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Health anxiety in autistic adults / John GALVIN in Research in Autism Spectrum Disorders, 104 (June 2023)
[article]
Titre : Health anxiety in autistic adults Type de document : Texte imprimé et/ou numérique Auteurs : John GALVIN, Auteur ; Gareth RICHARDS, Auteur Article en page(s) : 102146 Langues : Anglais (eng) Mots-clés : Autism Autistic Traits Health Anxiety Sex Differences Co-morbidities Index. décimale : PER Périodiques Résumé : Background Health anxiety involves misinterpreting normal bodily sensations as symptoms of a serious illness. No study to date has explored health anxiety in autistic adults. This cross-sectional study had three aims: 1) to examine the levels of health anxiety in autistic and non-autistic adults, 2) to explore sex differences in health anxiety across both subsamples, and 3) to determine whether autistic traits were associated with health anxiety in either or both subsamples. Method A cross-sectional self-report questionnaire measuring demographic information (sex, age, ethnicity), diagnostic information, comorbid diagnoses, autistic traits, and health anxiety was distributed to 110 autistic and 110 non-autistic adults without intellectual disability. Results The findings showed health anxiety to be significantly higher in autistic than non-autistic adults, and significantly higher in females than males in both subsamples. Almost 1 in 3 autistic people reported clinically significant levels of health anxiety. Positive correlations were found between autistic traits and health anxiety in both autistic and non-autistic subsamples, and these relationships remained statistically significantly after controlling for covariates. Conclusions This is the first study to investigate health anxiety in a sample of autistic people, and also the first to consider the relationship between autistic traits and health anxiety in both autistic and non-autistic individuals. The findings have both clinical and research implications. En ligne : http://dx.doi.org/https://doi.org/10.1016/j.rasd.2023.102146 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=504
in Research in Autism Spectrum Disorders > 104 (June 2023) . - 102146[article] Health anxiety in autistic adults [Texte imprimé et/ou numérique] / John GALVIN, Auteur ; Gareth RICHARDS, Auteur . - 102146.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 104 (June 2023) . - 102146
Mots-clés : Autism Autistic Traits Health Anxiety Sex Differences Co-morbidities Index. décimale : PER Périodiques Résumé : Background Health anxiety involves misinterpreting normal bodily sensations as symptoms of a serious illness. No study to date has explored health anxiety in autistic adults. This cross-sectional study had three aims: 1) to examine the levels of health anxiety in autistic and non-autistic adults, 2) to explore sex differences in health anxiety across both subsamples, and 3) to determine whether autistic traits were associated with health anxiety in either or both subsamples. Method A cross-sectional self-report questionnaire measuring demographic information (sex, age, ethnicity), diagnostic information, comorbid diagnoses, autistic traits, and health anxiety was distributed to 110 autistic and 110 non-autistic adults without intellectual disability. Results The findings showed health anxiety to be significantly higher in autistic than non-autistic adults, and significantly higher in females than males in both subsamples. Almost 1 in 3 autistic people reported clinically significant levels of health anxiety. Positive correlations were found between autistic traits and health anxiety in both autistic and non-autistic subsamples, and these relationships remained statistically significantly after controlling for covariates. Conclusions This is the first study to investigate health anxiety in a sample of autistic people, and also the first to consider the relationship between autistic traits and health anxiety in both autistic and non-autistic individuals. The findings have both clinical and research implications. En ligne : http://dx.doi.org/https://doi.org/10.1016/j.rasd.2023.102146 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=504 Continuity of health anxiety from childhood to adolescence and associated healthcare costs: a prospective population-based cohort study / Martin K. RIMVALL in Journal of Child Psychology and Psychiatry, 62-4 (April 2021)
[article]
Titre : Continuity of health anxiety from childhood to adolescence and associated healthcare costs: a prospective population-based cohort study Type de document : Texte imprimé et/ou numérique Auteurs : Martin K. RIMVALL, Auteur ; Pia JEPPESEN, Auteur ; Anne Mette SKOVGAARD, Auteur ; Frank VERHULST, Auteur ; Else Marie OLSEN, Auteur ; Charlotte Ulrikka RASK, Auteur Article en page(s) : p.441-448 Langues : Anglais (eng) Mots-clés : Health anxiety childhood and adolescence healthcare costs longitudinal cohort Index. décimale : PER Périodiques Résumé : BACKGROUND: Severe health anxiety (HA) is characterized by excessive and impairing worry and preoccupation with health issues and can cause increased and unnecessary medical examinations. HA in childhood and adolescence is scarcely explored, hindering the potential for prevention and early intervention. METHODS: HA was assessed in 1,278 children/youths at two time points at ages 11 and 16 years in a general population-based birth cohort. Register-based data on costs related to nonhospital-based primary and secondary somatic health services were obtained over the follow-up period. The presence of functional somatic symptoms, emotional disorders and chronic somatic illness at baseline were included as covariates. RESULTS: High HA (top 10% score) at age 11 predicted high HA at age 16 (relative risk [RR] 2.03, 95% CI: 1.26-3.31). The group with persistent HA was small (n = 17, 1.3%), resulting in broad confidence intervals. The statistical effect of HA at age 11 on HA at age 16 was heavily reduced after adjustment for sex and all covariates (RR: 1.49, 95% CI: 0.85-2.60). In the adjusted model, somatic illness at age 11 (RR: 1.91, 95% CI: 1.22-2.98) and female sex (RR: 3.33, 95% CI: 2.01-5.50) were independently associated with HA at age 16. Persistent HA was associated with approximately doubled healthcare costs compared to the group with consistently low HA. Incident HA at age 16 was associated with increased costs over follow-up. The increased costs were not explained by chronic somatic illness. CONCLUSIONS: A small subgroup of children had persistent high levels of HA from late childhood to adolescence and displayed increased healthcare costs. Female sex and chronic somatic disorders at age 11 were independent risk factors of HA at age 16. These findings provide potential means of early identification and of therapeutic levers. Further intervention development and evaluation are needed. En ligne : http://dx.doi.org/10.1111/jcpp.13286 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445
in Journal of Child Psychology and Psychiatry > 62-4 (April 2021) . - p.441-448[article] Continuity of health anxiety from childhood to adolescence and associated healthcare costs: a prospective population-based cohort study [Texte imprimé et/ou numérique] / Martin K. RIMVALL, Auteur ; Pia JEPPESEN, Auteur ; Anne Mette SKOVGAARD, Auteur ; Frank VERHULST, Auteur ; Else Marie OLSEN, Auteur ; Charlotte Ulrikka RASK, Auteur . - p.441-448.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-4 (April 2021) . - p.441-448
Mots-clés : Health anxiety childhood and adolescence healthcare costs longitudinal cohort Index. décimale : PER Périodiques Résumé : BACKGROUND: Severe health anxiety (HA) is characterized by excessive and impairing worry and preoccupation with health issues and can cause increased and unnecessary medical examinations. HA in childhood and adolescence is scarcely explored, hindering the potential for prevention and early intervention. METHODS: HA was assessed in 1,278 children/youths at two time points at ages 11 and 16 years in a general population-based birth cohort. Register-based data on costs related to nonhospital-based primary and secondary somatic health services were obtained over the follow-up period. The presence of functional somatic symptoms, emotional disorders and chronic somatic illness at baseline were included as covariates. RESULTS: High HA (top 10% score) at age 11 predicted high HA at age 16 (relative risk [RR] 2.03, 95% CI: 1.26-3.31). The group with persistent HA was small (n = 17, 1.3%), resulting in broad confidence intervals. The statistical effect of HA at age 11 on HA at age 16 was heavily reduced after adjustment for sex and all covariates (RR: 1.49, 95% CI: 0.85-2.60). In the adjusted model, somatic illness at age 11 (RR: 1.91, 95% CI: 1.22-2.98) and female sex (RR: 3.33, 95% CI: 2.01-5.50) were independently associated with HA at age 16. Persistent HA was associated with approximately doubled healthcare costs compared to the group with consistently low HA. Incident HA at age 16 was associated with increased costs over follow-up. The increased costs were not explained by chronic somatic illness. CONCLUSIONS: A small subgroup of children had persistent high levels of HA from late childhood to adolescence and displayed increased healthcare costs. Female sex and chronic somatic disorders at age 11 were independent risk factors of HA at age 16. These findings provide potential means of early identification and of therapeutic levers. Further intervention development and evaluation are needed. En ligne : http://dx.doi.org/10.1111/jcpp.13286 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445