Contemporary Family Therapy

, Volume 33, Issue 4, pp 441–460

Predictors of Health Care Use Among Individuals Seeking Therapy for Marital and Family Problems: An Exploratory Study

  • Jacob D. Christenson
  • D. Russell Crane
  • McArthur HafenJr.
  • Stacy Hamilton
  • G. Bruce Schaalje
Original Paper


A number of studies have examined variables associated with health care use. However, no study is known to have considered health care use among people seeking services for marital and family problems. In this study, health care use of persons (N = 110) seeking these services was investigated to determine the strongest psychosocial correlates of health care use. The goal was to identify potential “targets” of clinical intervention that may be driving excessive health care use. “Informational support” and “somatization” were the strongest correlates for the complete sample, with the model explaining 24% of the variance in health care use. For “high users” of health care, “hostility” was the strongest correlate, accounting for more than 36% of the variance in health care use.


Health care use Collaborative care Medical offset Offset effect Provision of services Effectiveness of services 


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Jacob D. Christenson
    • 1
    • 5
  • D. Russell Crane
    • 2
  • McArthur HafenJr.
    • 3
  • Stacy Hamilton
    • 2
  • G. Bruce Schaalje
    • 4
  1. 1.Marriage and Family Therapy ProgramNorthcentral UniversityPrescott ValleyUSA
  2. 2.Marriage and Family Therapy ProgramBrigham Young UniversityProvoUSA
  3. 3.College of Veterinary MedicineKansas State UniversityManhattanUSA
  4. 4.Department of StatisticsBrigham Young UniversityProvoUSA
  5. 5.LoaUSA

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