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Determinants of perceived health status of medical outpatients

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  • Barsky, Arthur J.
  • Cleary, Paul D.
  • Klerman, Gerald L.

Abstract

The aim of this study was to examine the relative contributions made by medical morbidity, psychiatric disorder, functional status, and hypochondrial attitudes to medical patients' opinions of their overall health status. The study was conducted in the general medical clinic of a large academic teaching hospital. Consecutive clinic visitors on randomly selected days were screened with a hypochondriasis self-report questionnaire, since the overall project was designed as a study of hypochondriasis. A random sample of the patients below a pre-established cutoff (n=100), along with all those exceeding the cutoff (n=88), returned to undergo a research battery. For this analysis, a representative sample of the entire clinic was reconstituted by weighting the data from patients above and below the screening cutoff in proportion to their prevalence in the clinic. Measures of psychiatric disorder (the Diagnostic Interview Schedule), personality disorder, functional status and disability, medical morbidity (from physician ratings and medical record audit), and hypochondriacal attitudes were obtained. Patient self-ratings of global health status were significantly correlated with aggregate medical morbidity (r=0.36; P

Suggested Citation

  • Barsky, Arthur J. & Cleary, Paul D. & Klerman, Gerald L., 1992. "Determinants of perceived health status of medical outpatients," Social Science & Medicine, Elsevier, vol. 34(10), pages 1147-1154, May.
    • Handle: RePEc:eee:socmed:v:34:y:1992:i:10:p:1147-1154
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    Citations

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    Cited by:

    1. Ai Nakano, 2014. "The Relationship between Mental Health and Self-rated Health in Older Adults," Discussion Papers 1423, Graduate School of Economics, Kobe University.
    2. Lazarevič, Patrick & Brandt, Martina, 2020. "Diverging ideas of health? Comparing the basis of health ratings across gender, age, and country," Social Science & Medicine, Elsevier, vol. 267(C).
    3. Judit Balázs & Mónika Miklósi & Agnes Keresztény & Christina W. Hoven & Vladimir Carli & Camilla Wasserman & Gergö Hadlaczky & Alan Apter & Julio Bobes & Romuald Brunner & Paul Corcoran & Doina Cosman, 2018. "Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being," IJERPH, MDPI, vol. 15(8), pages 1-12, August.
    4. Gianluca Busilacchi, 2012. "Lo stato di salute percepito e la soddisfazione dei bisogni di cura: la situazione italiana in europa dall?indagine EU-SILC," PRISMA Economia - Societ? - Lavoro, FrancoAngeli Editore, vol. 2012(3), pages 70-88.

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