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The Effects of Childhood Parental Death and Divorce on Six-Month History of Anxiety Disorders

Published online by Cambridge University Press:  02 January 2018

J. Lindsey Tweed*
Affiliation:
Box 2794, Duke University Medical Center, Durham NC 27710
Victor J. Schoenbach
Affiliation:
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, NC 27514
Linda K. George
Affiliation:
Department of Psychiatry, Box 3003, Duke University Medical Center, Durham NC 27710, USA
Dan G. Blazer
Affiliation:
Department of Psychiatry, Box 3215, Duke University Medical Center, Durham NC 27710
*
Correspondence

Abstract

Duke Epidemiologic Catchment Area (ECA) data were used to examine the relationships between: (a) early childhood maternal death, paternal death, and parental separation/divorce, and (b) six-month DIS/DSM-III diagnoses of agoraphobia with and without panic attacks, simple phobia, social phobia, panic disorder, generalised anxiety disorder, and obsessive-compulsive disorder. Associations were found between: (a) maternal death and agoraphobia with panic attacks, and (b) parental separation/divorce and agoraphobia with panic attacks and panic disorder. The associations could not be explained by the effects of potentially confounding socio-demographic factors.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Anthony, J. C., Folstein, M., Romanoski, A. J., et al (1985) Comparison of the lay diagnostic interview schedule and a standardized psychiatric diagnosis: experience in eastern Baltimore. Archives of General Psychiatry, 42, 667675.Google Scholar
Blazer, D., George, L. K., Landerman, R., et al (1985) Psychiatric disorders: a rural/urban comparison. Archives of General Psychiatry, 42, 651656.CrossRefGoogle ScholarPubMed
Bowlby, J. (1977) The making and breaking of affectional bonds: I. Aetiology and psychopathology in the light of attachment theory. British Journal of Psychiatry, 130, 201210.Google Scholar
Boyd, J. H., Burke, J. D., Gruenberg, E., et al (1984) Exclusion criteria of DSM-III. Archives of General Psychiatry, 41, 983989.Google Scholar
Breier, A., Charney, D. S. & Heninger, G. R. (1985) The diagnostic validity of anxiety disorders and their relationship to depressive illness. American Journal of Psychiatry, 142, 787797.Google Scholar
Copeland, K. T., Checkoway, H., McMichael, A. J., et al (1977) Bias due to misclassification in the estimation of relative risk. American Journal of Epidemiology, 105, 488495.Google Scholar
Coryell, W., Noyes, R. & Clancy, J. (1983) Panic disorder and primary unipolar depression: a comparison of background and outcome. Journal of Affective Diseases, 5, 311317.Google Scholar
Faravelli, C., Webb, T., Ambonetti, A., et al (1985) Prevalence of traumatic early life events in 31 agoraphobic patients with panic attacks. American Journal of Psychiatry, 142, 14931494.Google Scholar
Helzer, J. E., Robins, L. N., McEvoy, L. T., et al (1985) A comparison of clinical and diagnostic interview schedule diagnoses: physician re-examination of lay-interviewed cases in the general population. Archives of General Psychiatry, 42, 657666.Google Scholar
Heatherington, E. M., Cox, M. & Cox, R. (1985) Long-term effects of divorce and remarriage on the adjustment of children. Journal of the American Academy of Child Psychiatry, 24, 518530.Google Scholar
Hirschfeld, R. M. A. & Cross, C. K. (1982) Epidemiology of affective disorders: psychosocial risk factors. Archives of General Psychiatry, 39, 3546.Google Scholar
Holzer, C. E., Spitznagel, E., Jordan, K. B., et al (1985) Sampling the household population. In Epidemiologic Field Methods in Psychiatry (eds Eaton, W. W. & Kessler, L. G.). Orlando: Academic Press.Google Scholar
Kish, L. (1945) Survey Sampling. New York: John Wiley and Sons.Google Scholar
Kleinbaum, D. G., Kupper, L. L. & Morgenstern, H. (1982) Epidemiologic Research. New York: Van Nostrand Reinhold.Google Scholar
Raskin, M., Peeke, V. S., Kickman, W., et al (1982) Panic and generalized anxiety disorders: developmental antecedents and precipitants. Archives of General Psychiatry, 39, 687689.CrossRefGoogle ScholarPubMed
Robins, L. N. (1985) Epidemiology: reflections on testing the validity of psychiatric interviews. Archives of General Psychiatry, 42, 918924.Google Scholar
Robins, L. N., Helzer, J., Croughan, J., et al (1979) The National Institute of Mental Health Diagnostic Interview Schedule. Rockville: National Institute of Mental Health.Google Scholar
Robins, L. N., Helzer, J., Weissman, M. M., et al (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949958.Google Scholar
Robins, L. N., Helzer, J., Orvaschel, H., et al (1985) The diagnostic interview schedule. In Epidemiologic Field Methods in Psychiatry (eds Eaton, W. W. & Kessler, L. G.). Orlando: Academic Press.Google Scholar
Rothman, K. J. (1986) Modern Epidemiology. Boston: Little, Brown, and Co.Google Scholar
Roy, A. (1981) Role of past loss in depression. Archives of General Psychiatry, 38, 301302.Google Scholar
Roy, A. (1985) Early parental separation and adult depression. Archives of General Psychiatry, 42, 987991.Google Scholar
Shamsie, J. (1985) Family breakdown and its effects on emotional disorders in children. Canadian Journal of Psychiatry, 30, 281287.Google Scholar
Shapiro, S., Skinner, E. A., Kessler, L. G., et al (1984) Utilization of health and mental health services: three epidemiologic catchment area sites. Archives of General Psychiatry, 41, 971978.Google Scholar
Thyer, B. A., Neese, R. M., Curtis, G. C., et al (1986) Panic disorder: a test of the separation anxiety hypothesis. Behavior Research and Therapy, 24, 209211.Google Scholar
Torgersen, S. (1986) Childhood and family characteristics in panic and generalized anxiety disorders. American Journal of Psychiatry, 143, 630632.Google Scholar
von Korff, M. R., Eaton, W. W. & Keyl, P. M. (1985) The epidemiology of panic attacks and panic disorder: results of three community surveys. American Journal of Epidemiology, 122, 970981.Google Scholar
Weissman, M. M. & Merikangas, K. R. (1986) The epidemiology of anxiety and panic disorders: an update. Journal of Clinical Psychiatry, 47, 1117.Google Scholar
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