Association between generalized anxiety levels and pain in a community sample: Evidence for diagnostic specificity

被引:58
作者
Beesdo, Katja [1 ]
Hoyer, Juergen [1 ]
Jacobi, Frank [1 ]
Low, Nancy C. P. [2 ]
Hoefler, Michael [1 ]
Wittchen, Hans-Ulrich [1 ]
机构
[1] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, D-01187 Dresden, Germany
[2] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
关键词
Generalized anxiety disorder; Pain; Epidemiology; Population-based sample; NATIONALLY REPRESENTATIVE SAMPLE; COMORBIDITY SURVEY REPLICATION; SF-36 HEALTH SURVEY; CHRONIC BACK-PAIN; INTERVIEW M-CIDI; DSM-IV; SOMATOFORM DISORDERS; PHYSICAL DISORDERS; MAJOR DEPRESSION; PRIMARY-CARE;
D O I
10.1016/j.janxdis.2009.02.007
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: It is unclear whether generalized anxiety disorder (GAD) has a specific relationship to pain syndromes, going beyond the established association of pain with anxiety syndromes in general. Methods: Mental disorders were assessed in a community sample (N = 4181: 18-65 years) using the DSM-IV/M-CIDI. Several threshold definitions Were Used to define GAD and medically Unexplained pain. Results: The association between pain and GAD (odds ratio, OR = 5.8 pain symptoms; OR = 16.0 pain disorder) is stronger than the association between pain and other anxiety disorders (OR = 2.4 pain symptoms; OR - 4.0 pain disorder). This association extends to subthreshold level definitions of GAD with some indication for a non-linear close-response relationship. The GAD-pain link cannot Sufficiently be explained by demographic factors, comorbid mental or physical disorders, Conclusions: The association of pain and generalized anxiety is not artifactual. Compared to other anxiety syndromes, it appears to be Stronger and more specific suggesting the need to explore clinical and public health implications. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:684 / 693
页数:10
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