Prevalence, correlates, and comorbidities of four DSM-IV specific phobia subtypes: Results from the Korean Epidemiological Catchment Area study
- Authors
- Park, Subin; Sohn, Jee Hoon; Hong, Jin Pyo; Chang, Sung Man; Lee, Young Moon; Jeon, Hong Jin; Cho, Seong-Jin; Bae, Jae Nam; Lee, Jun Young; Son, Jung-Woo; Cho, Maeng Je
- Issue Date
- 30-Oct-2013
- Publisher
- ELSEVIER IRELAND LTD
- Keywords
- Specific phobia; Subtype; Epidemiology; Mental disorders; Korea
- Citation
- PSYCHIATRY RESEARCH, v.209, no.3, pp.596 - 603
- Journal Title
- PSYCHIATRY RESEARCH
- Volume
- 209
- Number
- 3
- Start Page
- 596
- End Page
- 603
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14204
- DOI
- 10.1016/j.psychres.2012.12.025
- ISSN
- 0165-1781
- Abstract
- Although several studies have detected differences in clinical features among specific phobias, there is a shortage of detailed national data on the on the DSM-IV SP subtypes, particularly in the Asian population. To examine the prevalence, demographic and other correlates, and co-morbidities of DSM-IV SP subtypes in a nationwide sample of Korean adults. We recruited 6510 participants aged 18-64 years for this study. Lay interviewers used the Composite International Diagnostic Interview to assess participants. We analyzed socio-demographics, health-related correlates and frequencies of comorbid mental disorders among participants with SP and each subtypes compared to unaffected adults. The prevalence of lifetime DSM-IV SP was 3.8%, and animal phobias were the most prevalent type of SP. Blood-injection-injury phobia was negatively associated with education, whereas situational phobia was positively associated with education. The strongest mental disorder comorbidity was associated with situational phobia; there is a higher probability of comorbid mood (OR=5.73, 95% CI=2.09-15.73), anxiety (OR=7.54, 95% CI=2.34-24.28), and somatoform disorders (OR=7.61, 95% CI=1.64-35.22) with this subtype. Blood-injection-injury phobia was highly associated with alcohol dependence (OR=9.02, 95% CI=3.54-23.02). Specific phobias are heterogeneous with respect to socio-demographic characteristics and comorbidity pattern. Implications of the usefulness of current subtype categories should continue to be investigated. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
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