Health care worry is associated with worse outcomes in multiple sclerosis.
Health care worry is associated with worse outcomes in multiple sclerosis.
复制标题
医疗保健担忧与多发性硬化症的较差结果相关。
DOI：
10.1037/a0037074
复制
发表时间：
2014
影响因子：
2.7
通讯作者：
Amtmann,Dagmar
中科院分区：
文献类型：
--
作者：
Jones,SaleneM;Amtmann,Dagmar
目的/目的：多发性硬化症（MS）患者的抑郁和焦虑水平高于一般人群。研究方法/设计：招募多发性硬化症患者（n= 405）进行需求评估研究。参与者完成了一个结构化的电话访谈，测量了抑郁、焦虑、疲劳、睡眠障碍、疼痛干扰、社会功能和感知认知功能，并对他们对以下方面的担忧进行了评级：保费增加、收入减少、负担医疗服务、保险覆盖面下降和负担处方。多元回归分析控制了年龄、性别、残疾状况、教育程度、收入和医疗保险覆盖率。结果：最严重的担忧是负担不起医疗服务。女性、年轻的参与者、收入较低的参与者以及只有私人（与公共）保险的参与者报告了更高的医疗担忧。医疗忧虑总水平与抑郁、焦虑、疲劳、睡眠障碍、疼痛干扰、社交功能和感知认知功能显著相关。结论/意义：卫生保健担忧与心理、生理和认知症状显著相关。未来的研究应该将MS患者的医疗担忧与其他人群（即健康成年人）进行比较，并检查医疗担忧随时间的变化。（PsycInfo数据库记录(c) 2022 APA，版权所有）
Purpose/Objective: People with multiple sclerosis (MS) experience higher levels of depression and anxiety than the general population. This is the first study to examine the relationship of worry about affording health care and symptoms in MS. Research Method/Design: People with MS (n= 405) were recruited for a needs assessment study. Participants completed a structured telephone interview measuring depression, anxiety, fatigue, sleep disturbance, pain interference, social function, and perceived cognitive functioning, and rated their worry about the following: premiums increasing, income decreasing, affording health care services, insurance dropping coverage, and affording prescriptions. Multiple regression analyses controlled for age, gender, disability status, education, income, and health insurance coverage. Results: The highest rated worry was inability to afford health care services. Higher health care worry was reported by women, younger participants, participants with lower incomes, and those with only private (vs. public) insurance. Total level of health care worry was significantly related to depression, anxiety, fatigue, sleep disturbance, pain interference, social function, and perceived cognitive functioning. Conclusions/Implications: Health care worry was significantly related to psychological, physical, and cognitive symptoms. Future research should compare health care worry in MS with other populations (ie, healthy adults) and should examine changes in health care worry over time.(PsycInfo Database Record (c) 2022 APA, all rights reserved)
登录
查看更多内容
多发性硬化症药物：贴纸休克
影响因子：
11.2
作者：
S. Hauser;S. Johnston
通讯作者：
S. Johnston
影响因子：
5.8
作者：
Minden, S. L.;Frankel, D.;Hooglin, D. C.
通讯作者：
Hooglin, D. C.
患有多发性硬化症的工作年龄人士的健康、残疾和人寿保险经历
DOI：
10.1177/1352458506071356
发表时间：
2007
期刊：
Multiple Sclerosis
影响因子：
--
作者：
L. Iezzoni;L. Ngo
通讯作者：
L. Ngo
影响因子：
5.8
作者：
Iezzoni, L. I.;Ngo, L. H.;Kinkel, R. P.
通讯作者：
Kinkel, R. P.
DOI：
10.1080/1536710x.2011.622959
发表时间：
2011-01-01
期刊：
JOURNAL OF SOCIAL WORK IN DISABILITY & REHABILITATION
影响因子：
--
作者：
Buchanan, Robert J.;Zuniga, Miguel A.;Vollmer, Timothy
通讯作者：
Vollmer, Timothy