Association between generalized anxiety levels and pain in a community sample: evidence for diagnostic specificity
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
BACKGROUND: It is unclear whether generalized anxiety disorder (GAD) has a specific relationship to pain syndromes, going beyond the established association of pain with anxiety syndromes in general.
METHODS: Mental disorders were assessed in a community sample (N=4181; 18-65 years) using the DSM-IV/M-CIDI. Several threshold definitions were used to define GAD and medically unexplained pain.
RESULTS: The association between pain and GAD (odds ratio, OR=5.8 pain symptoms; OR=16.0 pain disorder) is stronger than the association between pain and other anxiety disorders (OR=2.4 pain symptoms; OR=4.0 pain disorder). This association extends to subthreshold level definitions of GAD with some indication for a non-linear dose-response relationship. The GAD-pain link cannot sufficiently be explained by demographic factors, comorbid mental or physical disorders.
CONCLUSIONS: The association of pain and generalized anxiety is not artifactual. Compared to other anxiety syndromes, it appears to be stronger and more specific suggesting the need to explore clinical and public health implications.
Details
Original language | English |
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Pages (from-to) | 684-93 |
Number of pages | 10 |
Journal | Journal of Anxiety Disorders |
Volume | 23 |
Issue number | 5 |
Publication status | Published - Jun 2009 |
Peer-reviewed | Yes |
External IDs
Scopus | 64249102515 |
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ORCID | /0000-0001-7646-8265/work/142232631 |
ORCID | /0000-0002-9687-5527/work/142235196 |
ORCID | /0000-0002-1697-6732/work/148632158 |
Keywords
Research priority areas of TU Dresden
Sustainable Development Goals
Keywords
- Adolescent, Adult, Aged, Anxiety Disorders/diagnosis, Community Mental Health Services, Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Male, Middle Aged, Pain/diagnosis, Severity of Illness Index, Young Adult