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Article: Specific phobia in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions

TitleSpecific phobia in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions
Authors
KeywordsComorbidity
Depression
Health services
Risk factors
Specific phobia
Issue Date2009
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://ajgp.psychiatryonline.org/
Citation
American Journal Of Geriatric Psychiatry, 2009, v. 17 n. 5, p. 376-386 How to Cite?
AbstractOBJECTIVE: This study aims to investigate: 1) the association of specific phobia with childhood parental loss and recent stressful life events; 2) the coexistence of specific phobia and major depressive disorders (MDDs); and 3) the impact of specific phobia on medical conditions, obesity, health service utilization, and health-related quality of life. DESIGN: Cross-sectional observational study. SETTING: The National Epidemiologic Survey on Alcohol and Related Conditions (2001ĝ€"2002), a national representative survey of the noninstitutionized U.S. household population. PARTICIPANTS: The 8,205 respondents aged 65 and above. MEASUREMENTS: Specific phobia was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Scheduleĝ€"Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition version. Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and health service utilization were measured. RESULTS: The current and lifetime prevalence of specific phobia were 4.51% and 6.05%, respectively. Multivariate analyses revealed that specific phobia was more common among younger age groups, women, and those who reported stressful life events but less common among foreign-born individuals. In addition, MDD was significantly related to lifetime specific phobia. Specific phobia was also significantly related to a lower health-related quality of life and two medical conditions. CONCLUSION: Our prevalence rates of specific phobia in the elderly are at the lower end of the ranges identified in the previous studies. The correlation between specific phobia and MDD raises further questions about the nature of specific phobia in the elderly. This study supports the notion that specific phobia has a strong impact on the quality of life in old age. © 2009 American Association for Geriatric Psychiatry.
Persistent Identifierhttp://hdl.handle.net/10722/59788
ISSN
2015 Impact Factor: 3.13
2015 SCImago Journal Rankings: 1.653
ISI Accession Number ID
Funding AgencyGrant Number
Research Grant CouncilHKU 7004-PPR20051
National Institute on Alcohol Abuse and Alcoholism
National Institute on Drug Abuse
Funding Information:

This work was supported by the Research Grant Council (HKU 7004-PPR20051). The NESARC was conducted and funded by the National Institute on Alcohol Abuse and Alcoholism, with supplemental support from the National Institute on Drug Abuse.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorChou, KLen_HK
dc.date.accessioned2010-05-31T03:57:27Z-
dc.date.available2010-05-31T03:57:27Z-
dc.date.issued2009en_HK
dc.identifier.citationAmerican Journal Of Geriatric Psychiatry, 2009, v. 17 n. 5, p. 376-386en_HK
dc.identifier.issn1064-7481en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59788-
dc.description.abstractOBJECTIVE: This study aims to investigate: 1) the association of specific phobia with childhood parental loss and recent stressful life events; 2) the coexistence of specific phobia and major depressive disorders (MDDs); and 3) the impact of specific phobia on medical conditions, obesity, health service utilization, and health-related quality of life. DESIGN: Cross-sectional observational study. SETTING: The National Epidemiologic Survey on Alcohol and Related Conditions (2001ĝ€"2002), a national representative survey of the noninstitutionized U.S. household population. PARTICIPANTS: The 8,205 respondents aged 65 and above. MEASUREMENTS: Specific phobia was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Scheduleĝ€"Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition version. Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and health service utilization were measured. RESULTS: The current and lifetime prevalence of specific phobia were 4.51% and 6.05%, respectively. Multivariate analyses revealed that specific phobia was more common among younger age groups, women, and those who reported stressful life events but less common among foreign-born individuals. In addition, MDD was significantly related to lifetime specific phobia. Specific phobia was also significantly related to a lower health-related quality of life and two medical conditions. CONCLUSION: Our prevalence rates of specific phobia in the elderly are at the lower end of the ranges identified in the previous studies. The correlation between specific phobia and MDD raises further questions about the nature of specific phobia in the elderly. This study supports the notion that specific phobia has a strong impact on the quality of life in old age. © 2009 American Association for Geriatric Psychiatry.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://ajgp.psychiatryonline.org/en_HK
dc.relation.ispartofAmerican Journal of Geriatric Psychiatryen_HK
dc.rightsAmerican Journal of Geriatric Psychiatry. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectComorbidityen_HK
dc.subjectDepressionen_HK
dc.subjectHealth servicesen_HK
dc.subjectRisk factorsen_HK
dc.subjectSpecific phobiaen_HK
dc.titleSpecific phobia in older adults: Evidence from the national epidemiologic survey on alcohol and related conditionsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1064-7481&volume=17&spage=376&epage=386&date=2009&atitle=Specific+phobia+in+older+adults:+Evidences+from+the+National+Epidemiologic+Survey+on+Alcohol+and+Related+Conditions.+en_HK
dc.identifier.emailChou, KL: klchou@hku.hken_HK
dc.identifier.authorityChou, KL=rp00583en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/JGP.0b013e3181943214en_HK
dc.identifier.pmid19390295en_HK
dc.identifier.scopuseid_2-s2.0-66549126922en_HK
dc.identifier.hkuros159439en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-66549126922&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue5en_HK
dc.identifier.spage376en_HK
dc.identifier.epage386en_HK
dc.identifier.isiWOS:000265678100004-
dc.publisher.placeUnited Statesen_HK
dc.relation.projectIntegration of new immigrants in Hong Kong: a longitudinal investigation-
dc.identifier.scopusauthoridChou, KL=7201905320en_HK

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