Journal article
Health care utilisation in patients with non-cardiac chest pain: A longitudinal analysis of chest pain, anxiety and interoceptive fear
Psychology & health, Vol.28(8), pp.849-861
08/01/2013
DOI: 10.1080/08870446.2012.762100
PMCID: PMC3654063
PMID: 23346941
Abstract
Chest pain can be a frightening experience that leads many to seek medical evaluation. The symptom results in costly health care utilisation. Over half of patients referred for cardiac evaluations of chest pain do not obtain definitive medical explanations for their symptoms; these cases are described as non-cardiac chest pain (NCCP). Some patients with NCCP are not reassured after being informed their chest pain is non-cardiac in origin and seek repeated medical evaluation. Co-morbid anxiety and mood disorders often coexist with NCCP and are associated with health care utilisation. The current study examined chest pain, general anxiety, interoceptive fear and health care utilisation in a sample of 196 chest pain patients near the time of cardiac evaluation (Time 1), and 70 of these patients one year later (Time 2). Results indicate that anxiety and interoceptive fear were significantly associated with health care utilisation at Time 1, and only interoceptive fear (at Time 1) predicted health care utilisation at Time 2. This study develops research in this area by examining the relation of anxiety and health care utilisation longitudinally in patients with NCCP.
Details
- Title: Subtitle
- Health care utilisation in patients with non-cardiac chest pain: A longitudinal analysis of chest pain, anxiety and interoceptive fear
- Creators
- Katherine Hadlandsmyth - Psychology Department , University of Missouri - Saint LouisDiane L Rosenbaum - Psychology Department , University of Missouri - Saint LouisJennifer M Craft - Psychology Department , University of Missouri - Saint LouisErnest V Gervino - Cardiovascular Division, Harvard Medical School, Beth Israel Deaconess Medical CenterKamila S White - Psychology Department , University of Missouri - Saint Louis
- Resource Type
- Journal article
- Publication Details
- Psychology & health, Vol.28(8), pp.849-861
- DOI
- 10.1080/08870446.2012.762100
- PMID
- 23346941
- PMCID
- PMC3654063
- NLM abbreviation
- Psychol Health
- ISSN
- 0887-0446
- eISSN
- 1476-8321
- Publisher
- Informa UK Limited
- Language
- English
- Date published
- 08/01/2013
- Academic Unit
- Psychiatry; Anesthesia
- Record Identifier
- 9984007163402771
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