia RM, Reinherz HZ, Silverman AB, Pakiz B, Frost AK, Cohen E (1994) Ages of onset of psychiatric disorders in a community population of older adolescents. J Am Acad Child Adolesc Psychiatry 33:706–717CrossRefPubMed Giaconia RM, Reinherz HZ, Silverman AB, Pakiz B, Frost AK, Cohen E (1994) Ages of onset of psychiatric disorders in a community population of older adolescents. J Am Acad Child Adolesc Psychiatry 33:706–717CrossRefPubMed
15.
go back to reference Goisman RM, Allsworth J, Rogers MP, Warshaw MG, Goldenberg I, Vasile RG et al (1998) Simple phobia as a comorbid anxiety disorder. Depress Anxiety 7:105–112CrossRefPubMed Goisman RM, Allsworth J, Rogers MP, Warshaw MG, Goldenberg I, Vasile RG et al (1998) Simple phobia as a comorbid anxiety disorder. Depress Anxiety 7:105–112CrossRefPubMed
16.
go back to reference Goodwin RD (2002) Anxiety disorders and the onset of depression among adults in the community. Psychol Med 32:1121–1124CrossRefPubMed Goodwin RD (2002) Anxiety disorders and the onset of depression among adults in the community. Psychol Med 32:1121–1124CrossRefPubMed
17.
go back to reference Höfler M, Brückl T, Lieb R, Wittchen H-U (2005) Calculating control variables with age at onset data to adjust for conditions prior to exposure. Soc Psychiatry Psychiatr Epidemiol 40:731–736CrossRefPubMed Höfler M, Brückl T, Lieb R, Wittchen H-U (2005) Calculating control variables with age at onset data to adjust for conditions prior to exposure. Soc Psychiatry Psychiatr Epidemiol 40:731–736CrossRefPubMed
18.
go back to reference Keller A (2000) Die Klassifikation psychischer Störungen nach DSM-IV mit Hilfe eines strukturierten diagnostischen Interviews (F-DIPS). Unpublished dissertation, Ruprecht Karls University of Heidelberg Keller A (2000) Die Klassifikation psychischer Störungen nach DSM-IV mit Hilfe eines strukturierten diagnostischen Interviews (F-DIPS). Unpublished dissertation, Ruprecht Karls University of Heidelberg
19.
go back to reference Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:593–602CrossRefPubMed Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:593–602CrossRefPubMed
20.
go back to reference Kraemer HC, Kazdin AE, Offord DR, Kessler RC, Jensen PS, Kupfer DJ (1997) Coming to terms with the terms of risk. Arch Gen Psychiatry 54:337–343PubMed Kraemer HC, Kazdin AE, Offord DR, Kessler RC, Jensen PS, Kupfer DJ (1997) Coming to terms with the terms of risk. Arch Gen Psychiatry 54:337–343PubMed
21.
go back to reference Lewinsohn PM, Zinbarg R, Seeley JR, Lewinsohn M, Sack WH (1997) Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. J Anxiety Disord 11:377–394CrossRefPubMed Lewinsohn PM, Zinbarg R, Seeley JR, Lewinsohn M, Sack WH (1997) Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. J Anxiety Disord 11:377–394CrossRefPubMed
22.
go back to reference Magee WJ, Eaton WW, Wittchen H-U, McGonagle KA, Kessler RC (1996) Agoraphobia, simple phobia, and social phobia in the national comorbidity survey. Arch Gen Psychiatry 53:159–168PubMed Magee WJ, Eaton WW, Wittchen H-U, McGonagle KA, Kessler RC (1996) Agoraphobia, simple phobia, and social phobia in the national comorbidity survey. Arch Gen Psychiatry 53:159–168PubMed
23.
go back to reference Margraf J, Schneider S, Soeder U, Becker ES (1996) F-DIPS: Diagnostisches Interview bei Psychischen Störungen (Forschungsversion). Unpublished manuscript, Dresden University of Technology Margraf J, Schneider S, Soeder U, Becker ES (1996) F-DIPS: Diagnostisches Interview bei Psychischen Störungen (Forschungsversion). Unpublished manuscript, Dresden University of Technology
24.
go back to reference Satlow E (1996) Die Interrater-Reliabilität im Diagnostischen Interview bei Psychischen Störungen, Forschungsversion (F-DIPS) bei der Studie Gesundheit in Dresden. Unpublished diploma-thesis, Free University of Berlin Satlow E (1996) Die Interrater-Reliabilität im Diagnostischen Interview bei Psychischen Störungen, Forschungsversion (F-DIPS) bei der Studie Gesundheit in Dresden. Unpublished diploma-thesis, Free University of Berlin
25.
go back to reference Schatzberg AF, Samson JA, Rothschild AJ, Bond TC, Regier DA (1998) McLean Hospital depression research facility: early-onset phobic disorders and adult-onset major depression. Br J Psychiatry 173(Suppl 34):29–34 Schatzberg AF, Samson JA, Rothschild AJ, Bond TC, Regier DA (1998) McLean Hospital depression research facility: early-onset phobic disorders and adult-onset major depression. Br J Psychiatry 173(Suppl 34):29–34
26.
go back to reference Schneider S, Margraf J (2006) DIPS: Diagnostisches Interview bei psychischen Störungen. Springer, Berlin Schneider S, Margraf J (2006) DIPS: Diagnostisches Interview bei psychischen Störungen. Springer, Berlin
27.
go back to reference Stinson FS, Dawson DA, Chou SP, Smith S, Goldstein RB, Ruan WJ et al (2007) The epidemiology of DSM-IV specific phobia in the USA: results from the National Epidemiological Survey on Alcohol and Related Conditions. Psychol Med 37:1047–1059CrossRefPubMed Stinson FS, Dawson DA, Chou SP, Smith S, Goldstein RB, Ruan WJ et al (2007) The epidemiology of DSM-IV specific phobia in the USA: results from the National Epidemiological Survey on Alcohol and Related Conditions. Psychol Med 37:1047–1059CrossRefPubMed
28.
go back to reference Trumpf J, Vriends N, Meyer AH, Becker ES, Neumer S-P, Margraf J (2009) The Dresden Predictor Study (DPS) of anxiety and depression: objectives, design, and methods. Soc Psychiatry Psychiatr Epidemiol [Epub ahead of print] Trumpf J, Vriends N, Meyer AH, Becker ES, Neumer S-P, Margraf J (2009) The Dresden Predictor Study (DPS) of anxiety and depression: objectives, design, and methods. Soc Psychiatry Psychiatr Epidemiol [Epub ahead of print]
29.
go back to reference Wittchen H-U, Beesdo K, Bittner A, Goodwin RD (2003) Depressive episodes-evidence for a causal role of primary anxiety disorders? Eur Psychiatry 18:384–393CrossRefPubMed Wittchen H-U, Beesdo K, Bittner A, Goodwin RD (2003) Depressive episodes-evidence for a causal role of primary anxiety disorders? Eur Psychiatry 18:384–393CrossRefPubMed
30.
go back to reference Zimmermann P, Wittchen H-U, Höfler M, Pfister H, Kessler RC, Lieb R (2003) Primary anxiety disorders and the development of subsequent alcohol use disorders: a 4-year community study of adolescents and young adults. Psychol Med 33:1211–1222CrossRefPubMed Zimmermann P, Wittchen H-U, Höfler M, Pfister H, Kessler RC, Lieb R (2003) Primary anxiety disorders and the development of subsequent alcohol use disorders: a 4-year community study of adolescents and young adults. Psychol Med 33:1211–1222CrossRefPubMed
Metadata
Title
Specific phobia predicts psychopathology in young women
Authors
Julia Trumpf
Jürgen Margraf
Noortje Vriends
Andrea H. Meyer
Eni S. Becker
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 12/2010
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0159-5

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