Association of costs with somatic symptom severity in patients with medically unexplained symptoms.
نویسندگان
چکیده
OBJECTIVE To analyse the association of direct and indirect costs in patients with medically unexplained symptoms (MUS) with somatic symptom severity (SSS). METHODS A cross-sectional cost analysis for retrospective 6 months was conducted in 294 primary care patients with MUS. Health care utilisation and loss of productivity were measured by questionnaires. SSS was measured using the "Patient Health Questionnaire 15" (PHQ-15). Direct and indirect costs and the association of costs with SSS were analysed via multiple linear regression analysis. RESULTS Patients with MUS had average 6-month direct costs of 1098 EUR and indirect costs of 7645 EUR. For direct costs, outpatient physician visits were the most expensive single cost category (36%), followed by pharmaceuticals (25%) and hospital stays (19%). Indirect costs were predominantly caused by productivity reduction at work (56%) followed by early retirement (29%) and acute sickness absence (14%). As compared to mild SSS, moderate SSS was not significantly associated with direct, but with indirect costs (+2948 EUR; p<.001); severe SSS was associated with increased direct cost (+658 EUR; p=.001) and increased indirect costs (+4630 EUR; p<.001). Age was positively associated with direct cost (+15 EUR for each additional year; p=.015) as well as indirect cost (+104 EUR for each additional year; p<.001). CONCLUSIONS MUS are associated with relevant direct and even much higher indirect costs that strongly depend on SSS.
منابع مشابه
The association among childhood maltreatment, somatic symptom intensity, depression, and somatoform dissociative symptoms in patients with fibromyalgia syndrome: a single-center cohort study.
Research demonstrates strong associations between childhood maltreatment and health problems that include dissociative symptoms and fibromyalgia syndrome (FMS). We assessed the associations among childhood maltreatment, somatic symptom severity, depression, and somatoform dissociative symptoms in all consecutive adult FMS patients of a tertiary referral pain medicine center between January 2010...
متن کاملTotal somatic symptom score as a predictor of health outcome in somatic symptom disorders.
BACKGROUND The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. AIMS To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. METHOD Data from nine population-based studies (total n = 28 377) were analysed...
متن کاملP02.47. The relationship between CAM use and somatic symptom severity
Methods Data were collected prospectively through the PROCAIM Network, developed at UCLA. The Patient Health Questionnaire 15 (PHQ15) was used to measure 3 month change in symptom severity. All patients reported having chronic medical conditions characterized by chronic pain. Multivariate linear regression was used to evaluate: (1) The relationship between somatic symptom severity and the numbe...
متن کاملRunning head: THE STRUCTURE OF SOMATIC SYMPTOMS IN THE PHQ-15
Purpose: Medically unexplained symptoms are the hallmark of somatoform disorders and functional somatic syndromes. Although medically unexplained symptoms represent a common phenomenon both in the general population as well as in medical settings, the exact latent structure of somatic symptoms remains largely unclear. Methods: We examined the latent structure of medically unexplained symptoms b...
متن کاملAlexithymia and Somatization in Depressed Patients: The Role of the Type of Somatic Symptom Attribution.
INTRODUCTION This study aimed to establish the association between alexithymia and various factors, mainly somatization, and to determine the predictors of alexithymia in depressed patients. METHODS A total of 90 patients with major depressive disorder who met The Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) diagnostic criteria were administered the Toronto Al...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of psychosomatic research
دوره 75 4 شماره
صفحات -
تاریخ انتشار 2013