Document Detail

Application of the high risk model of threat perception to medical illness and service utilization in a family practice.
MedLine Citation:
PMID:  12695737     Owner:  NLM     Status:  MEDLINE    
This study was designed to test the High Risk Model of Threat Perception in a family practice population. Predisposing, triggering, and buffering factors were assessed in 165 patients using psychological inventories. The relationship between these factors and self-reported symptoms, diagnosed chronic problems, and utilization was assessed. Negative affect and number and intensity of life events increased the risk for chronic illness and reported symptoms, while social support and approach style of coping decreased the apparent risk. The numbers of encounters and telephone calls to the office, obtained from the office database, were statistically correlated with negative affect and inversely with social support. The regression analysis predicted 27% of the variance in reported symptoms with negative affect, life events, and avoidance coping as significant predictors. Only 8% and 16% of the variance of telephone calls and office visits, respectively, could be predicted with a similar regression model. These results emphasize the importance of psychosocial factors in medical illness. Routine assessment of psychosocial risk factors in family practice patients is suggested.
Angele McGrady; Denis Lynch; Rollin Nagel; Elmer Wahl
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of nervous and mental disease     Volume:  191     ISSN:  0022-3018     ISO Abbreviation:  J. Nerv. Ment. Dis.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-15     Completed Date:  2003-06-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375402     Medline TA:  J Nerv Ment Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  255-9     Citation Subset:  AIM; IM    
Department of Psychiatry, Medical College of Ohio, 3120 Glendale Avenue, Toledo, Ohio 43614, España.
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MeSH Terms
Adaptation, Psychological
Attitude to Health
Chronic Disease / psychology*
Family Practice / statistics & numerical data*
Health Status
Life Change Events
Middle Aged
Models, Psychological*
Mood Disorders / diagnosis,  psychology
Office Visits / utilization*
Personality Inventory / statistics & numerical data
Regression Analysis
Risk Factors
Social Support
Somatoform Disorders / diagnosis,  epidemiology,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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