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The relationship of modern health worries to non-specific physical symptoms and perceived environmental sensitivity: A study combining self-reported and general practice data.

Abstract The present study investigates the association of modern health worries (MHW) with self-reported as well as general practitioner (GP)-registered non-specific physical symptoms (NSPS), medication use, alternative therapy consultations, sleep quality and quality of life. The interrelation between MHW, general environmental sensitivity and the aforementioned outcomes is also explored.
PMID
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Authors

Mayor MeshTerms

Health Behavior

Keywords

Environmental sensitivity

General practice

Idiopathic environmental intolerance

Medically unexplained symptoms

Modern health worries

Journal Title journal of psychosomatic research
Publication Year Start




PMID- 26526308
OWN - NLM
STAT- MEDLINE
DA  - 20151103
DCOM- 20160605
IS  - 1879-1360 (Electronic)
IS  - 0022-3999 (Linking)
VI  - 79
IP  - 5
DP  - 2015 Nov
TI  - The relationship of modern health worries to non-specific physical symptoms and
      perceived environmental sensitivity: A study combining self-reported and general 
      practice data.
PG  - 355-61
LID - 10.1016/j.jpsychores.2015.09.004 [doi]
LID - S0022-3999(15)00541-3 [pii]
AB  - OBJECTIVE: The present study investigates the association of modern health
      worries (MHW) with self-reported as well as general practitioner (GP)-registered 
      non-specific physical symptoms (NSPS), medication use, alternative therapy
      consultations, sleep quality and quality of life. The interrelation between MHW, 
      general environmental sensitivity and the aforementioned outcomes is also
      explored. METHODS: Self-reported questionnaires and data from electronic medical 
      records from 21 general practices in The Netherlands were combined in a sample of
      5933 adult participants. RESULTS: The majority of the participants reported
      increased worries about potential health effects from environmental exposures.
      The highest worry scores were reported by people who perceived themselves as more
      vulnerable to environmental stressors. After adjustment for socio-demographic
      characteristics and diagnosed psychiatric morbidity, higher MHW were
      significantly associated with increased self-reported prevalence and duration of 
      NSPS, symptom-related healthcare utilization, GP-registered NSPS, alternative
      therapy consultations and lower sleep quality and quality of life. These
      associations were statistically mediated by perceived environmental sensitivity. 
      No association was observed between worries and GP-registered medication
      prescriptions. CONCLUSION: Modern health worries are very common in the general
      population. They are associated with self-reported as well as clinically defined 
      NSPS and as such might play a key role in the process of developing and
      maintaining environmental sensitivities and related symptoms. A large
      cross-cultural longitudinal study would help to determine important aspects such 
      as temporal precedence and stability of MHW and the relevant psychosocial context
      within which symptomatic conditions occur.
CI  - Copyright (c) 2015 Elsevier Inc. All rights reserved.
FAU - Baliatsas, Christos
AU  - Baliatsas C
AD  - Netherlands Institute for Health Services Research (NIVEL), Utrecht, The
      Netherlands. Electronic address: [email protected]
FAU - van Kamp, Irene
AU  - van Kamp I
AD  - National Institute for Public Health and the Environment (RIVM), Bilthoven, The
      Netherlands.
FAU - Hooiveld, Mariette
AU  - Hooiveld M
AD  - Netherlands Institute for Health Services Research (NIVEL), Utrecht, The
      Netherlands.
FAU - Lebret, Erik
AU  - Lebret E
AD  - National Institute for Public Health and the Environment (RIVM), Bilthoven, The
      Netherlands.
FAU - Yzermans, Joris
AU  - Yzermans J
AD  - Netherlands Institute for Health Services Research (NIVEL), Utrecht, The
      Netherlands.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150918
PL  - England
TA  - J Psychosom Res
JT  - Journal of psychosomatic research
JID - 0376333
SB  - IM
MH  - Adult
MH  - Complementary Therapies
MH  - Drug Utilization
MH  - Electronic Health Records
MH  - Environmental Illness/*epidemiology/psychology
MH  - Female
MH  - General Practice/statistics & numerical data
MH  - *Health Behavior
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Netherlands/epidemiology
MH  - Prevalence
MH  - Quality of Life
MH  - Referral and Consultation
MH  - Self Report
MH  - Sleep
MH  - Socioeconomic Factors
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Environmental sensitivity
OT  - General practice
OT  - Idiopathic environmental intolerance
OT  - Medically unexplained symptoms
OT  - Modern health worries
EDAT- 2015/11/04 06:00
MHDA- 2016/06/06 06:00
CRDT- 2015/11/04 06:00
PHST- 2015/07/03 [received]
PHST- 2015/09/07 [revised]
PHST- 2015/09/09 [accepted]
PHST- 2015/09/18 [aheadofprint]
AID - S0022-3999(15)00541-3 [pii]
AID - 10.1016/j.jpsychores.2015.09.004 [doi]
PST - ppublish
SO  - J Psychosom Res. 2015 Nov;79(5):355-61. doi: 10.1016/j.jpsychores.2015.09.004.
      Epub 2015 Sep 18.

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