Cited by 203Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and Access

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Specific phobias

Open access
Eaton, William W, Bienvenu, O Joseph, Miloyan, Beyon·2018·The Lancet Psychiatry

Abstract

Anxiety disorders are among the most prevalent mental disorders, but the subcategory of specific phobias has not been well studied. Phobias involve both fear and avoidance. For people who have specific phobias, avoidance can reduce the constancy and severity of distress and impairment. However, these phobias are important because of their early onset and strong persistence over time. Studies indicate that the lifetime prevalence of specific phobias around the world ranges from 3% to 15%, with fears and phobias concerning heights and animals being the most common. The developmental course of phobias, which progress from fear to avoidance and then to diagnosis, suggests the possibility that interrupting the course of phobias could reduce their prevalence. Although specific phobias often begin in childhood, their incidence peaks during midlife and old age. Phobias persist for several years or even decades in 10-30% of cases, and are strongly predictive of onset of other anxiety, mood, and substance-use disorders. Their high comorbidity with other mental disorders, especially after onset of the phobia, suggests that early treatment of phobias could also alter the risk of other disorders. Exposure therapy remains the treatment of choice, although this approach might be less effective in the long term than previously believed. This Review discusses the literature regarding the prevalence, incidence, course, risk factors, and treatment of specific phobias, and presents epidemiological data from several population-based surveys.

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Metadata

Authors
Eaton, W. W., Bienvenu, O. J., & Miloyan, B.
Affiliations
  • Johns Hopkins University (US)
  • Federation University (AU)
Corresponding author
Eaton, William W
Venue
The Lancet Psychiatry
Publisher
Elsevier BV
Published
2018-08
Volume
5
Issue
8
Pages
678-686
ISSN
2215-0366 (ISSN-L)
OpenAlex
W4245095371
Cited by
203
References
100
Citations by year
2026: 21 · 2025: 33 · 2024: 37 · 2023: 34 · 2022: 31 · 2021: 27 · 2020: 15 · 2019: 5
FWCI
1.87
Type
journal article
Language
en
Open access
Locations
  • The Lancet Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (U01AG052445)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
specific phobia, anxiety disorders, prevalence, incidence, developmental course, risk factors, comorbidities, exposure therapy, childhood onset
MeSH terms
Age Factors, Avoidance Learning, Humans, Phobic Disorders, Sex Factors, Global Health, Comorbidity, Prevalence, Age of Onset, Substance-Related Disorders

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