Prevalence, correlates, and comorbidities of four DSM-IV specific phobia subtypes: Results from the Korean Epidemiological Catchment Area study

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-morbiditi...

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Bibliographic Details
Published in:Psychiatry research 2013-10, Vol.209 (3), p.596-603
Main 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
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Age Factors
Age of Onset
Anxiety disorders. Neuroses
Biological and medical sciences
Catchment Area (Health)
Diagnostic and Statistical Manual of Mental Disorders
Epidemiology
Female
General aspects
Humans
Korea
Male
Medical sciences
Mental disorders
Mental Disorders - epidemiology
Middle Aged
Phobia
Phobic Disorders - classification
Phobic Disorders - diagnosis
Phobic Disorders - epidemiology
Prevalence
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Republic of Korea - epidemiology
Retrospective Studies
Sex Factors
Specific phobia
Subtype
Young Adult
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Summary: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.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2012.12.025