科研之友
微信
新浪微博
Facebook
分享链接
摘要
Background. Somatoform disorders are costly for society in terms of increased healthcare expenditure. Patients%26apos; illness perceptions have been found to play a role in somatoform disorders. However, it is unclear whether illness perceptions predict higher health costs in these patients. %26lt;br%26gt;Method. A total of 1785 primary care patients presenting a new health complaint completed a questionnaire on their illness perceptions and emotional distress before the consultation. The physicians completed a questionnaire for each patient on diagnostics after the consultation. In a stratified subsample, physician interviewers established diagnoses of DSM-IV somatization and undifferentiated somatoform disorders (n=144) using the Schedules for Clinical Assessment in Neuropsychiatry. Healthcare expenditure was obtained from Danish health registers for a 2-year follow-up period. %26lt;br%26gt;Results. Patients had more negative perceptions of their well-defined physical health problems when they had a comorbid somatoform disorder. A strong illness identity [beta=0.120, 95% confidence interval (CI) 0.029-0.212, p=0.012], perceived negative consequences (beta=0.010, 95% CI 0.001-0.019, p=0.024), a long timeline perspective (beta=0.013, 95% CI 0.005-0.021, p=0.001), low personal control (beta=-0.009, 95% CI -0.015 to -0.002, p=0.011) and negative emotional representations (beta=0.009, 95% CI 0.002-0.017, p=0.020) predicted healthcare expenditure in somatoform disorders. %26lt;br%26gt;Conclusions. The results suggest that illness perceptions play a role in the perpetuation of symptoms in somatoform disorders and predict higher future healthcare expenditure among a subgroup of these patients.
- 出版日期2014-10
