Department of Ophthalmology, Zealand University Hospital Roskilde, Roskilde, Denmark
Department of Clinical Research, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.
BMJ Open. 2024 Nov 1;14(10):e089595. doi: 10.1136/bmjopen-2024-089595.
The study aimed to investigate the correlation between illness perceptions and self-reported degree-of-worry (DOW) in patients presenting to the emergency department with acute somatic illness.
A cross-sectional survey study collected data from a survey on DOW, the Brief-illness Perception Questionnaire (B-IPQ) and demographics.
An emergency department at a university hospital in the Capital Region of Denmark.
944 patients (≥18 years) presenting to the emergency department with acute somatic illness. Data collection was conducted during day and evening shifts on weekdays from 13 January to 19 December 2020.
Correlations between B-IPQ scores and DOW, including (1) the total B-IPQ score, (2) emotional representations (emotion and illness concern combined) and (3) the single items, respectively. : linear relationships between the single B-IPQ items and DOW. Analyses included the variables sex, age, reason for contact, self-reported comorbidity, employment, highest educational attainment, cohabitation status and region of origin.
The study found moderate correlations between the total illness perceptions score and DOW of 0.47 (95% CI 0.42 to 0.52) and emotional representations and DOW of 0.57 (95% CI 0.52 to 0.61). Linear regression showed the largest and most significant changes in DOW with an increasing score of the B-IPQ items for consequence, illness concern and emotion.
Illness perceptions overall and perceptions of consequences of symptoms, illness concern and emotional representations are correlated with patients' DOW, with increasing DOW related to more negative illness perceptions. This finding contributes to insight into how illness perceptions are related to illness worry when presenting to the emergency department. Incorporating the novel DOW scale may aid triage and clinical encounters in the emergency department.
ClinicalTrails.gov reference: NCT04226040.
本研究旨在探讨急诊就诊的急性躯体疾病患者的疾病感知与自我报告的担忧程度（DOW）之间的相关性。
横断面调查研究从 DOW 调查、简要疾病感知问卷（B-IPQ）和人口统计学数据中收集数据。
丹麦首都地区一所大学医院的急诊室。
944 名（≥18 岁）因急性躯体疾病到急诊就诊的患者。数据收集于 2020 年 1 月 13 日至 12 月 19 日工作日的白天和晚上班次进行。
分别比较 B-IPQ 评分与 DOW 的相关性，包括（1）B-IPQ 总分，（2）情绪表达（情感和疾病关注合并）和（3）各单项。分析包括性别、年龄、就诊原因、自我报告的合并症、就业、最高教育程度、同居状况和原籍地区等变量。
研究发现，总疾病感知评分与 DOW 之间的相关性为中度，相关系数为 0.47（95%置信区间 0.42 至 0.52），情绪表达与 DOW 的相关性为 0.57（95%置信区间 0.52 至 0.61）。线性回归显示，随着 B-IPQ 项目的评分增加，DOW 最大且最显著的变化是与后果、对疾病的关注和情绪相关。
整体疾病感知以及对症状后果、疾病关注和情绪表达的感知与患者的 DOW 相关，DOW 升高与更消极的疾病感知相关。这一发现有助于深入了解在急诊就诊时疾病感知与疾病担忧之间的关系。纳入新的 DOW 量表可能有助于急诊分诊和临床就诊。
ClinicalTrials.gov 参考号：NCT04226040。
