The association of psychological factors and healthcare use with the discrepancy between subjective and objective respiratory-health complaints in the general population

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Selinheimo , S , Vasankari , T , Jokela , M , Kanervisto , M , Pirkola , S , Suvisaari , J & Paunio , T 2019 , ' The association of psychological factors and healthcare use with the discrepancy between subjective and objective respiratory-health complaints in the general population ' , Psychological Medicine , vol. 49 , no. 1 , pp. 121-131 . https://doi.org/10.1017/S0033291718000582

Title: The association of psychological factors and healthcare use with the discrepancy between subjective and objective respiratory-health complaints in the general population
Author: Selinheimo, Sanna; Vasankari, Tuula; Jokela, Markus; Kanervisto, Merja; Pirkola, Sami; Suvisaari, Jaana; Paunio, Tiina
Contributor organization: Doctoral Programme in Population Health
Department of Psychology and Logopedics
University Management
Department of Psychiatry
Clinicum
HUS Psychiatry
Date: 2019-01
Language: eng
Number of pages: 11
Belongs to series: Psychological Medicine
ISSN: 0033-2917
DOI: https://doi.org/10.1017/S0033291718000582
URI: http://hdl.handle.net/10138/309282
Abstract: Background. We examined the prevalence of self-perceived respiratory symptoms (SRS) in the absence of any objective findings of respiratory pathology, and the association of such prevalence with psychological factors and healthcare use in the general population. Methods. The study was conducted among a nationally representative sample of Finnish adults (BRIF8901). Respiratory functioning was measured by a spirometry test. Structured questionnaires were used to measure SRS, physician visits and psychological factors of alexithymia, sense of coherence, illness worry and common mental disorders. Individuals with a diagnosed respiratory disease or a severe psychiatric disorder, determined in a diagnostic interview, were excluded, giving a sample comprising 4544 participants. Results. Twenty-six per cent of the general population and 36% of those with no diagnosed severe psychiatric disorder or respiratory disease experienced SRS despite a normal spirometry result. Psychological factors were associated with SRS (0.0001 <p <0.032), and on the number of physician visit explaining 42.7% of the difference in visits between individuals with and without SRS, respectively. Illness worry was associated most strongly with SRS [odds ratio (OR) 1.29, 95% confidence interval (CI) 1.19-1.41, p <0.0001] and higher numbers of physician visits (OR 1.35, CI 1.32-1.38, p <0.00001), even after several adjustments. Conclusions. Respiratory symptoms without objective findings are common in the general population. The study results underline the role of psychological factors in the reporting of respiratory symptoms and the associated medical burden, thereby indicating the functional nature of the symptomatology.
Subject: Alexithymia
health anxiety
healthcare use
illness perception
population-based study
respiratory symptoms
sense of coherence
subjective health complaints
MEDICALLY UNEXPLAINED SYMPTOMS
TORONTO-ALEXITHYMIA-SCALE
OBSTRUCTIVE PULMONARY-DISEASE
PHYSICAL SYMPTOMS
SOMATIC SYMPTOMS
COHERENCE SCALE
SOMATIZATION DISORDER
ILLNESS PERCEPTIONS
FREQUENT ATTENDERS
ANTONOVSKYS SENSE
515 Psychology
3124 Neurology and psychiatry
Peer reviewed: Yes
Rights: unspecified
Usage restriction: openAccess
Self-archived version: publishedVersion


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