简短报告：早发健康焦虑：对诊断为严重健康焦虑的成年人的横断面研究的见解

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-04-07 DOI:10.1016/j.jpsychores.2025.112127

Rebecca Nyengaard , Katrine Ingeman , Lisbeth Frostholm , Charlotte Ulrikka Rask

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引用次数: 0

摘要

目的对早发性健康焦虑（HA）（即18岁前发病）的认识有限。本回顾性研究旨在探讨1)成年严重HA患者早发性HA与晚发性HA的发病年龄和2)潜在临床因素。方法研究样本为126例（20-60岁）诊断为严重HA并接受专科治疗的成年人。所有人都接受了半结构化的诊断访谈，评估精神障碍和功能性躯体障碍。访谈还包括详细的病史和HA症状发作的时间顺序列表。自我报告获得当前HA症状，疾病认知和治疗预期。结果40名参与者报告早发性HA (32%, 95% CI: 24% - 41%)，症状发作的平均年龄为11.6岁（SD: 4.0，范围：5-17），23名参与者报告在13岁之前发病（57.5%）。早发性HA与对症状后果的负面认知（Cohen’s d = 0.41, p = 0.04）和更强的心理归因（Cohen’s d = 0.33, p = 0.03）显著相关，早发组更常被诊断为严重的功能性躯体障碍（Cramer’s V = 0.17, p = 0.06），并报告更多的负面治疗预期（Cramer’s V = 0.17, p = 0.06），尽管这些结果不显著。结论早发性HA可能是一种常见的疾病，并且与成年后更多的负面疾病认知有关。这些结果需要复制，但强调需要进一步研究青少年的HA。

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Short report: Early-onset health anxiety: Insights from a cross-sectional study on adults diagnosed with severe health anxiety

Objective

The knowledge of early-onset health anxiety (HA) (i.e. onset before age 18) is limited. This retrospective study aimed to investigate 1) the age of onset of HA and 2) potential clinical factors associated with early- compared with late-onset HA in adult patients with severe HA.

Methods

The study sample consisted of 126 adults (aged 20–60 years) diagnosed with severe HA and referred to specialized treatment. All underwent semi-structured diagnostic interviews assessing psychiatric disorders and functional somatic disorders. The interview also included a detailed illness history with a chronological listing of HA symptom onset. Self-reports were obtained on current HA symptoms, illness perceptions, and treatment expectations.

Results

Early onset of HA was reported by 40 participants (32 %, 95 % CI: 24 %–41 %) with a mean age at symptom onset of 11.6 years (SD: 4.0, range: 5–17), and 23 participants reported onset before age 13 (57.5 %). Early-onset HA was significantly associated with more negative perceptions of consequences of symptoms (Cohen's d = 0.41, p = 0.04) and stronger psychological attributions (Cohen's d = 0.33, p = 0.03), and the group with early onset were more often diagnosed with severe functional somatic disorders (Cramer's V = 0.17, p = 0.06) and reported more negative treatment expectations (Cramer's V = 0.17, p = 0 0.06), although these results were non-significant.

Conclusion

Early onset of HA may be common and associated with more negative illness perceptions in adulthood. These results need replication but highlight the need for further research on HA in youth.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.