Association of psychological distress with reasons for delay in seeking medical care in rural patients with worsening heart failure symptoms
| Autor: | Martha J Biddle, Kathleen Dracup, Debra K. Moser, Chin-Yen Lin, Michele M. Pelter |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Embarrassment Anxiety 030204 cardiovascular system & hematology Psychological Distress Medical care 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Association (psychology) Psychiatry Depression (differential diagnoses) media_common Heart Failure business.industry Public Health Environmental and Occupational Health Psychological distress Patient Acceptance of Health Care medicine.disease Symptom appraisal Heart failure medicine.symptom business |
| Zdroj: | The Journal of Rural Health. 38:713-720 |
| ISSN: | 1748-0361 0890-765X |
| Popis: | Background The impact of depressive symptoms and anxiety on rural patients' decisions to seek care for worsening heart failure (HF) symptoms remains unknown. The purposes of this study were (1) to describe rural patients' reasons for delay in seeking care for HF, and (2) to determine whether depressive symptoms or anxiety was associated with patients' reasons for delay in seeking medical care for worsening symptoms. Methods A total of 611 rural HF patients were included. Data on reasons for patient delay in seeking medical care (The Reasons for Delay Questionnaire), depressive symptoms (PHQ-9), and anxiety (BSI-ANX) were collected. Statistical analyses included chi-square and multiple regression. Results A total of 85.4% of patients reported at least 1 reason for delay. Patients with higher levels of depressive symptoms were more likely to cite embarrassment, problems with transportation, and financial concerns as a reason for delay. Patients with anxiety not only cited nonsymptom-related reasons but also reported symptom-related reasons for delay in seeking care (ie, symptoms seemed vague, not sure of symptoms, symptoms didn't seem to be serious enough, and symptoms were different from the last episode). In multiple regression, patients with greater depressive symptoms and anxiety had a greater number of reasons for delay in seeking care (P = .003 and P = .023, respectively). Conclusions Our findings suggest that enhancement of patients' symptom appraisal abilities and improvement in psychological distress may result in a reduction in delay in seeking medical care for worsening symptoms in rural patients with HF. |
| Databáze: | OpenAIRE |
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