Examining associations between early adverse life events and health anxiety using the DanFund study
Childhood adverse life events, in particular illness-related events, have been proposed as a risk factor for development of health anxiety. To examine: 1) The association between accumulated early adverse life events and health anxiety in adulthood and 2) The influence of specific types of life even...
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| Veröffentlicht in: | Journal of psychosomatic research 2023-11, Vol.174, p.111496-111496, Article 111496 |
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| container_title | Journal of psychosomatic research |
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| creator | Mertz, Line Granild Bie Carstensen, Tina Birgitte Wisbech Frostholm, Lisbeth Ørnbøl, Eva Rask, Charlotte Ulrikka |
| description | Childhood adverse life events, in particular illness-related events, have been proposed as a risk factor for development of health anxiety.
To examine: 1) The association between accumulated early adverse life events and health anxiety in adulthood and 2) The influence of specific types of life events, i.e., illness, injury, loss, and the impact of their exposure time on health anxiety in adulthood.
A population-based, cross-sectional study including 7454 participants from the Danish study of Functional Disorders (DanFunD). Health anxiety was assessed with Whiteley-6-R and early adverse life events with the Cumulative Lifetime Adversity Measure. Caseness was defined as a Whiteley-6-R score ≥ 90%ile. Generalised linear models were used to estimate the association with relative risk (RRa, adjusted for sociodemographics).
A cumulative effect was found for each additional adverse life event with 8.03% increased risk of health anxiety. Two categories were associated with a higher risk: violence (RRa = 1.65, 95% CI: 1.37–1.99, P |
| doi_str_mv | 10.1016/j.jpsychores.2023.111496 |
| format | Article |
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To examine: 1) The association between accumulated early adverse life events and health anxiety in adulthood and 2) The influence of specific types of life events, i.e., illness, injury, loss, and the impact of their exposure time on health anxiety in adulthood.
A population-based, cross-sectional study including 7454 participants from the Danish study of Functional Disorders (DanFunD). Health anxiety was assessed with Whiteley-6-R and early adverse life events with the Cumulative Lifetime Adversity Measure. Caseness was defined as a Whiteley-6-R score ≥ 90%ile. Generalised linear models were used to estimate the association with relative risk (RRa, adjusted for sociodemographics).
A cumulative effect was found for each additional adverse life event with 8.03% increased risk of health anxiety. Two categories were associated with a higher risk: violence (RRa = 1.65, 95% CI: 1.37–1.99, P < 0.001) and relationship stress (RRa = 1.34; 95% CI: 1.15–1.57, P < 0.001). Respondents with self-reported childhood illness were also more likely to report health anxiety (RRa = 1.52, 95% CI 1.11–2.09, P = 0.009). Timewise, health anxiety seemed associated with illness during school age and injury during adolescence.
Accumulated adverse life events, early exposure to specific categories and specific health-related life events were associated with self-reported health anxiety in adulthood. Our findings provide new knowledge on the potential role of early life events in health anxiety which could inform early intervention.
•Accumulation of early adverse life events was associated with health anxiety in adulthood.•The categories violence and relationship stress were associated with health anxiety in adulthood.•Respondents with childhood illness were more likely to report health anxiety as adults.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2023.111496</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Cumulative lifetime adversity measure (CLAM) ; DanFunD ; Early adverse life events ; Health anxiety ; Whiteley index</subject><ispartof>Journal of psychosomatic research, 2023-11, Vol.174, p.111496-111496, Article 111496</ispartof><rights>2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-87705ac2ab5b8724c9025a04d67f9b5538ab8865cdbab444fc0d8f74e5340f983</citedby><cites>FETCH-LOGICAL-c401t-87705ac2ab5b8724c9025a04d67f9b5538ab8865cdbab444fc0d8f74e5340f983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022399923003537$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids></links><search><creatorcontrib>Mertz, Line Granild Bie</creatorcontrib><creatorcontrib>Carstensen, Tina Birgitte Wisbech</creatorcontrib><creatorcontrib>Frostholm, Lisbeth</creatorcontrib><creatorcontrib>Ørnbøl, Eva</creatorcontrib><creatorcontrib>Rask, Charlotte Ulrikka</creatorcontrib><title>Examining associations between early adverse life events and health anxiety using the DanFund study</title><title>Journal of psychosomatic research</title><description>Childhood adverse life events, in particular illness-related events, have been proposed as a risk factor for development of health anxiety.
To examine: 1) The association between accumulated early adverse life events and health anxiety in adulthood and 2) The influence of specific types of life events, i.e., illness, injury, loss, and the impact of their exposure time on health anxiety in adulthood.
A population-based, cross-sectional study including 7454 participants from the Danish study of Functional Disorders (DanFunD). Health anxiety was assessed with Whiteley-6-R and early adverse life events with the Cumulative Lifetime Adversity Measure. Caseness was defined as a Whiteley-6-R score ≥ 90%ile. Generalised linear models were used to estimate the association with relative risk (RRa, adjusted for sociodemographics).
A cumulative effect was found for each additional adverse life event with 8.03% increased risk of health anxiety. Two categories were associated with a higher risk: violence (RRa = 1.65, 95% CI: 1.37–1.99, P < 0.001) and relationship stress (RRa = 1.34; 95% CI: 1.15–1.57, P < 0.001). Respondents with self-reported childhood illness were also more likely to report health anxiety (RRa = 1.52, 95% CI 1.11–2.09, P = 0.009). Timewise, health anxiety seemed associated with illness during school age and injury during adolescence.
Accumulated adverse life events, early exposure to specific categories and specific health-related life events were associated with self-reported health anxiety in adulthood. Our findings provide new knowledge on the potential role of early life events in health anxiety which could inform early intervention.
•Accumulation of early adverse life events was associated with health anxiety in adulthood.•The categories violence and relationship stress were associated with health anxiety in adulthood.•Respondents with childhood illness were more likely to report health anxiety as adults.</description><subject>Cumulative lifetime adversity measure (CLAM)</subject><subject>DanFunD</subject><subject>Early adverse life events</subject><subject>Health anxiety</subject><subject>Whiteley index</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkMtOwzAQRS0EEuXxD16ySbEdO7GXvEGqxAbWluNMqKvUKR6nkL-nVZFYspq7uPdIcwihnM0549X1ar7a4OSXQwKcCybKOedcmuqIzLiuTcHLih2TGWNCFKUx5pScIa4YY5URakb8w7dbhxjiB3WIgw8uhyEibSB_AUQKLvUTde0WEgLtQwcUthAzUhdbugTX5-UufgfIEx1xz8lLoPcuPo67AuaxnS7ISed6hMvfe07eHx_e7p6LxevTy93NovCS8VzoumbKeeEa1ehaSG-YUI7Jtqo70yhVatdoXSnfNq6RUnaetbqrJahSss7o8pxcHbibNHyOgNmuA3roexdhGNEKXdVc8Ursq_pQ9WlATNDZTQprlybLmd17tSv759XuvdqD19309jCF3SvbAMmiDxA9tCGBz7Ydwv-QH6QeiDk</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Mertz, Line Granild Bie</creator><creator>Carstensen, Tina Birgitte Wisbech</creator><creator>Frostholm, Lisbeth</creator><creator>Ørnbøl, Eva</creator><creator>Rask, Charlotte Ulrikka</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202311</creationdate><title>Examining associations between early adverse life events and health anxiety using the DanFund study</title><author>Mertz, Line Granild Bie ; Carstensen, Tina Birgitte Wisbech ; Frostholm, Lisbeth ; Ørnbøl, Eva ; Rask, Charlotte Ulrikka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-87705ac2ab5b8724c9025a04d67f9b5538ab8865cdbab444fc0d8f74e5340f983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cumulative lifetime adversity measure (CLAM)</topic><topic>DanFunD</topic><topic>Early adverse life events</topic><topic>Health anxiety</topic><topic>Whiteley index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mertz, Line Granild Bie</creatorcontrib><creatorcontrib>Carstensen, Tina Birgitte Wisbech</creatorcontrib><creatorcontrib>Frostholm, Lisbeth</creatorcontrib><creatorcontrib>Ørnbøl, Eva</creatorcontrib><creatorcontrib>Rask, Charlotte Ulrikka</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mertz, Line Granild Bie</au><au>Carstensen, Tina Birgitte Wisbech</au><au>Frostholm, Lisbeth</au><au>Ørnbøl, Eva</au><au>Rask, Charlotte Ulrikka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examining associations between early adverse life events and health anxiety using the DanFund study</atitle><jtitle>Journal of psychosomatic research</jtitle><date>2023-11</date><risdate>2023</risdate><volume>174</volume><spage>111496</spage><epage>111496</epage><pages>111496-111496</pages><artnum>111496</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Childhood adverse life events, in particular illness-related events, have been proposed as a risk factor for development of health anxiety.
To examine: 1) The association between accumulated early adverse life events and health anxiety in adulthood and 2) The influence of specific types of life events, i.e., illness, injury, loss, and the impact of their exposure time on health anxiety in adulthood.
A population-based, cross-sectional study including 7454 participants from the Danish study of Functional Disorders (DanFunD). Health anxiety was assessed with Whiteley-6-R and early adverse life events with the Cumulative Lifetime Adversity Measure. Caseness was defined as a Whiteley-6-R score ≥ 90%ile. Generalised linear models were used to estimate the association with relative risk (RRa, adjusted for sociodemographics).
A cumulative effect was found for each additional adverse life event with 8.03% increased risk of health anxiety. Two categories were associated with a higher risk: violence (RRa = 1.65, 95% CI: 1.37–1.99, P < 0.001) and relationship stress (RRa = 1.34; 95% CI: 1.15–1.57, P < 0.001). Respondents with self-reported childhood illness were also more likely to report health anxiety (RRa = 1.52, 95% CI 1.11–2.09, P = 0.009). Timewise, health anxiety seemed associated with illness during school age and injury during adolescence.
Accumulated adverse life events, early exposure to specific categories and specific health-related life events were associated with self-reported health anxiety in adulthood. Our findings provide new knowledge on the potential role of early life events in health anxiety which could inform early intervention.
•Accumulation of early adverse life events was associated with health anxiety in adulthood.•The categories violence and relationship stress were associated with health anxiety in adulthood.•Respondents with childhood illness were more likely to report health anxiety as adults.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.jpsychores.2023.111496</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Cumulative lifetime adversity measure (CLAM) DanFunD Early adverse life events Health anxiety Whiteley index |
| title | Examining associations between early adverse life events and health anxiety using the DanFund study |
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