Does help-seeking alter the risk for incident psychopathology in adolescents and young adults with and without fearful spells or panic attacks? Findings from a 10-year prospective-longitudinal community study

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

Abstract

BACKGROUND: Although fearful spells (FS) and panic attacks (PA) increase the risk for various mental disorders, few studies have examined whether help-seeking in those with FS/PA attenuates the risk for incident psychopathology.

METHODS: A community sample of adolescents and young adults (N=2978, aged 14-24 at baseline) was followed up in up to 3 assessment waves over 10 years. FS, PA, psychopathology, and help-seeking were assessed using the DSM-IV/M-CIDI. Logistic regressions with interaction terms (adjusted for sex and age) were used to test interactions between FS/PA and help-seeking at baseline on predicting incident psychopathology at follow-up. Cases with panic disorder (PD) at baseline were excluded from all analyses.

RESULTS: FS/PA at baseline predicted the onset of any disorder, any anxiety disorder, PD, agoraphobia, generalized anxiety disorder, social phobia, and depression at follow-up (Odds Ratios, OR 1.62-5.80). FS/PA and help-seeking at baseline interacted on predicting incident PD (OR=0.09) and depression (OR=0.22) at follow-up in a way that FS/PA only predicted the respective disorders in individuals not seeking help at baseline. In those with FS/PA, a higher number of panic symptoms interacted with help-seeking on predicting incident PD (OR=0.63) in a way that a higher number of panic symptoms only increased the risk for PD in those without help-seeking at baseline.

LIMITATIONS: Help-seeking at baseline was not restricted to panic-specific interventions, but included treatment due to other psychological problems as well.

CONCLUSIONS: Findings suggest that early help-seeking might modify psychopathology trajectories and prevent incident disorders in high-risk individuals with FS/PA.

Details

OriginalspracheEnglisch
Seiten (von - bis)221-7
Seitenumfang7
FachzeitschriftJournal of Affective Disorders
Jahrgang169
PublikationsstatusVeröffentlicht - Dez. 2014
Peer-Review-StatusJa

Externe IDs

Scopus 84908663985
ORCID /0000-0001-7646-8265/work/142232652
ORCID /0000-0002-9687-5527/work/142235203

Schlagworte

Schlagwörter

  • Adolescent, Agoraphobia/psychology, Cognitive Behavioral Therapy, Depression/epidemiology, Fear, Female, Humans, Incidence, Logistic Models, Longitudinal Studies, Male, Panic Disorder/epidemiology, Patient Participation, Phobic Disorders/epidemiology, Prospective Studies, Psychopathology, Risk Factors, Young Adult