The burden of persistent symptom diagnoses in primary care patients: a cross-sectional study.
Scand J Prim Health Care
; 42(1): 112-122, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38189313
ABSTRACT
INTRODUCTION:
The burden of symptoms is a subjective experience of distress. Little is known on the burden of feeling unwell in patients with persistent symptom diagnoses. The aim of this study was to assess the burden in primary care patients with persistent symptom diagnoses compared to other primary care patients.METHODS:
A cross-sectional study was performed in which an online survey was sent to random samples of 889 patients with persistent symptom diagnoses (>1 year) and 443 other primary care patients after a transactional identification in a Dutch primary care data registry. Validated questionnaires were used to assess the severity of symptoms (PHQ-15), Symptom Intensity and Symptom Interference questionnaires, depression (PHQ-9), anxiety (GAD-7), quality of life (SF-12 and EQ-5D-5L)) and social functioning (SPF-ILs).RESULTS:
Overall, 243 patients completed the survey 178 (73.3%) patients in the persistent symptom diagnoses group and 65 (26.7%) patients in the control group. In the persistent group, 65 (36.5%) patients did not have persistent symptom(s) anymore according to the survey response. Patients who still had persistent symptom diagnoses (n = 113, 63.5%) reported significantly more severe somatic symptoms (mean difference = 3.6, [95% CI 0.24, 4.41]), depression (mean difference = 3.0 [95% CI 1.24, 3.61]) and anxiety (mean difference = 2.3 [95% CI 0.28, 3.10]) and significantly lower physical functioning (mean difference = - 6.8 [95% CI -8.96, -3.92]).CONCLUSION:
Patients with persistent symptom diagnoses suffer from high levels of symptoms burden. The burden in patient with persistent symptoms should not be underestimated as awareness of this burden may enhance person-centered care.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ansiedade
/
Qualidade de Vida
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Scand J Prim Health Care
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Holanda