Andrea N Niles1, Halina J Dour1, Annette L Stanton2, Peter P Roy-Byrne3, Murray B Stein4, Greer Sullivan5, Cathy D Sherbourne6, Raphael D Rose1, Michelle G Craske7. 1. University of California, Los Angeles, Department of Psychology, United States. 2. University of California, Los Angeles, Department of Psychology, United States; University of California, Los Angeles, Department of Psychiatry and Biobehavioral Sciences, United States. 3. University of Washington at Harborview Medical Center, Center for Healthcare, United States. 4. University of California, San Diego, Department of Psychiatry, United States; University of California, San Diego, Department of Family & Preventive Medicine, United States. 5. University of Arkansas for Medical Sciences, Department of Psychiatry, United States. 6. RAND Corporation, Santa Monica, CA, United States. 7. University of California, Los Angeles, Department of Psychology, United States; University of California, Los Angeles, Department of Psychiatry and Biobehavioral Sciences, United States. Electronic address: craske@psych.ucla.edu.
Abstract
OBJECTIVE: Anxiety is linked to a number of medical conditions, yet few studies have examined how symptom severity relates to medical comorbidity. PURPOSE: The current study assessed associations between severity of anxiety and depression and the presence of medical conditions in adults diagnosed with anxiety disorders. METHOD: Nine-hundred eighty-nine patients diagnosed with panic, generalized anxiety, social anxiety, and posttraumatic stress disorders reported on the severity of anxiety and depressive symptoms and on diagnoses of 11 medical conditions. RESULTS: Severity of anxiety and depressive symptoms was strongly associated with having more medical conditions over and above control variables, and the association was as strong as that between BMI and disease. Odds of having asthma, heart disease, back problems, ulcer, migraine headache and eyesight difficulties also increased as anxiety and depressive symptom severity increased. Anxiety symptoms were independently associated with ulcer, whereas depressive symptoms were independently associated with heart disease, migraine, and eyesight difficulties. CONCLUSIONS: These findings add to a growing body of research linking anxiety disorders with physical health problems and indicate that anxiety and depressive symptoms deserve greater attention in their association with disease.
OBJECTIVE:Anxiety is linked to a number of medical conditions, yet few studies have examined how symptom severity relates to medical comorbidity. PURPOSE: The current study assessed associations between severity of anxiety and depression and the presence of medical conditions in adults diagnosed with anxiety disorders. METHOD: Nine-hundred eighty-nine patients diagnosed with panic, generalized anxiety, social anxiety, and posttraumatic stress disorders reported on the severity of anxiety and depressive symptoms and on diagnoses of 11 medical conditions. RESULTS: Severity of anxiety and depressive symptoms was strongly associated with having more medical conditions over and above control variables, and the association was as strong as that between BMI and disease. Odds of having asthma, heart disease, back problems, ulcer, migraineheadache and eyesight difficulties also increased as anxiety and depressive symptom severity increased. Anxiety symptoms were independently associated with ulcer, whereas depressive symptoms were independently associated with heart disease, migraine, and eyesight difficulties. CONCLUSIONS: These findings add to a growing body of research linking anxiety disorders with physical health problems and indicate that anxiety and depressive symptoms deserve greater attention in their association with disease.
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