Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Psychopathology in patients with severe asthma is associated with increased health care utilization
Autore:
ten Brinke, A; Ouwerkerk, ME; Zwinderman, AH; Spinhoven, P; Bel, EH;
Indirizzi:
Leiden Univ, Med Ctr, Dept Pulm Dis, Div Clin & Hlth Psychol, NL-2300 RC Leiden, Netherlands Leiden Univ Leiden Netherlands NL-2300 RC NL-2300 RC Leiden, Netherlands Leiden Univ, Dept Med Stat, NL-2300 RC Leiden, Netherlands Leiden Univ Leiden Netherlands NL-2300 RC NL-2300 RC Leiden, Netherlands Leiden Univ, Med Ctr, Dept Psychiat, NL-2300 RC Leiden, Netherlands LeidenUniv Leiden Netherlands NL-2300 RC NL-2300 RC Leiden, Netherlands
Titolo Testata:
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
fascicolo: 5, volume: 163, anno: 2001,
pagine: 1093 - 1096
SICI:
1073-449X(200104)163:5<1093:PIPWSA>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEAR-FATAL ASTHMA; PSYCHIATRIC-DISORDERS; PSYCHOLOGICAL-FACTORS; BRITTLE ASTHMA; RISK-FACTORS; ILLNESS; BREATHLESSNESS; PERCEPTION; PROFILES; ATTACK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: ten Brinke, A Leiden Univ, Med Ctr, Dept Pulm Dis, Div Clin & Hlth Psychol, C3-P,POB 9600, NL-2300 RC Leiden, Netherlands Leiden Univ C3-P,POB 9600 Leiden Netherlands NL-2300 RC nds
Citazione:
A. ten Brinke et al., "Psychopathology in patients with severe asthma is associated with increased health care utilization", AM J R CRIT, 163(5), 2001, pp. 1093-1096

Abstract

Severe asthma accounts for the majority of health costs for this disease, which is mainly related to the treatment of failed control. Several psychosocial factors have been associated with poor asthma control, but the question remains whether psychiatric disorder in patients with severe asthma predisposes for increased health care utilization. In the present study we compared outpatients with severe asthma with and without psychological dysfunctioning with respect to health care utilization. All patients used high doseinhaled corticosteroids and long-acting bronchodilators for more than 1 yr, and had difficult-to-control asthma, requiring one or more courses of corticosteroids during the past year or maintenance therapy with prednisone. Medical history was taken and health care utilization questionnaires were completed. The General Health Questionnaire (GHQ) was used to identify psychiatric cases (GHQ-12 score of greater than or equal to 6), There were no differences between the psychiatric cases (n = 21) and the noncases (n = 77) with respect to demographic and objective disease characteristics. However, the psychiatric cases had increased odds ratios (OR) for frequent visits toGP (OR = 5.9), frequent emergency visits (OR = 5.3), frequent exacerbations (OR = 12.4), and frequent hospitalizations (OR = 4.8) as compared with the nonpsychiatric patients. The present findings suggest that the morbidity and costs of asthma might be related to the level of psychological dysfunctioning in patients with severe asthma rather than to asthma severity per se, thereby identifying an area of potential intervention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 03:14:17