Frailty and Somatic Comorbidity in Older Patients With Medically Unexplained Symptoms
| Autor: | Peter Lucassen, Linda de Jonge, Peter H. Hilderink, Carolien E. M. Benraad, Denise Hanssen, Richard C. Oude Voshaar, Paul Naarding, M. Arts |
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| Přispěvatelé: | Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Cognitive Neuropsychiatry Research Program (CCNP) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
SOMATOFORM DISORDERS 0302 clinical medicine Quality of life Weight loss QUALITY-OF-LIFE LEUKOCYTE TELOMERE LENGTH Health care ANXIETY 030212 general & internal medicine General Nursing medically unexplained Aged 80 and over Frailty Health Policy MUS SOMATIZATION General Medicine PREVALENCE comorbidity MES Anxiety Female HEALTH medicine.symptom medicine.medical_specialty animal structures Frail Elderly Affect (psychology) VALIDATION Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center DSM-IV Internal medicine medicine Humans Aged Primary Health Care business.industry Other Research Radboud Institute for Health Sciences [Radboudumc 0] Medically unexplained medicine.disease Comorbidity INTERVIEW Cross-Sectional Studies Medically Unexplained Symptoms Self Report Geriatrics and Gerontology business Somatization 030217 neurology & neurosurgery |
| Zdroj: | Journal of the American Medical Directors Association, 20, 1150-1155 Journal of the American Medical Directors Association, 20, 9, pp. 1150-1155 Journal of the American Medical Directors Association, 20(9), 1150-1155. ELSEVIER SCIENCE INC |
| ISSN: | 1525-8610 |
| Popis: | Objectives: To examine the level of frailty and somatic comorbidity in older patients with medically unexplained symptoms (MUS) and compare this to patients with medically explained symptoms (MES). Design: Cross-sectional, comparative study.Design: Cross-sectional, comparative study.Setting: Community, primary care, and secondary healthcare to recruit patients with MUS in various developmental and severity stages and primary care to recruit patients with MES.Participants: In total, 118 patients with MUS and 154 patients with MES, all aged >60 years.Methods: Frailty was assessed according to the Fried criteria (gait speed, handgrip strength, unintentional weight loss, exhaustion, and low physical activity), somatic comorbidity according to the self-report Charlson comorbidity index, and the number of prescribed medications.Results: Although patients with MUS had less physical comorbidity compared with patients with MES, they were prescribed the same number of medications. Moreover, patients with MUS were more often frail compared with patients with MES. Among patients with MUS, physical frailty was associated with the severity of unexplained symptoms, the level of hypochondriacal beliefs, and the level of somatisation.Conclusions and implications: Despite a lower prevalence of overt somatic diseases, patients with MUS are more frail compared with older patients with MES. These results suggest that at least in some patients age-related phenomena might be erroneously classified as MUS, which may affect treatment strategy. (C) 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine. |
| Databáze: | OpenAIRE |
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