Do Childhood Adversity and Recent Social Stress Predict Health Care Use in Patients Presenting With Upper Abdominal or Chest Pain
Bibliographic Data
| ID | 19308773 |
|---|---|
| Authors | Anne-Marie Biggs, Anne‐Marie Biggs (University of Manchester, corresponding author), Qasim Aziz (0000-0002-2718-2065), Barbara Tomenson (0000-0003-0230-9645), Francis Creed (0000-0003-3077-5002) |
| Year | 2003 |
| Volume | 65 |
| Issue | 6 |
| Pages | 1020-1028 |
| Publication date | 2003-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Psychosomatic Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0033-3174 • E-ISSN: 1534-7796 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.psy.0000097333.02618.8d |
| PMID | 14645781 |
| OpenAlex | W2129178094 |
| Language | EN |
| Citations received | 1 |
| References cited | 43 |
OBJECTIVE: A comprehensive model of health care use by patients with functional gastrointestinal disorders has not been fully tested. This study aimed to establish whether reported childhood and/or recent adversity are independent predictors of health care use when all other relevant factors are also included in the model. MATERIALS AND METHODS: Consecutive new patients with upper abdominal or chest pain presenting to a secondary/tertiary clinic were assessed using the Childhood Experience of Care and Abuse and Life Events and Difficulties Schedules. They completed the Hospital Anxiety and Depression and Health Anxiety Questionnaires. Outcome was total number of health care visits recorded in hospital and general practice (GP) records over 18 months. RESULTS: One hundred fifty-one patients were included (65% response rate). Health care visits were most frequent in unmarried (p < 0.0005), females (p < 0.0005), and those lacking social support (p = 0.012). In multiple regression analysis to predict number of health care visits, reported sexual abuse (p = 0.042) and death of a sibling during childhood (p = 0.026) were also independent predictors, together with SF36 subscale scores for physical function, health perception, and mental health (35% of variance explained). Childhood adversity predicted health care use in patients with functional gastrointestinal disorders and recent social stress did so in patients with demonstrated pathological findings. CONCLUSION: After adjustment for demographic, physical, and psychological factors, childhood adversity, especially in severe form, is an independent predictor of health care use in patients with upper functional gastrointestinal disorders. The same was not true for patients consulting for demonstrable pathological abnormalities, for whom ongoing social stress was an independent predictor
Abdominal pain · Anxiety · Depression (economics) · Health care · Injury prevention · Mental health · Poison control · Psychiatry · Sexual abuse · Child Abuse and Related Trauma · Child Abuse and Trauma · Clinical Psychology · Emergency Medicine · Internal Medicine · Medicine · Pediatric Pain Management Techniques
Adult health status of women with histories of childhood abuse and neglect
The illness perception questionnaire
International experiences with the Hospital Anxiety and Depression Scale-A review of validation data and clinical results
The Hospital Anxiety and Depression Scale
The MOS 36-ltem Short-Form Health Survey (SF-36)
Changing Illness Perceptions After Myocardial Infarction
Childhood Sexual Abuse, Psychological Distress, and Medical Use Among Women
Psychological Factors in Functional Gastrointestinal Disorders
Seeking Medical Consultation
Resource Utilization of Patients With Hypochondriacal Health Anxiety and Somatization
Medical and Psychiatric Determinants of Outpatient Medical Utilization
| Citations per year | 0.05 |
|---|---|
| Citation span | 2004 - 2004 (1) |
| Highly cited | No |