Neuroticism, a central link between somatic and psychiatric morbidity: path analysis of prospective data

被引:63
作者
Neeleman, J
Bijl, R
Ormel, J
机构
[1] Univ Groningen, Dept Social Psychiat, NL-9700 RB Groningen, Netherlands
[2] Netherlands Inst Mental Hlth & Addict, Utrecht, Netherlands
关键词
D O I
10.1017/S0033291703001193
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background. Neuroticism and somatic complaints are linked, and the aim of this study is to disentangle which mechanisms may be responsible for this association. Method. In a stratified sample of 7076 adults (18-65 years), neuroticism, 22 self-reported chronic somatic conditions and five broad CIDI-diagnosed psychiatric syndromes were assessed at baseline and, in 3625 (51%) subjects, 3 years later. Using path analysis we examined whether neuroticism has direct links with future somatic morbidity and, conversely, whether morbidity at baseline is linked with higher neuroticism later on. Results. Neuroticism at baseline is associated with psychiatric and somatic morbidity at follow-up after 3 years (31% and 24%, respectively, are direct associations, i.e. unmediated by each other or neuroticism at follow-up and independent of morbidity at baseline). Conversely, somatic and psychiatric morbidity at baseline are associated with increased neuroticism at follow-up (27% and 15%, respectively, are direct associations). Conclusions. Neuroticism raises risk for psychiatric and somatic morbidity but also results from them. It represents a central nexus in the process of morbidity accumulation.
引用
收藏
页码:521 / 531
页数:11
相关论文
共 35 条
[1]   DEPRESSION AND PHYSICAL ILLNESS - A MULTIWAVE, NONRECURSIVE CAUSAL MODEL [J].
ANESHENSEL, CS ;
FRERICHS, RR ;
HUBA, GJ .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1984, 25 (04) :350-371
[2]  
[Anonymous], 1987, DIAGNOSTIC STAT MANU, V4th
[3]  
Arminger G, 1995, HDB STAT MODELING SO
[4]   Quantifying psychiatric comorbidity - Lessions from chronic disease epidemiology [J].
Batstra, L ;
Bos, EH ;
Neeleman, J .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2002, 37 (03) :105-111
[5]   An investigation of the co-occurrence of panic and somatization disorders through temperamental variables [J].
Battaglia, M ;
Bertella, S ;
Bajo, S ;
Politi, E ;
Bellodi, L .
PSYCHOSOMATIC MEDICINE, 1998, 60 (06) :726-729
[6]   The Netherlands Mental Health Survey and Incidence Study (NEMESIS): objectives and design [J].
Bijl, RV ;
van Zessen, G ;
Ravelli, A ;
de Rijk, C ;
Langendoen, Y .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 1998, 33 (12) :581-586
[7]   Diseases among men 20 years after exposure to severe stress: Implications for clinical research and medical care [J].
Boscarino, JA .
PSYCHOSOMATIC MEDICINE, 1997, 59 (06) :605-614
[8]  
BOYD JH, 1984, ARCH GEN PSYCHIAT, V41, P983
[9]  
COHEN P, 1999, AM J EPIDEMIOL, V17, P232
[10]   NEUROTICISM, SOMATIC COMPLAINTS, AND DISEASE - IS THE BARK WORSE THAN THE BITE [J].
COSTA, PT ;
MCCRAE, RR .
JOURNAL OF PERSONALITY, 1987, 55 (02) :299-316