The prevalence, clinical correlates and structure of phobic fears in Han Chinese women with recurrent major depression.
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Yang Fuzhong, Qiu Jianyin, Zhao Hongsu, Wang Zhoubing, Tao Danhong, Xiao Xue, Niu Qihui, Wang Qian, Li Yajuan, Guo Liyang, Li Jianying, Li Kan, Xia Jing, Wang Lina, Shang Xiaofang, Sang Wenhua, Gan Zhaoyu, He Kangmei, Zhao Xiaochuan, Tian Tian, Xu Dan, Gu Danhua, Weng Xiaoqin, Li Haimin, Tian Jing, Yang Lijun, Li Qiang, Yang Qingzhen, Wang Hui, Dang Yamei, Dai Lei, Cui Yanping, Ye Dong, Cao Juling, Guo Li, Kang Zhen, Liu Jimeng, Chen Bin, Liu Jinhua, Zhang Jinling, Yang Donglin, Jiao Bin, Yu Fengyu, Geng Feng, Li Ling, Yang Haiying, Dai Hong, Wang Hongli, Liu Caixing, Liu Haijun, Peng Longyan, Wang Xiaoping, Wei Shaojun, Liu Xiaojuan, Li Chang, Liu Zhengrong, Zhang Qiwen, Di Dongchuan, Shi Shenxun, Flint Jonathan, Kendler Kenneth S
Аннотация
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 neuroticism, 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.