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Article: Examining the Moderating Role of Patient Enablement on the Relationship Between Health Anxiety and Psychosomatic Distress: A Cross-Sectional Study at a Traditional Chinese Medicine Outpatient Clinic in Hong Kong

TitleExamining the Moderating Role of Patient Enablement on the Relationship Between Health Anxiety and Psychosomatic Distress: A Cross-Sectional Study at a Traditional Chinese Medicine Outpatient Clinic in Hong Kong
Authors
Keywordshealth anxiety
patient enablement
psychosomatic distress
primary care
Chinese medicine
Issue Date2020
PublisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology
Citation
Frontiers in Psychology, 2020, v. 11, p. article no. 1081 How to Cite?
AbstractBackground: Little research effort has been devoted to examining the role of patient enablement in alleviating health anxiety in primary care. In this study, we examined the role of patient enablement as a moderator in the relationship between health anxiety, psychological distress, and treatment seeking in traditional Chinese medicine (TCM). Methods: The participants were 634 patients of a government-subsidized Chinese medicine outpatient clinic in Hong Kong. They were asked to complete a series of questionnaires on patient enablement, health anxiety, anxiety, depression, physical distress, annual clinic visits, and service satisfaction and provided various demographic details. Descriptive statistics, correlations, and general linear models were used to analyze the data. Results: We found that patient enablement correlated positively with service satisfaction. Patient enablement also interacted significantly with health anxiety in affecting indices of psychological distress (depression, anxiety) and treatment seeking (annual visits). Among highly enabled patients, the positive association between health anxiety and indices of psychological distress was weakened, and they also showed more health anxiety–driven treatment seeking as measured by annual clinic visits. Conclusion: These findings suggest a moderating mechanism by which patient enablement weakens the relationship between health anxiety on psychological well-being and increases treatment-seeking behavior in TCM. Practitioners are encouraged to provide sufficient information to patients to foster self-care and disease self-management using complementary and alternative medicine (CAM).
Persistent Identifierhttp://hdl.handle.net/10722/290977
ISSN
2019 Impact Factor: 2.067
2015 SCImago Journal Rankings: 1.244
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorChan, CHY-
dc.contributor.authorLau, BHP-
dc.contributor.authorChan, THY-
dc.contributor.authorLeung, HT-
dc.contributor.authorSo, GYK-
dc.contributor.authorChan, CLW-
dc.date.accessioned2020-11-02T05:49:48Z-
dc.date.available2020-11-02T05:49:48Z-
dc.date.issued2020-
dc.identifier.citationFrontiers in Psychology, 2020, v. 11, p. article no. 1081-
dc.identifier.issn1664-1078-
dc.identifier.urihttp://hdl.handle.net/10722/290977-
dc.description.abstractBackground: Little research effort has been devoted to examining the role of patient enablement in alleviating health anxiety in primary care. In this study, we examined the role of patient enablement as a moderator in the relationship between health anxiety, psychological distress, and treatment seeking in traditional Chinese medicine (TCM). Methods: The participants were 634 patients of a government-subsidized Chinese medicine outpatient clinic in Hong Kong. They were asked to complete a series of questionnaires on patient enablement, health anxiety, anxiety, depression, physical distress, annual clinic visits, and service satisfaction and provided various demographic details. Descriptive statistics, correlations, and general linear models were used to analyze the data. Results: We found that patient enablement correlated positively with service satisfaction. Patient enablement also interacted significantly with health anxiety in affecting indices of psychological distress (depression, anxiety) and treatment seeking (annual visits). Among highly enabled patients, the positive association between health anxiety and indices of psychological distress was weakened, and they also showed more health anxiety–driven treatment seeking as measured by annual clinic visits. Conclusion: These findings suggest a moderating mechanism by which patient enablement weakens the relationship between health anxiety on psychological well-being and increases treatment-seeking behavior in TCM. Practitioners are encouraged to provide sufficient information to patients to foster self-care and disease self-management using complementary and alternative medicine (CAM).-
dc.languageeng-
dc.publisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology-
dc.relation.ispartofFrontiers in Psychology-
dc.rightsThis Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjecthealth anxiety-
dc.subjectpatient enablement-
dc.subjectpsychosomatic distress-
dc.subjectprimary care-
dc.subjectChinese medicine-
dc.titleExamining the Moderating Role of Patient Enablement on the Relationship Between Health Anxiety and Psychosomatic Distress: A Cross-Sectional Study at a Traditional Chinese Medicine Outpatient Clinic in Hong Kong-
dc.typeArticle-
dc.identifier.emailChan, CHY: chancelia@hku.hk-
dc.identifier.emailSo, GYK: gsyk@hku.hk-
dc.identifier.emailChan, CLW: cecichan@hku.hk-
dc.identifier.authorityChan, CHY=rp00498-
dc.identifier.authorityChan, CLW=rp00579-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3389/fpsyg.2020.01081-
dc.identifier.pmid32655430-
dc.identifier.pmcidPMC7325961-
dc.identifier.scopuseid_2-s2.0-85087035895-
dc.identifier.hkuros317819-
dc.identifier.volume11-
dc.identifier.spagearticle no. 1081-
dc.identifier.epagearticle no. 1081-
dc.publisher.placeSwitzerland-

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