Document Detail


Clinical features of four DSM-IV-specific phobia subtypes.
MedLine Citation:
PMID:  12142850     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seventy-three patients (ages 18 to 66) with specific phobias from one of four DSM-IV subtypes (animal, situational, blood-injection-injury, and natural environment) were assessed by experienced clinicians using a semistructured diagnostic interview. All patients were free of lifetime anxiety comorbidity. Subtype groups were compared on age of onset, mode of onset, presence of unexpected panic attacks, and focus of fear. Consistent with earlier findings, participants with situational phobia had a later age of onset and more unexpected panic attacks. No differences were found across subtypes in mode of onset. Contrary to previous findings, natural environment and situational phobias were most frequently associated with a focus on danger or harm rather than other foci such as internal sensations associated with panic attacks. Implications for the usefulness of current subtype categories are discussed.
Authors:
Joshua D Lipsitz; David H Barlow; Salvatore Mannuzza; Stefan G Hofmann; Abby J Fyer
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of nervous and mental disease     Volume:  190     ISSN:  0022-3018     ISO Abbreviation:  J. Nerv. Ment. Dis.     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-07-26     Completed Date:  2002-08-09     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0375402     Medline TA:  J Nerv Ment Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  471-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychiatry, New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, Unit #69, New York, New York 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age of Onset
Aged
Anxiety Disorders / diagnosis,  epidemiology,  psychology
Comorbidity
Fear / psychology
Female
Humans
Male
Middle Aged
New York / epidemiology
New York City / epidemiology
Panic Disorder / classification,  diagnosis,  epidemiology
Phobic Disorders / classification*,  diagnosis*,  epidemiology
Psychiatric Status Rating Scales / statistics & numerical data
Research Design
Grant Support
ID/Acronym/Agency:
MH01575/MH/NIMH NIH HHS; MH46934/MH/NIMH NIH HHS; MH49484/MH/NIMH NIH HHS

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