Poor respiratory health outcomes associated with high illness worry and alexithymia: Eleven-year prospective cohort study among the working-age population

Poor respiratory health outcomes have been associated with poorer physical health and higher psychological distress. The aim of this study was to investigate whether illness worry, alexithymia or low sense of coherence predict i) the onset of new respiratory disease, ii) respiratory symptoms or iii)...

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Published in:Journal of psychosomatic research 2022-04, Vol.155, p.110751-110751, Article 110751
Main Authors: Selinheimo, Sanna, Jokela, Markus, Vasankari, Tuula, Kanervisto, Merja, Pirkola, Sami, Suvisaari, Jaana, Paunio, Tiina
Format: Article
Language:English
Subjects:
Affective Symptoms - psychology
Age
Alcohol abuse
Alexithymia
Anxiety - epidemiology
Anxiety disorders
Asthma
Chronic obstructive pulmonary disease
Clinical interviews
Cohort analysis
Comorbidity
Drug abuse
Emotions
Epidemiology
Health behavior
Health promotion
Health status
Humans
Illness worry
Illnesses
Mental disorders
Mental health
Outcome Assessment, Health Care
Personalized treatment
Population
Population studies
Prospective Studies
Psychological aspects
Psychological distress
Respiratory diseases
Respiratory function
Respiratory symptoms
Sense of coherence
Spirometry
Surveys and Questionnaires
Symptoms
Worry
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Summary:Poor respiratory health outcomes have been associated with poorer physical health and higher psychological distress. The aim of this study was to investigate whether illness worry, alexithymia or low sense of coherence predict i) the onset of new respiratory disease, ii) respiratory symptoms or iii) lung function among the working-age population, independently of comorbidity mood-, anxiety, or alcohol abuse disorders. The study was conducted among a nationally representative sample of the Finnish population (BRIF8901) aged 30–54 years (N = 2310) in 2000–2001 and was followed up in 2011. Individuals with a diagnosed respiratory disease or a severe psychiatric disorder at baseline were excluded. Lung function was measured by a spirometry test and psychiatric disorders were diagnosed using a structured clinical interview. Structured questionnaires were used to measure self-reported respiratory symptoms and diseases, illness worry, alexithymia, and sense of coherence. High illness worry predicted an 11-year incidence of asthma (OR 1.47, 95% CI 1.09–1.99, p = 0.01). Alexithymia predicted shortness of breath (OR 1.32, 95% CI 1.13–1.53, p 
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2022.110751