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首页> 外文期刊>Psychosomatics >Healthcare utilization and emotional distress in coronary artery disease patients.
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Healthcare utilization and emotional distress in coronary artery disease patients.

机译：冠心病患者的医疗保健利用和情绪困扰。

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BACKGROUND: No studies to-date have examined the various types of emotional distress (ED) for their relative power at predicting costs in patients with coronary artery disease (CAD). OBJECTIVE: The authors investigated the association between expenditure for CAD patients and various measures of emotional/psychological functioning. METHOD: The authors assessed dollars spent in relation to dimensions of the Symptom Checklist 90-Revised and traditional risk factors in the year preceding referral of 164 CAD patients for stress management. RESULTS: Total costs were associated with the Anxiety, Phobic Anxiety, and Psychoticism scales. Hypertension was also associated with increased costs. CONCLUSIONS: Present results indicate an association of higher costs with anxiety. Because the symptoms of anxiety overlap with those of cardiac disease, increased vigilance by both patients and practitioners, resulting in more testing and longer hospital stays is not surprising. Results suggest that there is a potential for substantial cost savings with enhanced detection and treatment of anxiety-spectrum emotional distress.
机译：背景：迄今为止，尚无任何研究以预测冠心病（CAD）患者的费用来检查各种类型的情绪困扰（ED）的相对能力。目的：作者调查了CAD患者的支出与各种情绪/心理功能指标之间的关联。方法：作者评估了在转诊164例CAD患者进行压力管理前一年与90修订版症状清单和传统危险因素相关的花费。结果：总费用与焦虑，恐惧恐惧症和精神病量表有关。高血压也与成本增加有关。结论：目前的结果表明较高的费用与焦虑有关。由于焦虑症的症状与心脏病的症状重叠，患者和从业人员的警惕性增加，导致更多的检查和更长的住院时间也就不足为奇了。结果表明，通过增强对焦虑频谱情绪困扰的检测和治疗，可以节省大量成本。

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