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Social Psychiatry and Psychiatric Epidemiology

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01.05.2012 | Original Paper

Social and psychological predictors of onset of anxiety disorders: results from a large prospective cohort study

verfasst von: Trine Flensborg-Madsen, Janne Tolstrup, Holger Jelling Sørensen, Erik Lykke Mortensen

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 5/2012

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Abstract

Purpose

The vast majority of studies investigating the association between social and psychological factors and anxiety disorders have been cross-sectional, making it difficult to draw causal conclusions. The purpose of the study was to investigate in a prospective longitudinal study whether social and psychological factors are associated with the later risk of being admitted to a hospital and receive a diagnosis of anxiety disorders.

Method

The study population comprised 4,497 members of The Copenhagen Perinatal Cohort (CPC) who in 1993 answered a mailed questionnaire containing questions on a range of social and psychological factors. In 2007, the study population was linked to The Danish Hospital Discharge Register and the Danish Psychiatric Central Register to obtain information on registration with anxiety disorders. Multiple Cox regression analysis was used to analyze the risk of anxiety disorders according to social and psychological factors.

Results

A total of 5.3% of the study population had lifetime registration with an anxiety disorder diagnosis. The risk of admission for anxiety disorders was significantly associated with previous: discontentedness with partner-status, loneliness, self-rated low intelligence, not feeling part of a whole, unhappiness, low quality of life, and low meaningfulness. Estimates were adjusted for income and current diseases.

Conclusion

The present study demonstrated that in a population without previous registration with anxiety disorders, contentment with social relations and a range of beneficial psychological factors reduced the later risk of being hospitalized with anxiety disorders.

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Gum AM, King-Kallimanis B, Kohn R (2009) Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the national comorbidity survey-replication. Am J Geriatr Psychiatry 17:769–781PubMedCrossRef

Bekker MH (2007) Anxiety disorders: sex differences in prevalence, degree, and background, but gender-neutral treatment. Gend Med 4 (Suppl B):S178–S193

Griffin JM, Fuhrer R, Stansfeld SA, Marmot M (2002) The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? Soc Sci Med 54:783–798PubMedCrossRef

Kessler RC (1981) Trends in the relationship between sex and psychological distress: 1957–1976

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 62:593–602PubMedCrossRef

de Graaf R, Ten Have M, van Gool C, van Dorsselaer S (2011) Prevalence of mental disorders and trends from 1996 to 2009. Results from the Netherlands Mental Health Survey and Incidence Study-2. Soc Psychiatry Psychiatr Epidemiol [Epub ahead of print]

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 the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 420:21–27PubMed

Bonnewyn A, Bruffaerts R, Vilagut G, Almansa J, Demyttenaere K (2007) Lifetime risk and age-of-onset of mental disorders in the Belgian general population. Soc Psychiatry Psychiatr Epidemiol 42:522–529PubMedCrossRef

DuPont RL, Rice DP, Miller LS, Shiraki SS, Rowland CR, Harwood HJ (1996) Economic costs of anxiety disorders. Anxiety 2:167–172PubMedCrossRef

10.

Goetzel RZ, Hawkins K, Ozminkowski RJ, Wang S (2003) The health and productivity cost burden of the “top 10” physical and mental health conditions affecting six large US employers in 1999. J Occup Environ Med 45:5–14PubMedCrossRef

11.

Plaisier I, de Bruijn JG, Smit JH, de Graaf R, Ten Have M, Beekman AT et al (2008) Work and family roles and the association with depressive and anxiety disorders: differences between men and women. J Affect Disord 105:63–72PubMedCrossRef

12.

Rimehaug T, Wallander J (2010) Anxiety and depressive symptoms related to parenthood in a large Norwegian community sample: the HUNT2 study. Soc Psychiatry Psychiatr Epidemiol 45:713–721PubMedCrossRef

13.

Plaisier I, Beekman AT, de Bruijn JG, de Graaf R, Ten Have M, Smit JH et al (2008) The effect of social roles on mental health: a matter of quantity or quality? J Affect Disord 111:261–270PubMedCrossRef

14.

Wang JL, Lesage A, Schmitz N, Drapeau A (2008) The relationship between work stress and mental disorders in men and women: findings from a population-based study. J Epidemiol Community Health 62:42–47PubMedCrossRef

15.

Chang EC, Sanna LJ, Chang R, Bodem MR (2008) A preliminary look at loneliness as a moderator of the link between perfectionism and depressive and anxious symptoms in college students: does being lonely make perfectionistic strivings more distressing? Behav Res Ther 46:877–886PubMedCrossRef

16.

Moore D, Schultz NR (1983) Loneliness at adolescence––correlates, attributions, and coping. J Youth Adolesc 12:95–100CrossRef

17.

Eriksson M, Lindstrom B (2006) Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health 60:376–381PubMedCrossRef

18.

Konttinen H, Haukkala A, Uutela A (2008) Comparing sense of coherence, depressive symptoms and anxiety, and their relationships with health in a population-based study. Soc Sci Med 66:2401–2412PubMedCrossRef

19.

Ristkari T, Sourander A, Ronning J, Helenius H (2006) Self-reported psychopathology, adaptive functioning and sense of coherence, and psychiatric diagnosis among young men––a population-based study. Soc Psychiatry Psychiatr Epidemiol 41:523–531PubMedCrossRef

20.

Ventegodt S, Henneberg E, Merrick J, Lindholt JS (2003) Validation of two global and generic quality of life questionnaires for population screening: SCREENQOL and SEQOL. Sci World J 3:412–421CrossRef

21.

Ventegodt S (1996) The quality of life of 4,500 31–33 year-olds. Result from a study of the prospective pediatric cohort of persons born at the University Hospital in Copenhagen (Partly in Danish). Forskningscentrets Forlag, Copenhagen

22.

Jurgensen HJ, Frolund C, Gustafsen J, Mosbech H, Guldhammer B, Mosbech J (1986) Registration of diagnoses in the Danish national registry of patients. Methods Inf Med 25:158–164PubMed

23.

Munk-Jørgensen P, Mortensen PB (1997) The Danish psychiatric central register. Dan Med Bull 44:82–84PubMed

24.

Juel K, Helweg-Larsen K (1999) The Danish registers of causes of death. Dan Med Bull 46:354–357PubMed

25.

Durkheim E (1952) Suicide. Routledge and Kegan Paul, London

26.

Horwitz AV, White HR (1991) Becoming married, depression, and alcohol problems among young adults. J Health Soc Behav 32:221–237PubMedCrossRef

27.

Pearlin LI, Johnson JS (1977) Marital status, life-strains and depression. Am Sociol Rev 42:704–715PubMedCrossRef

28.

Gove WR, Hughes M, Style CB (1983) Does marriage have positive effects on the psychological well-being of the individual? J Health Soc Behav 24:122–131PubMedCrossRef

29.

Mirowsky J, Ross CE (1989) Social causes of psychological distress. Aldine de Gruyter, New York

30.

Falk Dahl CA, Dahl AA (2010) Lifestyle and social network in individuals with high level of social phobia/anxiety symptoms: a community-based study. Soc Psychiatry Psychiatr Epidemiol 45:309–317PubMedCrossRef

31.

Barnett RC (1992) Job experiences over time, multiple roles, and women’s mental health: a longitudinal study. J Pers Soc Psychol 62:634–644

32.

Fergusson DM, Horwood LJ, Ridder EM (2005) Show me the child at seven II: childhood intelligence and later outcomes in adolescence and young adulthood. J Child Psychol Psychiatry 46:850–858PubMedCrossRef

33.

Koenen KC, Moffitt TE, Roberts AL, Martin LT, Kubzansky L, Harrington H et al (2009) Childhood IQ and adult mental disorders: a test of the cognitive reserve hypothesis. Am J Psychiatry 166:50–57PubMedCrossRef

34.

Martin LT, Kubzansky LD, LeWinn KZ, Lipsitt LP, Satz P, Buka SL (2007) Childhood cognitive performance and risk of generalized anxiety disorder. Int J Epidemiol 36:769–775PubMedCrossRef

35.

Fontaine RG, Yang C, Burks VS, Dodge KA, Price JM, Pettit GS et al (2009) Loneliness as a partial mediator of the relation between low social preference in childhood and anxious/depressed symptoms in adolescence. Dev Psychopathol 21:479–491PubMedCrossRef

36.

Jackson J, Cochran SD (1991) Loneliness and psychological distress. J Psychol 125:257–262PubMed

37.

Russell D, Peplau LA, Cutrona CE (1980) The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. J Pers Soc Psychol 39:472–480PubMedCrossRef

38.

Antonovsky A (1987) Unravelling the mystery of health. How people manage stress and stay well. Jossey-Bass, San Francisco

39.

Mendlowicz MV, Stein MB (2000) Quality of life in individuals with anxiety disorders. Am J Psychiatry 157:669–682PubMedCrossRef

40.

Olatunji BO, Cisler JM, Tolin DF (2007) Quality of life in the anxiety disorders: a meta-analytic review. Clin Psychol Rev 27:572–581PubMedCrossRef

41.

Bruffaerts R, Bonnewyn A, Demyttenaere K (2007) Delays in seeking treatment for mental disorders in the Belgian general population. Soc Psychiatry Psychiatr Epidemiol 42:937–944PubMedCrossRef

42.

Lahey BB (2009) Public health significance of neuroticism. Am Psychol 64:241–256PubMedCrossRef

Titel: Social and psychological predictors of onset of anxiety disorders: results from a large prospective cohort study
verfasst von: Trine Flensborg-Madsen
Janne Tolstrup
Holger Jelling Sørensen
Erik Lykke Mortensen
Publikationsdatum: 01.05.2012
Verlag: Springer-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 5/2012
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-011-0373-9

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Abstract

Purpose

Method

Results

Conclusion

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