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Somatization and Health Anxiety as Predictors of Health Care Use

Somatization and Health Anxiety as Predictors of Health Care Use BARBARA TOMENSON,MSC,JOHN MCBETH,PHD, CAROLYN A. CHEW-GRAHAM, MD, FRCGP, GARY MACFARLANE, FRCP, IAN DAVIES,MSC,JUDY JACKSON,MSC,ALISON LITTLEWOOD,BSC, AND FRANCIS H. CREED,FMED SCI Objective: To assess whether the number of somatic symptoms and health anxiety are independent predictors of future health care use after adjusting for confounders. Methods: In a random sample of the adult UK population, questionnaires assessed the number of somatic symptoms (Somatic Symptom Inventory), health anxiety (Whiteley Index), anxiety/depression (Hospital Anxiety and Depression Scale), the number of physical illnesses and demographic variables. The number of consultations in primary care was obtained from medical records for 1 year before and after questionnaire assessment, and negative binomial regression analyses identified predictors of consultation rate. Results: The sample included 961 participants (58.0% response) with complete medical record data for 609 participants. After adjustment for consultation rate in the prior year, the predictors of subsequent consultation rate in primary care were the number of physical illnesses, off work through illness, Whiteley Index (incidence rate ratio [IRR] = 1.22, 95% confidence interval [CI] = 1.09Y1.35), and the Whiteley IndexYbyYSomatic Symptom Inventory interaction term. Reported physical abuse predicted an increased consultation rate in women (IRR = 2.30, 95% CI = 1.08Y4.90) but a reduced rate http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychosomatic Medicine Wolters Kluwer Health

Somatization and Health Anxiety as Predictors of Health Care Use

Creed, Francis H.
Psychosomatic Medicine , Volume 74 (6) – Jul 1, 2012
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Copyright
Copyright © 2012 by the American Psychosomatic Society
ISSN
0033-3174
eISSN
1534-7796
DOI
10.1097/PSY.0b013e31825cb140
pmid
22753632
Publisher site
See Article on Publisher Site

Abstract

BARBARA TOMENSON,MSC,JOHN MCBETH,PHD, CAROLYN A. CHEW-GRAHAM, MD, FRCGP, GARY MACFARLANE, FRCP, IAN DAVIES,MSC,JUDY JACKSON,MSC,ALISON LITTLEWOOD,BSC, AND FRANCIS H. CREED,FMED SCI Objective: To assess whether the number of somatic symptoms and health anxiety are independent predictors of future health care use after adjusting for confounders. Methods: In a random sample of the adult UK population, questionnaires assessed the number of somatic symptoms (Somatic Symptom Inventory), health anxiety (Whiteley Index), anxiety/depression (Hospital Anxiety and Depression Scale), the number of physical illnesses and demographic variables. The number of consultations in primary care was obtained from medical records for 1 year before and after questionnaire assessment, and negative binomial regression analyses identified predictors of consultation rate. Results: The sample included 961 participants (58.0% response) with complete medical record data for 609 participants. After adjustment for consultation rate in the prior year, the predictors of subsequent consultation rate in primary care were the number of physical illnesses, off work through illness, Whiteley Index (incidence rate ratio [IRR] = 1.22, 95% confidence interval [CI] = 1.09Y1.35), and the Whiteley IndexYbyYSomatic Symptom Inventory interaction term. Reported physical abuse predicted an increased consultation rate in women (IRR = 2.30, 95% CI = 1.08Y4.90) but a reduced rate

Journal

Psychosomatic Medicine – Wolters Kluwer Health

Published: Jul 1, 2012

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