Psychiatric Morbidity and Utilization of Insured Health Services

Cassell, Wilfred A.; Fraser, Howard N.; Spellman, Anthony

doi:10.1177/070674377201700603

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…A large proportion of persons who seek medical care are under some form of emotional stress; in many cases, no organic cause for physical symptoms can be demonstrated. Conversely, persons suffering from mental disorders and emotional problems tend to be high utilizers of medical services (Avnet, 1962;Cassell, Fraser, & Spellman, 1972). Estimates of the costs of ruling out organic reasons for physical symptoms in cases where psychological reasons are apparent prior to medical diagnosis range from incredible to astronomical.…”

Section: Psychotherapy With Inappropriate Utilizers Of Medical Servicesmentioning

confidence: 99%

Psychotherapeutic interventions in physical health: Effectiveness and economic efficiency.

Olbrisch¹

1977

American Psychologist

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Two questions are addressed: (a) Does research support the hypothesis that psychotherapy exerts a favorable influence on physical health? (6) Can psychotherapy be employed to change physical health on a cost-effective basis? Research with overutilizers of medical services, surgical patients, and other groups is discussed in terms of methodological adequacy, and problems faced by researchers in these areas are explored. The effectiveness and economic efficiency of psychotherapeutic preparation for surgery are strongly supported. Studies with over-utilizers are promising, but randomized experiments are needed. Implications for inclusion of coverage of psychotherapy under national health insurance are discussed. This article is based on a manuscript submitted 'to the Critical Review Series of the Florida State University Department of Psychology. Appreciation is expressed to Lee Sechrest and Richard L. Hagen, who assisted in revision of an earlier version of this article. Requests for reprints should be sent to Mary Ellen Olbrisch, who is now at

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Section: Psychotherapy With Inappropriate Utilizers Of Medical Servicesmentioning

confidence: 99%

Psychotherapeutic interventions in physical health: Effectiveness and economic efficiency.

Olbrisch¹

1977

American Psychologist

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The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services

Manning¹,

Wells²

1992

Medical Care

152

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Diagnosis of mental disorder in adults and increased use of health services in four outpatient settings

Ew¹,

Gr²,

Da³

et al. 1980

AJP

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The differential use of medical services by patients with and those without a diagnosis of mental disorder was examined in four adult populations by age, sex, diagnosis, and medical department used. The four settings offered comprehensive services to patients who varied greatly in socioeconomic status. In all four settings patients with a diagnosis of mental disorder used all services and general health services more than patients without such a diagnosis. Results document increased medical morbidity and a greater likelihood of a diagnosis of an ill-defined condition in patients with mental disorder than that found in patients without a diagnosis of mental disorder.

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Psychiatric Morbidity and Utilization of Insured Health Services

Cited by 5 publications

References 10 publications

Psychotherapeutic interventions in physical health: Effectiveness and economic efficiency.

Psychotherapeutic interventions in physical health: Effectiveness and economic efficiency.

The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services

Diagnosis of mental disorder in adults and increased use of health services in four outpatient settings

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