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Clinical correlates of anxiety disorders : Tunisian study about 436 subjects

Published online by Cambridge University Press:  01 September 2022

M. Jabeur ,
L. Gassab ,
A. Ayadi ,
B. Ben Mohamed ,
F. Zaafrane  and
L. Gaha
M. Jabeur*
Affiliation:
Research laboratory LR 05 ES 10 “Vulnerability to Psychotic Disorders”, Faculty of medicine, University of Monastir, Psychiatry Department, University Hospital Of Monastir, Monastir, Tunisia
L. Gassab
Affiliation:
Research laboratory LR 05 ES 10 “Vulnerability to Psychotic Disorders”, Faculty of medicine, University of Monastir, Psychiatry Department, University Hospital Of Monastir, Monastir, Tunisia
A. Ayadi
Affiliation:
Research laboratory LR 05 ES 10 “Vulnerability to Psychotic Disorders”, Faculty of medicine, University of Monastir, Psychiatry Department, University Hospital Of Monastir, Monastir, Tunisia
B. Ben Mohamed
Affiliation:
Research laboratory LR 05 ES 10 “Vulnerability to Psychotic Disorders”, Faculty of medicine, University of Monastir, Psychiatry Department, University Hospital Of Monastir, Monastir, Tunisia
F. Zaafrane
Affiliation:
Research laboratory LR 05 ES 10 “Vulnerability to Psychotic Disorders”, Faculty of medicine, University of Monastir, Psychiatry Department, University Hospital Of Monastir, Monastir, Tunisia
L. Gaha
Affiliation:
Research laboratory LR 05 ES 10 “Vulnerability to Psychotic Disorders”, Faculty of medicine, University of Monastir, Psychiatry Department, University Hospital Of Monastir, Monastir, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Anxiety disorders are very common and burdensome mental illnesses worldwide, characterized by exagerated feelings of worry and fear. These disorders are highly comorbid with other conditions.

Objectives

The aim of our study is to explore the physical and psychiatric comorbidities and their clinical correlates. The second objective is to identify the predictors of recurrence of anxiety disorders.

Methods

Our study concerned 436 outpatients who met DSM-V diagnostic criteria for anxiety disorders and were followed in the Department of Psychiatry of Monastir (Tunisia) between 1998 and 2017. Selective mutism and seperation anxiety were excluded for lack of cases.

Results

Our results demonstrated that Generalized Anxiety Disorder (GAD) was significantly associated with cardiovascular comorbidity (OR=3.208). Social Anxiety Disorder (SAD) was significantly correlated to avoidant personality disorder (OR=17). Patients with suicide attempts are more likely to have a comorbid personality disorder (OR=11.606). Being married and having a later age of onset are predictors of having comorbid depressive disorder. Furthermore, being married, having an anxiety-anxiety comorbidity and a longer duration of untreated illness (DUI) are predictors of recurrence.

Conclusions

Our study highlights the fact that comorbidities (physical and psychopathological) call for a closer follow up due to the higher risk of recurrence, the higher risk of suicide attempts and the poorer treatment response.

Disclosure

No significant relationships.

Keywords

Anxiety disordersrecurrencecomorbiditiesclinical correlates
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S389 - S390
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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