Eva Ørnbøl

Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders?

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Standard

Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders? / Frostholm, L; Petrie, K J; Ørnbøl, Eva; Fink, P.

In: Psychological Medicine. Monograph Supplement, Vol. 44, No. 13, 10.2014, p. 2903-11.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

APA

CBE

MLA

Vancouver

Author

Frostholm, L ; Petrie, K J ; Ørnbøl, Eva ; Fink, P. / Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders?. In: Psychological Medicine. Monograph Supplement. 2014 ; Vol. 44, No. 13. pp. 2903-11.

Bibtex

@article{3d19ceb60499411bb8a208aca8a0090a,
title = "Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders?",
abstract = "BACKGROUND: Somatoform disorders are costly for society in terms of increased healthcare expenditure. Patients' 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.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.RESULTS: Patients had more negative perceptions of their well-defined physical health problems when they had a co-morbid somatoform disorder. A strong illness identity [β = 0.120, 95% confidence interval (CI) 0.029-0.212, p = 0.012], perceived negative consequences (β = 0.010, 95% CI 0.001-0.019, p = 0.024), a long timeline perspective (β = 0.013, 95% CI 0.005-0.021, p = 0.001), low personal control (β = - 0.009, 95% CI -0.015 to -0.002, p = 0.011) and negative emotional representations (β = 0.009, 95% CI 0.002-0.017, p = 0.020) predicted healthcare expenditure in somatoform disorders.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.",
keywords = "Adolescent, Adult, Aged, Attitude to Health, Female, Health Expenditures, Health Status, Humans, Male, Middle Aged, Somatoform Disorders, Young Adult, Journal Article, Research Support, Non-U.S. Gov't",
author = "L Frostholm and Petrie, {K J} and Eva {\O}rnb{\o}l and P Fink",
year = "2014",
month = oct,
doi = "10.1017/S003329171400035X",
language = "English",
volume = "44",
pages = "2903--11",
journal = "Psychological Medicine. Monograph Supplement",
issn = "0264-1801",
publisher = "Cambridge University Press",
number = "13",

}

RIS

TY - JOUR

T1 - Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders?

AU - Frostholm, L

AU - Petrie, K J

AU - Ørnbøl, Eva

AU - Fink, P

PY - 2014/10

Y1 - 2014/10

N2 - BACKGROUND: Somatoform disorders are costly for society in terms of increased healthcare expenditure. Patients' 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.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.RESULTS: Patients had more negative perceptions of their well-defined physical health problems when they had a co-morbid somatoform disorder. A strong illness identity [β = 0.120, 95% confidence interval (CI) 0.029-0.212, p = 0.012], perceived negative consequences (β = 0.010, 95% CI 0.001-0.019, p = 0.024), a long timeline perspective (β = 0.013, 95% CI 0.005-0.021, p = 0.001), low personal control (β = - 0.009, 95% CI -0.015 to -0.002, p = 0.011) and negative emotional representations (β = 0.009, 95% CI 0.002-0.017, p = 0.020) predicted healthcare expenditure in somatoform disorders.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.

AB - BACKGROUND: Somatoform disorders are costly for society in terms of increased healthcare expenditure. Patients' 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.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.RESULTS: Patients had more negative perceptions of their well-defined physical health problems when they had a co-morbid somatoform disorder. A strong illness identity [β = 0.120, 95% confidence interval (CI) 0.029-0.212, p = 0.012], perceived negative consequences (β = 0.010, 95% CI 0.001-0.019, p = 0.024), a long timeline perspective (β = 0.013, 95% CI 0.005-0.021, p = 0.001), low personal control (β = - 0.009, 95% CI -0.015 to -0.002, p = 0.011) and negative emotional representations (β = 0.009, 95% CI 0.002-0.017, p = 0.020) predicted healthcare expenditure in somatoform disorders.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.

KW - Adolescent

KW - Adult

KW - Aged

KW - Attitude to Health

KW - Female

KW - Health Expenditures

KW - Health Status

KW - Humans

KW - Male

KW - Middle Aged

KW - Somatoform Disorders

KW - Young Adult

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1017/S003329171400035X

DO - 10.1017/S003329171400035X

M3 - Journal article

C2 - 25066790

VL - 44

SP - 2903

EP - 2911

JO - Psychological Medicine. Monograph Supplement

JF - Psychological Medicine. Monograph Supplement

SN - 0264-1801

IS - 13

ER -