Anxiety Disorders and Comorbid Medical Illness

Roy‐Byrne, Peter; Davidson, Karina W.; Kessler, Ronald C.; Asmundson, Gordon J.G.; Goodwin, Renée D.; Kubzansky, Laura D.; Lydiard, R. Bruce; Massie, Mary Jane; Katon, Wayne; Laden, Sally K.; Stein, Murray B.

doi:10.1176/foc.6.4.foc467

Cited by 94 publications

(98 citation statements)

References 204 publications

(186 reference statements)

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“…Further, they are known to increase the risk of a number of poor health outcomes such as chronic conditions, poor quality of life and mortality. [3][4][5][6] Obesity may be a risk factor for anxiety disorders. Obesity is an increasingly prevalent disease, 7 characterized by excess bodyweight, and estimated to be one of the most important contributors to the burden of disease worldwide.…”

Section: Introductionmentioning

confidence: 99%

The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

2009

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Anxiety disorders are the most prevalent mental disorders in developed countries. Obesity is hypothesized to be a risk factor for anxiety disorders but evidence supporting an association between these two conditions is not clear. The objectives of this paper were to systematically review the literature for a link between obesity and anxiety disorders in the general population, and to present a pooled estimate of association. We performed a systematic search for epidemiological articles reporting on obesity (explanatory variable) and anxiety disorders (outcome variable) in seven bibliographical databases. Two independent reviewers abstracted the data and assessed study quality. We found 16 studies (2 prospective and 14 cross-sectional) that met the selection criteria. Measures of effect from prospective data were mixed but cross-sectional evidence suggested a positive association between obesity and anxiety. The pooled odds ratio from cross-sectional studies was 1.4 (confidence interval: 1.2-1.6). Subgroup analyses revealed a positive association in men and women. Overall, a moderate level of evidence exists for a positive association between obesity and anxiety disorders. Questions remain regarding the role of obesity severity and subtypes of anxiety disorders. The causal relationship from obesity to anxiety disorders could not be inferred from current data; future etiologic studies are recommended.

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Section: Introductionmentioning

confidence: 99%

The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

2009

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“…Research consistently finds clinically significant levels of anxiety, depression and stress in a large proportion (around 30%) of those diagnosed with cancer (eg. Roy-Byrne et al, 2008;Sellick and Crooks, 1999). Coming to terms with a terminal diagnosis constitutes a psychological challenge in that it requires the individual to adjust to a dramatic change in what they assumed would have been their future prospects (eg.…”

Section: Introductionmentioning

confidence: 99%

“My bus is here”: A phenomenological exploration of “living-with-dying”.

Willig

2015

Health Psychology

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ObjectivesThis paper has two aims. The first is to demonstrate how the application of an innovative qualitative methodology generated novel insights into the experience of living with advanced cancer. The paper's second aim is to challenge the idea that the identification of shared themes provides the researcher with access to the meaning and significance of the experience of 'living with dying'. MethodsThe research presented in this paper employed object elicitation together with existentiallyinformed hermeneutic phenomenological analysis. The analysis is based on ten semi-structured interviews with people who are living with advanced cancer. FindingsThe paper presents three brief case studies demonstrating the variability in accounts that characterizes the data set as a whole. This is followed by reflections on the way in which despite striking individual differences all participants seemed to experience 'living with dying' as an existential challenge which demands that the individual concerned finds a way of coming to terms with the very parameters of human existence. ConclusionThe paper advocates a thoroughly idiographic approach which stays with the diversity that characterizes the experience of living with advanced cancer. The paper argues that in order to make sense of the remarkable differences between the research participants' accounts of their experiences of living with a diagnosis of advanced cancer, a focus on process (ie. what happens when people encounter their mortality ?) and meaning (ie. what does it mean to them ?) helps us to understand these as different responses to the challenge of death awareness.3

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“…En lo que refiere a la validez de criterio, tras evaluar la relación de los puntajes obtenidos en el Cuestionario Tridimensional para la Depresión (CTD) y de cada uno de sus factores con las puntuaciones obtenidas por los participantes en la escala de ansiedad rasgo del Inventa rio de Ansiedad RasgoEstado de Spielberg (IDARE), se encontró una correlación alta y positiva entre la depre sión y la ansiedad rasgo, lo que indica que a mayor ten dencia a la ansiedad, mayor depresión, lo cual coincide con los hallazgos de autores que afirman que las perso nas que presentan mayor tendencia a responder de mane ra ansiosa ante diversas situaciones, tienden más a estar deprimidos y a su vez tienden a presentar enfermedades (Moral, 2013;García y Calvanesse, 2008;Páez, Jofré, Azpiroz y De Bortoli, 2008;RoyByrne et al, 2008).…”

Section: Discussionunclassified

Validación del Cuestionario Tridimensional para la Depresión (CTD) en población venezolana con enfermedades crónicas

Cardozo¹,

Guarino²,

Rondón³

2017

RPPC

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Resumen: Esta investigación tuvo como objetivo validar el Cuestionario Tridimensional para la Depresión (Jiménez y Mi guelTobal 2003) en población venezolana con enfermedades crónicas. Se evaluó la estructura factorial a través de un análisis de componentes principales, así como su consistencia interna y sus asociaciones con el inventario de Ansiedad Rasgo de Spiel berg en una muestra de 202 pacientes con diabetes mellitus, hipertensión y enfermedades anorectales. Se obtuvo una fiabilidad aceptable (α = .857)y una estructura de tres componentes (motor, cognitivo y fisiológico). La correlación con la dimensión de ansiedad rasgo fue satisfactoria (r = .706), lo que sugiere que el cuestionario posee adecuada validez convergente. Posteriormen te, se realizó un análisis factorial confirmatorio con una muestra diferente de 322 pacientes, cuyos resultados demuestran un mal ajuste de los datos. Se recomienda verificar los resultados, analizando las propiedades psicométricas del cuestionario con otras muestras de personas con enfermedades crónicas.Palabras clave: Depresión; Cuestionario Tridimensional para la Depresión; evaluación psicológica; enfermedades crónicas. Tridimensional Depression Questionnaire: Validation in a Venezuelan population with chronic diseasesAbstract: The aim of the present study was to validate the Tridimensional Depression Questionnaire (Jiménez y MiguelTobal, 2003) in a Venezuelan population with chronic diseases. The factorial structure was analyzed using a principal component analysis (PCA), as well as the internal consistency and correlations with Spielberg's StateTrait Anxiety Inventory, in a sample of 202 patients with diabetes mellitus, hypertension, and anorectal diseases. An adequate reliability (α= .857) and a three factor structure (motor, cognitive and physiological) were obtained. The correlation with trait anxiety was satisfactory (r = .706), which indicates an adequate convergent validity of the questionnaire. A confirmatory factor analysis (CFA) was then conducted with a different sample of 322 patients, with bad adjustment results. It is recommended to verify the results, analyzing the questionnaire's psychometric properties with other samples of patients with chronic diseases.

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Anxiety Disorders and Comorbid Medical Illness

Cited by 94 publications

References 204 publications

The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

“My bus is here”: A phenomenological exploration of “living-with-dying”.

Validación del Cuestionario Tridimensional para la Depresión (CTD) en población venezolana con enfermedades crónicas

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