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Health State Preferences of Persons with Anxiety

Published online by Cambridge University Press:  10 March 2009

Donald L. Patrick ,
Susan D. Mathias ,
Eric P. Elkin ,
Sheila K. Fifer  and
Don P. Buesching
Donald L. Patrick
Affiliation:
University of Washington
Susan D. Mathias
Affiliation:
Technology Assessment Group
Eric P. Elkin
Affiliation:
California Department of Health Services
Sheila K. Fifer
Affiliation:
Technology Assessment Group
Don P. Buesching
Affiliation:
Eli Lilly and Company
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Abstract

We compared patient ratings of the desirability of anxiety health states with measures of psychological distress and functional status and investigated how these ratings predicted treatment by primary care and mental health clinicians. As expected, associations between desirability ratings and psychological and physical health status were low to moderate. Persons who rated their current anxiety health state as more desirable received fewer mental health referrals and were statistically more likely to receive a prescription for psychotropic medication. Simple ratings of health state desirability may help clinicians evaluate patients' views of their health status and discuss potential treatment options.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 14 , Issue 2 , Spring 1998 , pp. 357 - 371
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.Barry, M. J., Mulley, A. G., Fowler, F. J., & Wennberg, J. W.Watchful waiting vs immediate transurethral resection for symptomatic prostatism: The importance of patients’ preferences. Journal of the American Medical Association, 1988, 259, 3010–17.CrossRefGoogle ScholarPubMed
2.Derogatis, L. R.SCL-90-R administration, scoring and procedures manual-Il. Towson, MD: Clinical Psychometric Research, 1983.Google Scholar
3.Derogatis, L. R., Lipman, R. S., & Covi, L.SCL-90: An outpatient psychiatric rating scale—Preliminary report. Psychopharmacology Bulletin, 1973, 9, 13–27.Google ScholarPubMed
4.Deyo, R. A., Diehr, P., & Patrick, D. L.Reproducibility and responsiveness of health status measures: Statistics and strategies for evaluation. Controlled Clinical Trials, 1991, 12, 142S–58S.CrossRefGoogle ScholarPubMed
5.Fifer, S. K., Mathias, S. D., Patrick, D. L., et al. Untreated anxiety among adult primary care patients in a health maintenance organization. Archives of General Psychiatry, 1994, 51, 740–50.CrossRefGoogle Scholar
6.Finn, S. E., Bailey, J. M., Schultz, R. T., & Faber, R.Subjective utility ratings of neuroleptics in treating schizophrenia. Psychological Medicine, 1990, 20, 843–48.CrossRefGoogle ScholarPubMed
7.Freeborn, D. K., Pope, C. R., Mullooly, J. P., & McFarland, B. H.Consistently high users of medical care among the elderly. Medical Care, 1990, 28, 527–40.CrossRefGoogle ScholarPubMed
8.Froberg, D. G., & Kane, R. L.Methodology for measuring health-state preferences, II: Scaling methods. Journal of Clinical Epidemiology, 1989, 42, 459–71.CrossRefGoogle ScholarPubMed
9.Froberg, D. G., & Kane, R. L.Methodology for measuring health-state preferences, III: Population and context effects. Journal of Clinical Epidemiology, 1989, 42, 585–92.CrossRefGoogle ScholarPubMed
10.Fryback, D. G., Dasbach, E. J., Klein, R., et al. The Beaver Dam Health Outcomes Study: Initial catalog of health-state quality factors. Medical Decision Making, 1993, 13, 89–102.CrossRefGoogle ScholarPubMed
11.Gold, M. R., Siegel, J. E., Russell, L. B., & Weinstein, M. C.Cost-effectiveness in health and medicine. Oxford: Oxford University Press, 1996.CrossRefGoogle ScholarPubMed
12.Goldstein, M. K., Michelson, D., Clarke, A. E., & Lenert, L. A. A multimedia preference assessment tool for functional outcomes. Proceedings of the Annual Symposium on Computer Applications in Medical Care, 1993, 844–48.Google Scholar
13.Hadorn, D. C., Hays, R. D., Uebersax, J., & Hauber, T.Improving task comprehension in the measurement of health state preferences: A trial of informational cartoon figures and a paired-comparison task. Journal of Clinical Epidemiology, 1992, 45, 233–43.CrossRefGoogle Scholar
14.Hatziandreu, E. J., Brown, R. E., Revicki, D. A., et al. Cost utility of maintenance treatment of recurrent depression with sertraline versus episodic treatment with dothiepin. Pharmacoeconomics, 1994, 5, 249–64.CrossRefGoogle ScholarPubMed
15.Haynes, R. B., Taylor, D. W., & Sackett, D. L. (eds.). Compliance in health care. Baltimore, MD: John Hopkins University Press, 1979.Google Scholar
16.Hibbard, J. H., & Pope, C. R.Age differences in the use of medical care in an HMO: An application of the behavioral model. Medical Care, 1986, 24, 52–66.CrossRefGoogle Scholar
17.Jacobsen, S. J., Girman, C. J., Guess, H. A., et al. Natural history of prostatism: Factors associated with discordance between frequency and bother of urinary symptoms. Urology, 1993, 42, 663–71.CrossRefGoogle ScholarPubMed
18.Kassirer, J. P.Incorporating patients’ preferences into medical decisions. New England Journal of Medicine, 1994, 330, 1895–96.CrossRefGoogle ScholarPubMed
19.Kassirer, J. P.Adding insult to injury: Usurping patients’ prerogatives. New England Journal of Medicine, 1983, 308, 898–901.CrossRefGoogle ScholarPubMed
20.Lee, M., & Ganzini, L.The effect of recovery from depression on preferences for life sustaining therapy in older patients. Journal of Gerontology, 1994, 49, M15–21.CrossRefGoogle ScholarPubMed
21.Lilja, J., & Larsson, S.Social pharmacology: unresolved critical issues. The International Journal of the Addictions, 1994, 29, 1647–737.CrossRefGoogle ScholarPubMed
22.Marcus, S., Robins, L. N., & Bucholz, K.Quick, diagnostic interview schedule Ill-R Version 1.0. [Computer program.] St. Louis, Mo: Steven Marcus, 1991.Google Scholar
23.Mathias, S. D., Fifer, S. K., Mazonson, P. D., et al. Necessary but not sufficient: The effect of screening and feedback on outcomes of primary care patients with untreated anxiety. Journal of General Internal Medicine, 1994, 9, 606–15.CrossRefGoogle Scholar
24.Mazonson, P. D., Mathias, S. D., Fifer, S. K., et al. The mental health patient profile: Does it change primary care physicians' practice patterns? Journal of the American Board of Family Practice, 1996, 9, 336–45.Google ScholarPubMed
25.Morss, S. E., Lenert, L. A., & Faustman, W. O. The side effects of antipsychotic drugs and patients' quality of life: Patient education and preference assessment with computers and multimedia. Proceedings of the Annual Symposium on Computer Applications in Medical Care, 1993, 17–21.Google Scholar
26.Nease, R. F., Kneeland, T., O'Connor, G. T., et al. Variation in patient utilities for outcomes of the management of chronic stable angina: Implications for clinical practice guidelines. Journal of the American Medical Association, 1995, 273, 1185–90.CrossRefGoogle ScholarPubMed
27.O'Meara, J. J. III, McNutt, R. A., Evans, A. T., et al. A decision analysis of streptokinase plus heparin as compared with heparin alone for deep-vein thrombosis. New England Journal of Medicine, 1994, 330, 1864–9.CrossRefGoogle ScholarPubMed
28.Patrick, D. L., & Erickson, P.Health status and health policy: Allocating resources to health care. Oxford: Oxford University Press, 1993.Google Scholar
29.Read, J. L., Quinn, R. J., Berwick, D. M., et al. Preferences for health outcomes: Comparison of assessment methods. Medical Decision Making, 1984, 4, 315–29.CrossRefGoogle ScholarPubMed
30.Revicki, D.Relationship between health utility and psychometric health status measures. Medical Care, 1992, 30, MS274–82.CrossRefGoogle ScholarPubMed
31.Revicki, D. A., & Kaplan, R. M.Relationship between psychometric and utility-based approaches to the measurement of health-related quality of life. Quality Life Research, 1993, 2, 477–87.CrossRefGoogle Scholar
32.Stewart, A. L., Sherbourne, C. D., Hays, R. D., et al. Summary and discussion of MOS measures. In: Stewart, A. L. & Ware, J. E. (eds.), Measuring functioning and well-being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press, 1992, 345–71.Google Scholar
33.Torrance, G. W., & Feeny, D.Utilities and quality-adjusted life years. International Journal of Technology Assessment in Health Care, 1989, 5, 559–75.CrossRefGoogle ScholarPubMed
34.Van den Brink, W., Leenstra, A., Ormel, J., & van de Willige, G.Mental health intervention programs in primary care: Their scientific basis. Journal of Affective Disorders, 1991, 21, 273–84.CrossRefGoogle ScholarPubMed
35.Von Neumann, J., & Morgenstern, O.Theory of games and economic behavior. 3rd ed.New York: Wiley, 1953.Google Scholar