Predicting medically unexplained physical symptoms and health care utilization. A symptom-perception approach.

摘要: Objectives: The present study investigated the contribution of demographic characteristics (age, gender, socioeconomic status [SES]) and symptom-perception variables to unexplained physical symptoms health care utilization. In addition, consequences use four frequently applied symptom-detection methods for relations among were examined. Method: A group 101 men women administered a standardized interview several questionnaires. Their general practitioners (GPs) rated (un)explained consultations over previous year. Results: Path analyses showed that direct indirect effects on GP depend method symptom detection, largest difference being between self-reported registered symptoms. model including common demonstrated variables: chronic disease, negative affectivity, selective attention bodily sensations, somatic attribution. symptoms, only disease SES consultations. Conclusion: This demonstrates usefulness approach experience importance selection method, need different models explanation daily experienced their presentation in care.