How does ageing affect the impact of medically unexplained symptoms and medically explained symptoms on health‐related quality of life?

Hilderink, Peter H.; Collard, Rose M.; Rosmalen, Judith; Voshaar, Richard C. Oude

doi:10.1002/gps.4219

Cited by 21 publications

(21 citation statements)

References 34 publications

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“…Mean age was highest in the SH2 group (48.0 ± 10.3), followed by the SH1 (44.9 ± 8.6) and the healthy (41.0 ± 8.9) group (p < 0.001). These ndings are consistent with an earlier study which reported that males take physical illness or injury less seriously and are less sensitive than females, and with an existing study that reported that an increase in age leads to physical and mental illnesses (30)(31)(32).…”

Section: Discussionsupporting

confidence: 92%

Autoregressive Cross-Lagged Modeling of The Longitudinal Relationship Between Sub-Health and Cold Hypersensitivity

Jin¹,

Kim²,

Lee³

2020

Preprint

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Background: Sub-health refers to abnormal symptoms that occur in the body, but with no specific disease, and a high probability of future diseases. Meanwhile, cold hypersensitivity is one of the most basic diagnosis methods used in Oriental medicine for explaining a patient’s health status, and various studies have supported its association with health status. The present study analyzed differences in cold hypersensitivity regarding health status and examined changes in health status and cold hypersensitivity over time. Methods: The health status and cold hypersensitivity of 255 adults from Daejeon in South Korea were examined. To assess the longitudinal relationship between health status and cold hypersensitivity, data at baseline, 6-month follow-up, and 12-month follow-up were used for analysis using an autoregressive cross-lagged model (ARCLM).Results: ARCLM analysis showed that the path coefficients of each autoregressive coefficient (baseline to 6-month follow-up, 6-month follow-up to 12-month follow-up) of health status and cold hypersensitivity moving from measurement time point t to t+1 were significant in all time intervals. The same was true for health status patterns. Thus, these findings suggested that health status and cold hypersensitivity were not transient symptoms but persisted over time. The findings also showed that health status had a significant cross-lagged effect on cold hypersensitivity.Conclusions: Health status and cold hypersensitivity were found to be stable and associated with each other over time. Therefore, consistent care is necessary to maintain health status and treat cold hypersensitivity. The longitudinal data used in this study to examine the causal relationship between health status and cold hypersensitivity demonstrate the diagnostic value of cold hypersensitivity and the need for health status-based interventions.

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Section: Discussionsupporting

confidence: 92%

Autoregressive Cross-Lagged Modeling of The Longitudinal Relationship Between Sub-Health and Cold Hypersensitivity

Jin¹,

Kim²,

Lee³

2020

Preprint

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“…In clinical practice, patients with MUS and/or somatoform disorders are present in different settings in the health care system. Studies on clinical samples of patients with somatization are therefore even more difficult to generalize [61].…”

Section: Methodological Considerationsmentioning

confidence: 99%

Big Five personality traits and medically unexplained symptoms in later life

et al. 2016

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“…In addition, nonorganic disorders have detrimental effects on the patient's quality of life. 12 The purpose of this article is to illuminate the current state of understanding of medically unexplained symptoms and to establish basic heuristic principles of their management. It is important that clinicians take an interest in medically unexplained symptoms not only because an enormous amount of healthcare and quality of life costs are associated with them but also because these patients often present in primary care settings.…”

mentioning

confidence: 99%

Medically Unexplained Neurologic Symptoms: A Primer for Physicians Who Make the Initial Encounter

Evens

Vendetta

Krebs

et al. 2015

The American Journal of Medicine

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Medically unexplained symptoms are ubiquitous in clinical practice. Medical use costs of medically unexplained symptoms are projected at approximately $256 billion per year. When initially seen, these symptoms are often baffling, not only to the patients but also to the physicians who encounter them. Because of this, properly diagnosing them is seen generally as difficult at best, leading to massive overuse of unnecessary testing. Subsequently, their management can be cumbersome. All this burdens the patients with unnecessary costs, financially and emotionally. This primer discusses historical perspectives of these and the changing nomenclature, and outlines how to think about these complex symptoms and neurologic findings that will enable a positive diagnosis rather than a diagnosis of exclusion. We also offer useful heuristic principles of their management so that physician-patient relationships can be better maintained and the quality of life of these patients can be improved by way of some simple, economic approaches.

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How does ageing affect the impact of medically unexplained symptoms and medically explained symptoms on health‐related quality of life?

Abstract: Our results show that age affects the association between MUS and HRQoL, which suggest that older persons cope better with MUS than younger persons.

Cited by 21 publications

References 34 publications

Autoregressive Cross-Lagged Modeling of The Longitudinal Relationship Between Sub-Health and Cold Hypersensitivity

Autoregressive Cross-Lagged Modeling of The Longitudinal Relationship Between Sub-Health and Cold Hypersensitivity

Big Five personality traits and medically unexplained symptoms in later life

Medically Unexplained Neurologic Symptoms: A Primer for Physicians Who Make the Initial Encounter

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