Vedsted P, Fink P, Olesen F, Munk-Jørgensen P
Research Unit and Department of General Practice, University of Aarhus, Denmark.
Psychosomatics. 2001 Sep-Oct;42(5):416-22. doi: 10.1176/appi.psy.42.5.416.
In cross-sectional studies, psychological distress has been associated with frequent health care utilization. However, there is a need for prospective studies to confirm these findings. This cohort study evaluated whether psychological distress predicted frequent attendance in family practice. In 1990, 185 consecutive adults who consulted their primary care physician (PCP) about an illness were rated on two psychometric scales (Hopkins Symptom Check List [SCL-8] and Whiteley-7), and their annual number of face-to-face contacts with a family practice was followed until 1996. Frequent attenders (FAs) were defined as the top 10%. A logistic regression analysis showed a significantly increased risk of becoming an FA with an increase of 1 point (odds ratio [OR] 1.17 [1.03-1.33]) on SCL and 1.28 (1.06-1.53) on Whiteley). An association was found between score and number of years as an FA (OR 1.16 [0.99-1.36] for SCL and OR 1.31 [1.05-1.65] for Whiteley). Psychological distress involved an increased risk of future frequent attendance among adult patients consulting family practice in the daytime about an illness.
在横断面研究中，心理困扰与频繁使用医疗服务有关。然而，需要进行前瞻性研究来证实这些发现。这项队列研究评估了心理困扰是否能预测在家庭医疗中的频繁就诊情况。1990年，185名因疾病咨询其初级保健医生（PCP）的连续成年患者接受了两种心理测量量表（霍普金斯症状清单[SCL - 8]和怀特利 - 7）的评估，并追踪他们直到1996年与家庭医疗进行面对面接触的年度次数。频繁就诊者（FAs）被定义为前10%。逻辑回归分析显示，SCL量表上每增加1分（优势比[OR]为1.17[1.03 - 1.33]）以及怀特利量表上每增加1分（OR为1.28[1.06 - 1.53]），成为频繁就诊者的风险显著增加。还发现得分与作为频繁就诊者的年限之间存在关联（SCL量表的OR为1.16[0.99 - 1.36]，怀特利量表的OR为1.31[1.05 - 1.65]）。心理困扰使白天因疾病咨询家庭医疗的成年患者未来频繁就诊的风险增加。
