The prevalence, clinical correlates and structure of phobic fears in Han Chinese women with recurrent major depression

被引:1
作者
Yang, Fuzhong [1 ]
Qiu, Jianyin [1 ]
Zhao, Hongsu [2 ]
Wang, Zhoubing [3 ]
Tao, Danhong [4 ]
Xiao, Xue [5 ]
Niu, Qihui [6 ]
Wang, Qian [7 ]
Li, Yajuan [8 ]
Guo, Liyang [9 ]
Li, Jianying [10 ]
Li, Kan [11 ]
Xia, Jing [12 ]
Wang, Lina [13 ]
Shang, Xiaofang [14 ]
Sang, Wenhua [15 ]
Gan, Zhaoyu [16 ]
He, Kangmei [17 ]
Zhao, Xiaochuan [18 ]
Tian, Tian [19 ]
Xu, Dan [20 ]
Gu, Danhua [21 ]
Weng, Xiaoqin [22 ]
Li, Haimin [23 ]
Tian, Jing [24 ]
Yang, Lijun [25 ]
Li, Qiang [26 ]
Yang, Qingzhen [27 ]
Wang, Hui [28 ]
Dang, Yamei [29 ]
Dai, Lei [30 ,31 ]
Cui, Yanping [32 ]
Ye, Dong [33 ]
Cao, Juling [34 ]
Guo, Li [35 ]
Kang, Zhen [36 ]
Liu, Jimeng [37 ]
Chen, Bin [38 ]
Liu, Jinhua [39 ]
Zhang, Jinling [40 ]
Yang, Donglin [41 ]
Jiao, Bin [42 ]
Yu, Fengyu [43 ]
Geng, Feng [44 ]
Li, Ling [45 ]
Yang, Haiying [46 ]
Dai, Hong [47 ]
Wang, Hongli [48 ]
Liu, Caixing [49 ]
Liu, Haijun [50 ]
机构
[1] Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Shanghai 200030, Peoples R China
[2] Zhejiang Tradit Chinese Med Hosp, Hangzhou, Zhejiang, Peoples R China
[3] 4 Hosp Jiangsu Univ, Zhenjiang, Jiangsu, Peoples R China
[4] Xinhua Hosp Zhejiang Prov, Hangzhou, Zhejiang, Peoples R China
[5] China Med Univ, Hosp 1, Shenyang, Liaoning, Peoples R China
[6] Zhengzhou Univ, Hosp 1, Zhengzhou 450052, Henan, Peoples R China
[7] Capital Univ Med Sci, Beijing Anding Hosp, Beijing, Peoples R China
[8] Xian Mental Hlth Ctr, Xian, Shaanxi, Peoples R China
[9] Xi An Jiao Tong Univ, Hosp Med Coll 1, Xian 710049, Shaanxi, Peoples R China
[10] 1 Hosp Shanxi Med Univ, Taiyuan, Shanxi, Peoples R China
[11] Mental Hosp Jiangxi Prov, Nanchang, Jiangxi, Peoples R China
[12] China Med Univ, ShengJing Hosp, Shenyang, Liaoning, Peoples R China
[13] Shandong Mental Hlth Ctr, Jinan, Shandong, Peoples R China
[14] Nanjing Brain Hosp, Nanjing, Jiangsu, Peoples R China
[15] Hebei Mental Hlth Ctr, Baoding, Hebei, Peoples R China
[16] Sun Yat Sen Univ, Hosp3, Guangzhou, Guangdong, Peoples R China
[17] Shanghai Tongji Univ, Affiliated Tongji Hosp, Shanghai 200065, Peoples R China
[18] Hebei Med Univ, Hosp 1, Shijiazhuang, Hebei, Peoples R China
[19] Tianjin Anding Hosp, Tianjin, Peoples R China
[20] Shenzhen Kang Ning Hosp, Shenzhen, Guangdong, Peoples R China
[21] Weihai Mental Hlth Ctr, Weihai, Shandong, Peoples R China
[22] Psychiat Hosp Henan Prov, Xinxiang, Henan, Peoples R China
[23] Sichuan Univ, West China Hosp, Mental Hlth Ctr, Chengdu 610064, Sichuan, Peoples R China
[24] Jinan Univ, Hosp 1, Guangzhou, Guangdong, Peoples R China
[25] Jilin Brain Hosp, Siping, Jilin, Peoples R China
[26] Affiliated Harbin Med Univ, Mental Hlth Ctr 1, Harbin, Heilongjiang, Peoples R China
[27] Chongqing Mental Hlth Ctr, Chongqing, Peoples R China
[28] 1 Hosp Chongqing Med Univ, Chongqing, Peoples R China
[29] Guangzhou Psychiat Hosp, Guangzhou Brain Hosp, Guangzhou, Guangdong, Peoples R China
[30] Dalian 7 Hosp, Dalian, Liaoning, Peoples R China
[31] Dalian Mental Hlth Ctr, Dalian, Liaoning, Peoples R China
[32] 3 Hosp Heilongjiang Prov, Beian, Heilongjiang, Peoples R China
[33] Sichuan Mental Hlth Ctr, Mianyang, Sichuan, Peoples R China
[34] Lanzhou Univ, Hosp 2, Lanzhou 730000, Gansu, Peoples R China
[35] Fourth Mil Med Univ, Affiliated Xijing Hosp, Xian 710032, Shaanxi, Peoples R China
[36] Liaocheng 4 Hosp, Liaocheng, Shandong, Peoples R China
[37] Ningbo Kang Ning Hosp, Ningbo, Zhejiang, Peoples R China
[38] Fuzhou Psychiat Hosp, Fuzhou, Fujian, Peoples R China
[39] Suzhou Guangji Hosp, Suzhou, Jiangsu, Peoples R China
[40] Shantou Univ, Mental Hlth Ctr, Shantou, Guangdong, Peoples R China
[41] Jining Psychiat Hosp, Jining, Shandong, Peoples R China
[42] Zhongnan Univ, Xiangya Hosp 2, Changsha, Hunan, Peoples R China
[43] Harbin 1 Special Hosp, Harbin, Heilongjiang, Peoples R China
[44] Anhui Mental Hlth Ctr, Hefei, Anhui, Peoples R China
[45] Changchun Mental Hosp, Changchun, Jilin, Peoples R China
[46] Huaian 3 Hosp, Huaian, Jiangsu, Peoples R China
[47] Huzhou 3 Hosp, Huzhou, Zhejiang, Peoples R China
[48] Mudanjiang Psychiat Hosp Heilongjiang Prov, Mudanjiang, Heilongjiang, Peoples R China
[49] Qingdao Mental Hlth Ctr, Qingdao, Shandong, Peoples R China
[50] Tangshan 5 Hosp, Tangshan, Hebei, Peoples R China
基金
英国惠康基金;
关键词
Phobic fear; Major depression; Prevalence; Comorbidity; Factor analysis; ENVIRONMENTAL RISK-FACTORS; COMMON MENTAL-DISORDERS; IV SPECIFIC PHOBIA; SOCIAL PHOBIA; PANIC DISORDER; PSYCHIATRIC-DISORDERS; GENETIC EPIDEMIOLOGY; NATIONAL COMORBIDITY; GENERAL-POPULATION; DENTAL FEAR;
D O I
10.1016/j.jad.2014.01.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Phobic fears are common in the general population and among individuals with major depression (MD). We know little about the prevalence, clinical correlates, and structure of phobic fears in Chinese women with MD. Methods: We assessed 22 phobic fears in 6017 Han Chinese women with MD. We used exploratory factor analysis to examine the structure of these phobic fears. We examined the relationship between individual phobic fears and the severity of MD, neuroticism, comorbid panic disorder, generalized anxiety disorder and dysthymia using logistic regression models. Results: The frequency of phobic fears ranged from 3.0% (eating in public) to 36.0% (snakes). Phobic fears were significantly associated with more severe MD, high neurolicism, and co-morbid panic disorder, generalized anxiety disorder and dysthymia. Our factor analysis suggested four underlying subgroups of phobic fears which differed in their clinical correlates, severity and patterns of comorbidity. Limitations: Data were collected retrospectively through interview and recall bias may have affected the results. Conclusions: Phobic fears are correlated with comorbid MD and more severe MD. These phobic fears clearly subdivide into four subgroups that differ meaningfully from each other. (C) 2014 Elsevier B.V. All rights reserved,
引用
收藏
页码:92 / 99
页数:8
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