Does psychological vulnerability determine health-care utilization in fibromyalgia?
Does psychological vulnerability determine health-care utilization in fibromyalgia?
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DOI：
10.1093/rheumatology/keg377
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发表时间：
2003-11-01
期刊：
影响因子：
5.5
通讯作者：
Baron, M
中科院分区：
文献类型：
--
作者：
Dobkin, PL;De Civita, M;Baron, M
目标。纤维肌痛 (FM) 患者接受多次检查并转诊给专家，并经常使用补充/替代医学 (CAM) 服务。该研究的目的是：(i) 记录卫生服务的利用情况，(ii) 检查心理脆弱性是否与就诊医生和 CAM 提供者有关。方法。诊断为原发性 FM 的女性 (N = 178) 完成了心理社会测试，测量疼痛、感知压力、整体心理困扰、性虐待史、共病和 FM 导致的残疾。受试者还完成了一份健康服务调查问卷，记录了过去 6 个月内对医生和 CAM 提供者的访问情况。心理脆弱性被具体化为在心理困扰、感知压力和报告至少一项虐待事件方面获得高分。结果。医生平均就诊次数为 7.2 次，CAM 提供者平均就诊次数为 11.3 次。结论。看医生的次数与更多的合并症显着相关。心理脆弱的受试者比那些未分类的受试者更有可能使用 CAM 服务。
Objectives. Patients with fibromyalgia (FM) undergo multiple testing and referral to specialists, and often use complementary/alternative medicine (CAM) services. The objectives of the study were: (i) to document health service utilization, and (ii) to examine whether psychological vulnerability was associated with visits to physicians and CAM providers.Methods. Women (N = 178) with a diagnosis of primary FM completed a psychosocial test measuring pain, perceived stress, global psychological distress, sexual abuse history, co-morbidity and disability due to FM. Subjects also completed a health services questionnaire, documenting visits to physicians and CAM providers during the previous 6 months. Psychological vulnerability was operationalized as obtaining high scores on psychological distress, perceived stress and reporting at least one abusive event.Results. The average number of visits was 7.2 to physicians and 11.3 to CAM providers.Conclusions. The number of physician visits was significantly associated with more co-morbidity. Psychologically vulnerable subjects were more likely to use CAM services than those not so classified.