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Blood-injection-injury phobia in older adults

Published online by Cambridge University Press:  12 January 2016

Beyon Miloyan  and
William W. Eaton
Beyon Miloyan*
Affiliation:
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
William W. Eaton
Affiliation:
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
*
Correspondence should be addressed to: Beyon Miloyan, Johns Hopkins Center on Aging and Health, 2024 E. Monument Street, Suite 2-700, Baltimore, MD 21205-2223, USA. Phone: +1(410)955-0491. Email: beyon@jhu.edu.
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Abstract

Background:

This study aims to (i) estimate the prevalence of blood-injection-injury phobia (BIIP) diagnosed as present at any time during the life prior to the interview, with or without another Specific Phobia diagnosed as present during the 12 months prior to the interview, (ii) characterize types and frequencies of co-occurring fears, (iii) evaluate the association with chronic medical conditions and lifetime psychiatric comorbidity, and (iv) explore medical service use associations in a nationally representative sample of older adults.

Methods:

A sample of 8,205 older adults, aged 65 years or older, was derived from Wave 1 of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC).

Results:

The weighted lifetime prevalence of BIIP with and without 12-month Specific Phobia was 0.6% (95% CI: 0.4–0.8) and 4.2% (95% CI: 3.7–4.8), respectively, and these two groups ranked similarly in terms of sociodemographic, health, and psychiatric characteristics. BIIP most frequently co-occurred with other lifetime fears, and was positively associated with hypertension and lifetime history of anxiety and personality disorders after controlling for sociodemographic and psychiatric confounders.

Conclusions:

Our findings suggest that lifetime BIIP may bear mental and physical health significance in older adults.

Keywords

anxietyphobiaepidemiologygeriatriclate life
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 6 , June 2016 , pp. 897 - 902
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Bienvenu, O. J. and Eaton, W. W. (1998). The epidemiology of blood-injection-injury phobia. Psychological Medicine, 28, 1129–1136.Google Scholar
Bracha, H. S., Bienvenu, O. J. and Eaton, W. W. (2007). Testing the Paleolithic-human-warfare hypothesis of blood-injection phobia in the Baltimore ECA follow-up study: towards a more etiologically-based conceptualization for DSM-V. Journal of Affective Disorders, 97, 1–4.Google Scholar
Brault, M. W. (2012). Americans with Disabilities: 2010. Household Economic Studies. Current Population Reports. Washington, DC: US Census Bureau.Google Scholar
Chou, K.-L. (2009). Specific phobia in older adults: evidence from the national epidemiological survey on alcohol and related conditions. American Journal of Geriatric Psychiatry, 17, 376–386.Google Scholar
De Jongh, A., Bongaarts, G., Vermeule, I., Visser, K., De Vos, P. and Makkes, P. (1998). Blood-injury-injection phobia and dental phobia. Behaviour Research and Therapy, 36, 971–982.CrossRefGoogle ScholarPubMed
Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W. and Pickering, R. (2003b). The alcohol use disorder and associated disabilities interview schedule-IV (AUDADIS-IV): reliability of alcohol consumption, tobacco use, family history of depression, and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71, 7–16.Google Scholar
Grant, B. F., Moore, T. C. and Kaplan, K. (2003a). Source and Accuracy Statement: Wave 1 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Grenier, S. et al. (2011). The epidemiology of specific phobia and subthreshold fear subtypes in a community-based sample of older adults. Depression and Anxiety, 28, 456–463.CrossRefGoogle Scholar
Lin, W. C., Zhang, J., Leung, G. Y. and Clark, R. E. (2011). Chronic physical conditions in older adults with mental illness and/or substance use disorders. Journal of the American Geriatrics Society, 59, 1913–1921.CrossRefGoogle ScholarPubMed
Magee, W. J., Eaton, W. W., Wittchen, H. U., McGonagle, K. A. and Kessler, R. C. (1996). Agoraphobia, simple phobia, and social phobia in the national comorbidity survey. Archives of General Psychiatry, 53, 159–168.CrossRefGoogle ScholarPubMed
Marks, I. (1988). Blood-injury phobia: a review. American Journal of Psychiatry, 145, 1207–1213.Google Scholar
Miloyan, B. and Pachana, N. A. (2015). Clinical significance of worry and physical symptoms in late-life generalized anxiety disorder. International Journal of Geriatric Psychiatry, 30, 1186–1194.Google Scholar
Moffitt, T. E. et al. (2010). How common are common mental disorders? Evidence that lifetime prevalence rates are doubled by prospective versus retrospective ascertainment. Psychological Medicine, 40, 899–909.Google Scholar
Reynolds, K., Pietrzak, R. H., El-Gabalawy, R., Mackenzie, C. S. and Sareen, J. (2015). Prevalence of psychiatric disorders in U.S. older adults: findings from a nationally representative survey. World Psychiatry, 14, 74–81.CrossRefGoogle ScholarPubMed
Sigström, R., Östling, S., Karlsson, B., Waern, M., Gustafson, D. and Skoog, I. (2011). A population-based study on phobic fears and DSM-IV specific phobia in 70-year olds. Journal of Anxiety Disorders, 25, 148–153.Google Scholar
StataCorp (2011). Stata Statistical Software: Release 12. College Station, TX: StataCorp LP.Google Scholar
Takayanagi, Y., Spira, A. P., Roth, K. B., Gallo, J. J., Eaton, W. W. and Mojtabai, R. (2014). Accuracy of reports of lifetime mental and physical disorders: results from the baltimore epidemiological catchment area study. JAMA Psychiatry, 71, 273–280.Google Scholar
Thyer, B. A., Himle, J. and Curtis, G. C. (1985). Blood-injury-illness phobia: a review. Journal of Clinical Psychology, 41, 451–459.Google Scholar
Trollor, J. N., Anderson, T. M., Sachdev, P. S., Brodaty, H. and Andrews, G. (2007). Prevalence of mental disorders in the elderly: the Australian national mental health and well-being survey. American Journal of Geriatric Psychiatry, 15, 455–466.Google Scholar
van Houtem, C. M., Aartman, I. H., Boomsma, D. I., Ligthart, L., Visscher, C. M. and de Jongh, A. (2014). Is dental phobia a blood-injection-injury phobia? Depression and Anxiety, 31, 1026–1034.CrossRefGoogle ScholarPubMed