Specific phobia disorder symptoms in people over 65 in Madrida network analysis

  1. Miguel A Castellanos
  2. Berta Ausín
  3. Manuel Muñoz
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2022

Volumen: 33

Número: 2

Páginas: 73-82

Tipo: Artículo

DOI: 10.5093/CLYSA2022A5 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

RESUMEN Se realizó un análisis de redes de síntomas del trastorno de fobia específica (TFE) según el género y la edad en 555 personas mayores de 65 años de la Comunidad de Madrid (España). La red se estimó utilizando el paquete InsingFit que implementa un procedimiento llamado eLasso. Los resultados presentan diferencias en la fuerza, cercanía e intermediación de las distintas redes según el género, pero no para los grupos de edad de 65-74 y 75-84 años. El análisis de la variable género muestra una mayor presencia de síntomas en las mujeres que en los hombres. Para todos los tipos de fobia específica, el síntoma de mayor presencia para ambos grupos fue el miedo. La principal diferencia entre hombres y mujeres mayores de 65 años con TFE radica en el tipo situacional, donde la centralidad está más distribuida y donde los síntomas más centrales son la angustia para las mujeres y el miedo para los hombres. Estas diferencias en las redes parecen reforzar la conceptualización del TFE desde un punto de vista dimensional.

Referencias bibliográficas

  • Alonso, J,Angermeyer, M. C,Bernert, S,Bruffaerts, R,Brugha, T. S,Bryson, H,de Girolamo, G,Graaf, R,Demyttenaere, K,Gasquet, I,Haro, J. M,Katz, S. J,Kessler, R. C,Kovess, V,Lépine, J. P,Ormel, J,Polidori, G,Russo, L. J,Vilagut, G. (2004). ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project Prevalence of mental disorders in Europe: Results from the European study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica. Supplementum. 109. 21
  • (2000). American Psychiatric Association Diagnostic and statistical manual of mental disorders. American Psychiatric Association.
  • (2014). American Psychiatric Association Manual diagnóstico y estadístico de los trastornos mentales DSM-5. Editorial Médica Panamericana.
  • Andreas, S,Härter, M,Volkert, J,Hausberg, M,Sehner, S,Wegscheider, K,Rabung, S,Ausín, B,Canuto, A,Da Ronch, C,Grassi, L,Hershkovitz, Y,Lelliott, P,Muñoz, M,Quirk, A,Rotenstein, O,Santos-Olmo, A.B,Shalev, A,Siegert, J,Schulz, H. (2013). The MentDis_ICF65+ study protocol: prevalence, 1-year incidence and symptom severity of mental disorders in the elderly and their relationship to impairment, functioning (ICF) and service utilisation. BMC Psychiatry. 13. 1-10
  • Andreas, S,Schulz, H,Volkert, J,Dehoust, M,Sehner, S,Suling, A,Ausín, B,Canuto, A,Crawford, M,Da Ronch, C,Grassi, L,Hershkovitz, Y,Muñoz, M,Quirk, A,Rotenstein, O,Santos-Olmo, A. B,Shalev, A,Strehle, J,Weber, K,Härter, M. (2017). Prevalence of mental disorders in elderly people: The European MentDis_ICF65+ study. The British Journal of Psychiatry: The Journal of Mental Science. 210. 125
  • Ausín, B,Muñoz, M,Castellanos, M. Á,García, S. (2020). Prevalence and characterization of specific phobia disorder in people over 65 years old in a Madrid Community sample (Spain) and its relationship to quality of life. International Journal of Environmental Research and Public Health. 17.
  • Borsboom, D. (2017). A network theory of mental disorders. World Psychiatry: Official Journal of the World Psychiatric Association. 16. 5-13
  • Borsboom, D,Cramer, A. O. (2013). Network analysis: An integrative approach to the structure of psychopathology. Annual Review of Clinical Psychology. 9. 91-121
  • Canuto, A,Weber, K,Baertschi, M,Andreas, S,Volkert, J,Dehoust, M. C,Sehner, S,Suling, A,Wegscheider, K,Ausín, B,Crawford, M. J,Da Ronch, C,Grassi, L,Hershkovitz, Y,Muñoz, M,Quirk, A,Rotenstein, O,Santos-Olmo, A. B,Shalev, A,Härter, M. (2018). Anxiety disorders in old age: Psychiatric comorbidities, quality of life, and prevalence according to age, gender, and country. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry. 26. 174
  • Castellanos, M.A,Ausín, B,Bestea, S,González-Sanguino, C,Muñoz, M. (2020). A network analysis of major depressive disorder symptoms and age and gender-related differences in people over 65 in a Madrid Community sample (Spain). International Journal of Environmental Research and Public Health. 17.
  • Cisneros, G. E,Ausín, B. (2018). Prevalencia de los trastornos de ansiedad en las personas mayores de 65 años: una revisión sistemática [Prevalence of anxiety disorders in people over 65 years-old: A systematic review]. Revista Española de Geriatria y Gerontologia. 54. 34-48
  • Coelho, C. M,Gonçalves, D. C,Purkis, H,Pocinho, M,Pachana, N. A,Byrne, G. J. (2010). Specific phobias in older adults: Characteristics and differential diagnosis. International Psychogeriatrics. 22. 702
  • Contreras, A,Nieto, I,Valiente, C,Espinosa, R,Vazquez, C. (2019). The study of psychopathology from the network snalysis perspective: A systematic review. Psychotherapy and Psychosomatics. 88. 71-83
  • Conway, C. C,Forbes, M. K,Forbush, K. T,Fried, E. I,Hallquist, M. N,Kotov, R,Mullins-Sweatt, S. N,Shackman, A. J,Skodol, A. E,South, S. C,Sunderland, M,Waszczuk, M. A,Zald, D. H,Afzali, M. H,Bornovalova, M. A,Carragher, N,Docherty, A. R,Jonas, K. G,Krueger, R. F,Patalay, P,Eaton, N. R. (2019). A hierarchical taxonomy of psychopathology can transform mental health research. Perspectives on Psychological Science: A Journal of the Association for Psychological Science. 14. 419
  • Eells, T. D. (2015). Psychotherapy case formulation. APA.
  • Epskamp, S,Borsboom, D,Fried, E. I. (2018). Estimating psychological networks and their accuracy: A tutorial paper. Behaviour Research Methods. 50. 195-212
  • Epskamp, S,Cramer, A. O .J,Waldorp, L. J,Schmittmann, V. D,Borsboom, D. (2012). Qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software. 48. 1-18
  • Folstein, M. F,Folstein, S. E,McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 12. 189
  • Forbes, M. K,Tackett, J. L,Markon, K. E,Krueger, R. F. (2016). Beyond comorbidity: Toward a dimensional and hierarchical approach to understanding psychopathology across the life span. Development and Psychopathology. 28. 971
  • Fredrikson, M,Annas, P,Fischer, H,Wik, G. (1996). Gender and age differences in the prevalence of specific fears and phobias. Behaviour Research and Therapy. 34. 33
  • Grassi, L,Caruso, R,Da Ronch, C,Härter, M,Schulz, H,Volkert, J,Dehoust, M,Sehner, S,Suling, A,Wegscheider, K,Ausín, B,Canuto, A,Muñoz, M,Crawford, M. J,Hershkovitz, Y,Quirk, A,Rotenstein, O,Santos-Olmo, A. B,Shalev, A,Nanni, M. G. (2020). Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study. Health and Quality of Life Outcomes. 18.
  • (2020). Instituto Nacional de Estadística. Censo de poblaciones y viviendas.
  • Kendler, K. S,Aggen, S. H,Werner, M,Fried, E. I. (2020). A topography of 21 phobic fears: network analysis in an epidemiological sample of adult twins. Psychological Medicine. 1-8
  • Kotov, R,Krueger, R. F,Watson, D,Achenbach, T. M,Althoff, R. R,Bagby, R. M,Brown, A. Y,Carpenter, W. T,Caspi, A,Clark, L. A,Eaton, N. R,Forbes, N. K,Forbush, K. Y,Goldberg, D,Hasin, D,Hyman, S. E,Ivanova, A,Lynam, D. R,Markon, K,Zimmerman, M. (2017). The hierarchical taxonomy of psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology. 126. 454
  • Madhoo, M,Levine, S. Z. (2016). Network analysis of the Quick Inventory of Depressive Symptomatology: Reanalysis of the STAR*D clinical trial. European Neuropsychopharmacology. 26. 1768
  • Muñoz, M,Ausín, B,Panadero, S. (2019). Manual práctico de evaluación psicológica clínica. Síntesis.
  • McNally, R. J. (2016). Can network analysis transform psychopathology?. Behaviour Research and Therapy. 86. 95-104
  • Palmer, B. W,Jeste, D. V,Sheikh, J. I. (1997). Anxiety disorders in the elderly: DSM-IV and other barriers to diagnosis and treatment. Journal of Affective Disorders. 46. 183
  • Price, E. C,Gregg, J. J,Smith, M. D,Fiske, A. (2018). Masculine traits and depressive symptoms in older and younger men and women. American Journal of Men's Health. 12. 19-29
  • van Borkulo, C,Boschloo, L,Borsboom, D,Penninx, B. W,Waldorp, L. J,Schoevers, R. A. (2015). Association of symptom network structure with the course of depression. JAMA Psychiatry. 72. 1219
  • Volkert, J,Andreas, S,Härter, M,Dehoust, M. C,Sehner, S,Suling, A,Ausín, B,Canuto, A,Crawford, M. J,Da Ronch, C,Grassi, L,Hershkovitz, Y,Muñoz, M,Quirk, A,Rotenstein, O,Santos-Olmo, A. B,Shalev, A. Y,Strehle, J,Weber, K,Wegscheider, K,Schulz, H. (2018). Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems. International Psychogeriatrics. 30. 1027
  • Volkert, J,Schulz, H,Härter, M,Wlodarczyk, O,Andreas, S. (2013). The prevalence of mental disorders in older people in Western countries – a meta-analysis. Ageing Research Reviews. 12. 339
  • Wittchen, H. U,Strehle, J,Gerschler, A,Volkert, J,Dehoust, M,Sehner, S,Wegscheider, B,Ausìn, B,Canuto, A,Crawford, M,Da Ronch, C,Grassi, L,Hershkovitz, Y,Muñoz, M,Quirk, A,Rotenstein, O,Santos-Olmo, A. B,Shalev, A,Weber, K,Andreas, S. (2014). Measuring symptoms and diagnosing mental disorders in the elderly community: The test-retest reliability of the CIDI65+. International Journal of Methods in Psychiatric Research. 24. 116