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Predictors of health anxiety among older and young adults

Published online by Cambridge University Press:  27 July 2012

Lindsay A. Gerolimatos  and
Barry A. Edelstein
Lindsay A. Gerolimatos*
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
Barry A. Edelstein
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
*
Correspondence should be addressed to: Lindsay A. Gerolimatos, Department of Psychology, West Virginia University, 53 Campus Drive, PO Box 6040, Morgantown, WV 26506, USA. Phone: +1-304-293-8639; Fax: +1-304-293-6606. Email: Lindsay.Gerolimatos@mail.wvu.edu.
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Abstract

Background: Many older adults have at least one chronic disease and experience greater health problems than young adults. However, little is known about factors other than health that account for health anxiety (HA) among older adults. The overall objective of the present study was to develop a better understanding of HA among older and young adults.

Methods: We examined how anxiety-related constructs (anxiety sensitivity, intolerance of uncertainty, anxiety control, and emotion regulation) predict two core components of HA described in the cognitive–behavioral model of HA (illness likelihood and negative consequences) in older and young adults. We also examined the extent to which the predictor variables differentially account for HA in both age groups. Older and young adult participants completed several self-report surveys.

Results: Young adults reported higher levels of HA than older adults. Anxiety sensitivity and reappraisal predicted illness likelihood for older and young adults. Intolerance of uncertainty predicted negative consequences in both age groups. Anxiety sensitivity predicted negative consequences for older adults only. Anxiety control did not predict illness likelihood or negative consequences for either age group.

Conclusions: Results suggest that anxiety sensitivity and intolerance of uncertainty may predispose older and young adults to HA, which is influenced by reappraisal. Implications for the cognitive–behavioral model of HA in both age groups are discussed.

Keywords

anxiety sensitivityintolerance of uncertaintyemotion regulationanxiety control
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 12 , December 2012 , pp. 1998 - 2008
Copyright
Copyright © International Psychogeriatric Association 2012

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References

Administration on Aging (2011). A profile of older Americans, 2011: health and health care. Available at: http://www.aoa.gov/AoARoot/Aging_Statistics/Profile/2010/14.aspx; last accessed 12 April 2012.Google Scholar
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn., revised. Washington, DC: APA.Google Scholar
Baltes, P. B. and Baltes, M. M. (1990). Psychological perspectives on successful aging: the model of selective optimization with compensation. In Baltes, P. B. and Baltes, M. M. (eds.), Successful Aging: Perspectives from the Behavioral Sciences (pp. 1–34). New York: Cambridge University Press.Google Scholar
Basevitz, P., Pushkar, D., Chaikelson, J., Conway, M. and Dalton, C. (2008). Age-related differences in worry and related processes. International Journal on Aging and Human Development, 66, 283–305. doi:10.2190/AG.66.4.b.CrossRefGoogle ScholarPubMed
Blanchard-Fields, F., Stein, F. and Watson, T. L. (2004). Age differences in emotion-regulation strategies in handling everyday problems. Journal of Gerontology: Psychological Sciences B, 59, P261–P269. doi:10.1093/geronb/59.6.P261.CrossRefGoogle ScholarPubMed
Boston, A. F. and Merrick, P. L. (2010). Health anxiety among older people: an exploratory study of health anxiety and safety behaviors in a cohort of older adults in New Zealand. International Psychogeriatrics, 22, 549–558. doi:10.1017/S1041610209991712.CrossRefGoogle Scholar
Bourgault-Fagnou, M. D. and Hadjistavropoulos, H. D. (2009). Understanding health anxiety among community dwelling seniors with varying degrees of frailty. Aging and Mental Health, 13, 226–237. doi:10.1080/13607860802380664.CrossRefGoogle ScholarPubMed
Bravo, I. M. and Silverman, W. K. (2001). Anxiety sensitivity, anxiety, and depression in older patients and their relation to hypochondriacal concerns and medical illnesses. Aging and Mental Health, 5, 349–357. doi:10.1080/13607860120080305.CrossRefGoogle ScholarPubMed
Brenes, G. A., Knudson, M., McCall, W. V., Williamson, J. D., Miller, M. E. and Stanley, M. A. (2008). Age and racial differences in the presentation and treatment of generalized anxiety disorder in primary care. Journal of Anxiety Disorders, 22, 1128–1136. doi:10.1016/j.janxdis.2007.11.001.Google Scholar
Charles, S. T. (2010). Strength and vulnerability integration: a model of emotional well-being across adulthood. Psychological Bulletin, 136, 1068–1091. doi:10.1037/a0021232.Google Scholar
Charles, S. T. and Carstensen, L. L. (2007). Emotion regulation and aging. In Gross, J. J. (ed.), Handbook of Emotion Regulation (pp. 307–327). New York: Guilford Press.Google Scholar
Dalgleish, T., Yiend, J., Schweizer, S. and Dunn, B. D. (2009). Ironic effects of emotion suppression when recounting distressing memories. Emotion, 9, 744–749. doi:10.1037/a0017290.CrossRefGoogle ScholarPubMed
Deacon, B. and Abramowitz, J. S. (2008). Is hypochondriasis related to obsessive–compulsive disorder, panic disorder, or both? An empirical evaluation. Journal of Cognitive Psychotherapy: An International Quarterly, 22, 115–127. doi:10.1891/0889-8391.22.2.115.Google Scholar
Deer, T. M. and Calamari, J. E. (1998). Panic symptomatology and anxiety sensitivity in older adults. Journal of Behavior Therapy and Experimental Psychiatry, 29, 303–316.Google Scholar
Faul, F., Erdfelder, E., Lang, A. G. and Buchner, A. (2007). G*Power 3: a flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.Google Scholar
Fergus, T. A. and Valentiner, D. P. (2009). Reexamining the domain of hypochondriasis: comparing the illness attitudes scale to other approaches. Journal of Anxiety Disorders, 23, 760–766. doi:10.1016/j.janxdis.2009.02.016.Google Scholar
Fergus, T. A. and Valentiner, D. P. (2010). Disease phobia and disease conviction are separate dimensions underlying hypochondriasis. Journal of Behavior Therapy and Experimental Psychiatry, 41, 438–444. doi:10.1016/j.jbtep.2010.05.002.Google Scholar
Fink, P., Ørnbøl, E. and Christensen, K. S. (2010). The outcome of health anxiety in primary care: a two-year follow-up study on health care costs and self-rated health. PLos ONE, 5, e9873. doi:10.1371/journal.pone.0009873.Google Scholar
Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J. and Labdoceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802.Google Scholar
Gould, C. E. and Edelstein, B. A. (2010). Worry, emotion control, and anxiety control in older and young adults. Journal of Anxiety Disorders, 24, 759–766. doi:10.1016/j.janxdis.2010.05.009.Google Scholar
Gross, J. J. and John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362. doi:10.1037/0022-3514.85.2.348.Google Scholar
Heckhausen, J. and Schulz, R. (1995). A life-span theory of control. Psychological Review, 102, 284–304. doi:10.1037/0033-295X.102.2.284.Google Scholar
Hofmann, S. G. (2005). Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia. Behaviour Research and Therapy, 43, 885–895. doi:10.1016/j.brat.2004.07.002.Google Scholar
Hofmann, S. G., Heering, S., Sawyer, A. T. and Asnaani, A. (2009). How to handle anxiety: the effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour Research and Therapy, 47, 389–394. doi:10.1016/j,brat.2009.02.010.Google Scholar
John, O. P. and Gross, J. J. (2004). Healthy and unhealthy emotion regulation personality processes, individual differences, and life span development. Journal of Personality, 7, 1301–1334. doi:10.1.1.152.105.Google Scholar
Noyes, R., Happel, R. L. and Yagla, S. J. (1999). Correlates of hypochondriasis in a nonclinical population. Psychosomatics, 40, 461–469.CrossRefGoogle Scholar
Olatunji, B. O., Wolitzky-Taylor, K. B., Elwood, L., Connolly, K., Gonzales, B. and Armstrong, T. (2009). Anxiety sensitivity and health anxiety in a nonclinical sample: specificity and prospective relations with clinical stress. Cognitive Therapy and Research, 33, 416–424. doi:10.1007/s10608-008-9188-8.Google Scholar
Phillips, L. H., Henry, J. D., Hosie, J. A. and Milne, A. B. (2008). Effective regulation of the experience and expression of negative affect in old age. Journal of Gerontology: Psychological Sciences B, 63, P138–P145.Google Scholar
Rapee, R. M., Craske, M. G., Brown, T. A. and Barlow, D. H. (1996). Measurement of perceived control over anxiety-related events. Behavior Therapy, 27, 279–293. doi:10.1016/S0005-7894(96)80018-9.CrossRefGoogle Scholar
Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11, 141–153. doi:10.1016/0272-7358(91)90092-9.Google Scholar
Reiss, S., Peterson, R. A., Gursky, D. M. and McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1–8. doi:10.1016/0005-7967(86)90143-9.Google Scholar
Salkovskis, P. M. and Warwick, H. M. (1986). Morbid preoccupations, health anxiety, and reassurance: a cognitive–behavioral approach to hypochondriasis. Behavior Research Therapy, 24, 597–602. doi:10.1016/0005-7967(86)90041-0.Google Scholar
Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C. and Clark, D. M. (2002). The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32, 843–853. doi:10.1017/S0033291702005822.Google Scholar
Scheibe, S. and Blanchard-Fields, F. (2009). Effects of regulating emotions on cognitive performance: what is costly for young adults is not so costly for older adults. Psychology and Aging, 24, 217–223. doi:10.1037/a0013807.Google Scholar
Tabachnick, B. G. and Fidell, L. S. (2007). Using Multivariate Statistics, 5th edn. Boston, MA: Allyn and Bacon.Google Scholar
Teachman, B. A. and Gordon, T. (2009). Age differences in anxious responding: older and calmer unless the trigger is physical. Psychology and Aging, 24, 703–714. doi:10.1037/a0016813.Google Scholar
Williams, P. G. (2004). The psychopathology of self-assessed health: a cognitive approach to health anxiety and hypochondriasis. Cognitive Therapy and Research, 28, 629–644. doi:0147-5916/04/1000-0629/0.Google Scholar
Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A. and Craske, M. G. (2010). Anxiety disorders in older adults: a comprehensive review. Depression and Anxiety, 27, 190–211. doi:10.1002/da.20653.Google Scholar