Do Healthy People Worry? Modern Health Worries, Subjective Health Complaints, Perceived Health, and Health Care Utilization
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Modern health worries (MHW) are concerns related to modern or technological features of daily life (e.g., air pollution, x-rays, food additives, etc.), and have been associated with subjective health complaints (SHC) and health care use.
The MHW scale was expected to predict aspects of health status in healthy individuals (e.g., health care visits, health perceptions, and medication use). SHC was thought to mediate the relationship between MHW and health care use. Likewise, negative affect was considered to mediate the relationship between MHW and SHC.
University students (n = 432) completed assessments for MHW, SHC, perceptions of health, medication use, and health care visits.
MHW were positively related to the number of subjective health complaints with negative affect partially driving this relationship. MHW were negatively related to reports of present health and medication use. MHW were marginally related, whereas SHC were significantly associated with health care utilization.
Concerns over modern technology appear to influence symptom reporting, perceptions of current health, medication use, and, to a degree, visits to health care providers even in young healthy samples.
- Catlin A, Cowan C, Heffler S, Washington B. National health spending in 2005: the slowdown continues. Health Aff. 2007;26:142–53. CrossRef
- Smith C, Cowan C, Sensenig A, Catlin A. Health spending growth slows in 2003. Health Aff. 2005;24:185–94. CrossRef
- Barsky AJ. The paradox of health. N Engl J Med. 1988;318:414–8. CrossRef
- Eriksen HR, Hellesnes B, Staff P, Ursin H. Are subjective health complaints a result of modern civilization? Int J Behav Med. 2004;11:122–5. CrossRef
- Nimnuan C, Hotopf M, Wessely S. Medically unexplained symptoms: how often and why are they missed? Q J Med. 2000;93:21–8.
- Ursin H. Sensitization, somatization and subjective health complaints. Int J Behav Med. 1997;4:105–16. CrossRef
- Rief W, Heitmuller AM, Reisberg K, Ruddel H. Why reassurance fails in patients with unexplained symptoms: an experimental investigation of remembered probabilities. PLoS Med. 2006;3:1266–72. CrossRef
- Fink P, Rosendal M. Recent developments in the understanding and management of functional somatic symptoms in primary care. Curr Opin Psychiatry. 2008;21:182–8. CrossRef
- Petrie KJ, Booth RJ, Elder H, Cameron LD. Psychological influences on the perception of immune function. Psychol Med. 1999;29:391–7. CrossRef
- Petrie KJ, Wessely S. Modern worries, new technology, and medicine: new technologies mean new health complaints. Br Med J. 2002;324:690–1. CrossRef
- Petrie KJ, Sivertsen B, Hysing M, Broadbent E, Moss-Morris R, Eriksen HR, et al. Thoroughly modern worries: the relationship of worries about modernity to reported symptoms, health and medical care utilization. J Psychosom Res. 2001;51:395–401. CrossRef
- Frost K, Frank E, Maibach E. Relative risk in the news media: a quantification of misrepresentation. Am J Public Health. 1997;87:842–5. CrossRef
- Hofmann B. The paradox of health care. Health Care Anal. 2001;9:369–86. CrossRef
- Gilovich T, Griffin D, Kahneman D. Heuristics and biases: the psychology of intuitive judgment. New York: Cambridge University; 2002.
- Petrie KJ, Broadbent EA, Kley N, Psych D, Moss-Morris R, Horne R, et al. Worries about modernity predict symptom complaints after environmental pesticide spraying. Psychosom Med. 2005;67:778–82. CrossRef
- Furnham A. Are modern health worries, personality and attitudes to science associated with the use of complementary and alternative medicine? Br J Health Psychol. 2007;12:229–43. CrossRef
- Kaptein AA, Helder DI, Kleijn WC, Rief W, Moss-Morris R, Petrie KJ. Modern health worries in medical students. J Psychosom Res. 2005;58:453–7. CrossRef
- Pennebaker JW, Watson D. The psychology of somatic symptoms. In: Kirmayer LJ, Robbins JM, editors. Current conceptions of somatization: research and clinical perspectives. Washington, DC: American Psychiatric Association; 1991. p. 21–35.
- Eriksen HR, Ihlebaek C, Ursin H. A scoring system for subjective health complaints. Scand J Public Health. 1999;27:63–72. CrossRef
- Watson D, Clark L, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54:1063–70. CrossRef
- Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38:21–37. CrossRef
- Agresti A. Categorical data analysis. 2nd ed. Hoboken: Wiley; 2002.
- Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82. CrossRef
- James LR, Brett JM. Mediators, moderators, and tests for mediation. J Appl Psychol. 1984;69:307–21. CrossRef
- MacKinnon DP, Fairchild AJ. Current directions in mediation analysis. Curr Dir Psychol Sci. 2009;18:16–20. CrossRef
- Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. In: Leinhardt S, editor. Sociological methodology 1982. Washington: American Sociological Association; 1982. p. 290–312.
- Horne R. Representations of medication and treatment: advances in theory and measurement. In: Petrie KJ, Weinman JA, editors. Perceptions of health and illness: current research and applications. Amsterdam: Harwood Academic Publishers; 1997. p. 155–88.
- Horne R, Weinman J, Hankins M. The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health. 1999;14:1–24. CrossRef
- Watson D, Pennebaker JW. Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev. 1989;96:234–54. CrossRef
- Cohen S, Williamson M. Stress and infectious disease in humans. Psychol Bull. 1991;109:5–24. CrossRef
- Jemmott JB, Croyle RT, Ditto PH. Commonsense epidemiology: self-based judgments from laypersons and physicians. Health Psychol. 1988;7:55–73. CrossRef
- Klebanov PK, Jemmott JB. Effects of expectations and bodily sensations on self-reports of premenstrual symptoms. Psychol Women Q. 1992;16:289–310. CrossRef
- Martin R, Leventhal H. Symptom perception and health care-seeking behavior. In: Raczynski JM, Leviton LC, editors. Handbook of clinical health psychology: vol. 2. Disorders of behavior and health. Washington: American Psychological Association; 2004. p. 299–328. CrossRef
- Chung S, Domino ME, Jackson EW, Morrissey JP. Reliability of self-reported health service use: evidence from the women with co-occurring disorders and violence study. J Behav Health Serv Res. 2008;35:265–78. CrossRef
- Brough M, Gorman D, Ramirez E, Westoby P. Young refugees talk about well-being: a qualitative analysis of refugee youth mental health from three states. Aust J Soc Issues. 2003;38:193–208.
- Reiff M, Zakut H, Weingarten MA. Illness and treatment perceptions of Ethiopian immigrants and their doctors in Israel. Am J Public Health. 1999;89:1814–8. CrossRef
- Do Healthy People Worry? Modern Health Worries, Subjective Health Complaints, Perceived Health, and Health Care Utilization
International Journal of Behavioral Medicine
Volume 17, Issue 3 , pp 182-188
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Modern health worries
- Subjective health complaints
- Health care use
- Health care perceptions
- Author Affiliations
- 1. Syracuse University, Syracuse, NY, USA
- 4. Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY, 13244, USA
- 2. University of Auckland, Auckland, New Zealand
- 3. Leiden University Medical Centre, Leiden, The Netherlands