Abstract:
BACKGROUND:Chronic fatigue syndrome (CFS) is associated with a high use of health care services. To reduce the related costs for patients and society, it will be useful to know which factors determine CFS patients' amount of health care use. Little is known, however, about these factors. METHOD:The present study retrospectively performed a cross-sectional analysis to investigate the possible factors determining CFS patients' health care use. A total of 263 CFS patients, derived from two subgroups (149 from tertiary care and 114 from primary/secondary care), participated. Health care use was measured with a questionnaire asking details on consumption over the past 6 months. Fatigue severity and physical functioning were measured with the subscale Experienced Fatigue of the Checklist Individual Strength (CIS-20) and the subscale Physical Functioning of the SF-36, respectively. Multiple regression analysis, T-tests, and chi(2) tests were performed. RESULTS:The regression analysis revealed that, after controlling for patient characteristics (explaining 13%), fatigue factors added 4% predictive value and certain perpetuating factors of fatigue, including focus on bodily symptoms and attributions of fatigue, added another 5%. The analysis of subgroups revealed that, compared to the tertiary care population, fewer patients from primary/secondary care had visited a medical specialist (50% vs. 71%), used antidepressants (16% vs. 25%) and tranquilizers (3% vs. 18%), and had spent a night in hospital (7% vs. 10%). However, overall costs of health care between these subgroups did not differ. CONCLUSIONS:This study showed that illness duration, physical impairment due to fatigue, and psychological perpetuating factors of fatigue do determine the variance in CFS patients' health care use. These results give clear directions for treating CFS patients and managing health care for CFS.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Scheeres K,Wensing M,Severens H,Adang E,Bleijenberg Gdoi
10.1016/j.jpsychores.2008.03.015subject
Has Abstractpub_date
2008-07-01 00:00:00pages
39-46issue
1eissn
0022-3999issn
1879-1360pii
S0022-3999(08)00159-1journal_volume
65pub_type
杂志文章abstract:OBJECTIVE:Heart failure (HF) markedly diminishes an individual's quality of life. However, little is known about how psychosocial functioning is related to heart failure physical symptom expression (e.g., chest pain or heaviness, shortness of breath) on a day-to-day basis. METHODS:Fifty-eight HF patients completed dai...
journal_title:Journal of psychosomatic research
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更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:Some peer reviewers may inappropriately, or coercively request that authors include references to the reviewers' own work. The objective of this study was to evaluate whether, compared to reviews for a journal with single-blind peer review, reviews for a journal with open peer review included (1) fewer self-c...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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更新日期:2010-11-01 00:00:00
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更新日期:2001-11-01 00:00:00
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更新日期:2002-10-01 00:00:00
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更新日期:1991-01-01 00:00:00
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更新日期:2002-04-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2011.06.006
更新日期:2012-02-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
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更新日期:2016-08-01 00:00:00
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更新日期:2017-06-01 00:00:00
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2000-11-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2014-11-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2017-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章
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journal_title:Journal of psychosomatic research
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更新日期:1990-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:1992-02-01 00:00:00
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-09-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1998-01-01 00:00:00