Perceived family criticism and primary care utilization : Psychosocial and biomedical pathways.
We explored the relationship of perceived family criticism to subsequent healthcare utilization in patients attending a family medicine center.
We examined : a) the relationship of perceived criticism to subsequent utilization for biomedical and psychosocial/somatic problems ; b) the mediating effects of self-rated mental health and physical function ; and c) the mediating effects ofsocial support.
The analyses were adjusted for age, sex, race, education, health insurance, and marital status.
Higher perceived criticism predicted more psychosocial/somatic and biomedical visits.
The relationship of perceived criticism with psychosocial/somatic visits was entirely mediated through self-rated mental health.
The relationship of perceived criticism with biomedical visits was partly mediated through self-rated physical function and, in part, independent.
Social support played no role in explaining these relationships.
Further research is needed to determine whether lowering perceived family criticism lowers primary care utilization.
Mots-clés Pascal : Psychothérapie familiale, Traitement, Utilisation, Service santé, Attitude, Soin santé primaire, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Family psychotherapy, Treatment, Use, Health service, Attitude, Primary health care, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0348907
Code Inist : 002B18H02. Création : 12/09/1997.