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Relational Discord in Urban Primary Care: Prevalence Rates and Psychiatric Comorbidities
The current study primarily assesses uninsured, low-income patients (n = 125) in a primary care practice. Despite the knowledge that family relationships affect the management and outcomes of chronic illness, the rates of relational discord among primary care patients are unknown. Findings reveal th...
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| Published in: | Journal of health care for the poor and underserved 2014-05, Vol.25 (2), p.913-929 |
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| Main Authors: | , , , , |
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| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c432t-80eecda73d6ecb86b1dcccd282aa7d7263c98be8bc66c81975cded9c80c6e11e3 |
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| container_end_page | 929 |
| container_issue | 2 |
| container_start_page | 913 |
| container_title | Journal of health care for the poor and underserved |
| container_volume | 25 |
| creator | Woods, Sarah B Priest, Jacob B Fish, Jessica N Rodriguez, José E Denton, Wayne H |
| description | The current study primarily assesses uninsured, low-income patients (n = 125) in a primary care practice. Despite the knowledge that family relationships affect the management and outcomes of chronic illness, the rates of relational discord among primary care patients are unknown. Findings reveal that 54% of patients met criteria for problematic family functioning, while 40% of those in a romantic relationship reported relationship distress. In addition, 67% reported depression, 32% reported clinical levels of anxiety, and 33% at-risk alcohol use. Researchers used latent class analysis to explore characteristics of the sample, which revealed four classes. Comparisons with prior research with similar populations are made and implications for behavioral health providers working within primary care are discussed. |
| doi_str_mv | 10.1353/hpu.2014.0101 |
| format | article |
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Despite the knowledge that family relationships affect the management and outcomes of chronic illness, the rates of relational discord among primary care patients are unknown. Findings reveal that 54% of patients met criteria for problematic family functioning, while 40% of those in a romantic relationship reported relationship distress. In addition, 67% reported depression, 32% reported clinical levels of anxiety, and 33% at-risk alcohol use. Researchers used latent class analysis to explore characteristics of the sample, which revealed four classes. Comparisons with prior research with similar populations are made and implications for behavioral health providers working within primary care are discussed.</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2014.0101</identifier><identifier>PMID: 24858894</identifier><identifier>CODEN: JHCUEK</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>Alcohol ; Alcoholism - epidemiology ; Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Anxiety-Depression ; Cardiovascular disease ; Chronic Disease - epidemiology ; Chronic Disease - psychology ; Chronic Disease - therapy ; Comorbidity ; Cross-Sectional Studies ; Depression - epidemiology ; Drinking behavior ; Family ; Family Conflict - psychology ; Female ; Florida - epidemiology ; Humans ; Latent class analysis ; Low income people ; Male ; Medical research ; Medical service ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental Disorders - therapy ; Middle Aged ; Mortality ; Patients ; Population ; Prevalence ; Primary care ; Primary health care ; Primary Health Care - statistics & numerical data ; Socioeconomic factors ; Uninsured persons ; Urban Population</subject><ispartof>Journal of health care for the poor and underserved, 2014-05, Vol.25 (2), p.913-929</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press May 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-80eecda73d6ecb86b1dcccd282aa7d7263c98be8bc66c81975cded9c80c6e11e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1534012203?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12822,21370,21371,27839,27898,27899,30973,30974,33585,33586,34504,34505,43706,44088</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24858894$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woods, Sarah B</creatorcontrib><creatorcontrib>Priest, Jacob B</creatorcontrib><creatorcontrib>Fish, Jessica N</creatorcontrib><creatorcontrib>Rodriguez, José E</creatorcontrib><creatorcontrib>Denton, Wayne H</creatorcontrib><title>Relational Discord in Urban Primary Care: Prevalence Rates and Psychiatric Comorbidities</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>The current study primarily assesses uninsured, low-income patients (n = 125) in a primary care practice. Despite the knowledge that family relationships affect the management and outcomes of chronic illness, the rates of relational discord among primary care patients are unknown. Findings reveal that 54% of patients met criteria for problematic family functioning, while 40% of those in a romantic relationship reported relationship distress. In addition, 67% reported depression, 32% reported clinical levels of anxiety, and 33% at-risk alcohol use. Researchers used latent class analysis to explore characteristics of the sample, which revealed four classes. 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epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Patients</subject><subject>Population</subject><subject>Prevalence</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Socioeconomic factors</subject><subject>Uninsured persons</subject><subject>Urban Population</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><sourceid>7TQ</sourceid><recordid>eNqNks9rFTEQx4Motn169CoBL172mZ-7E2_y1CoULNWCtyU7mdI89scz2RX635vl1QqeekoCH2Yy388w9kqKrdRWv7s9LFslpNkKKeQTdiqtgaqG2j0td2FcpQS4E3aW814IobXRz9mJMmABnDllP6-o93OcRt_zjzHjlAKPI79OnR_5ZYqDT3d85xO9Ly_67XsakfiVnylzPwZ-me_wNvo5ReS7aZhSF0OcI-UX7NmN7zO9vD837Przpx-7L9XFt_Ovuw8XFRqt5goEEQbf6FATdlB3MiBiUKC8b0Kjao0OOoIO6xpBusZioOAQBNYkJekNe3use0jTr4Xy3A5lDOp7P9K05FZa68rgjXGPQYUDYwAegSoAMFrYgr75D91PSyp5rpQ2QipVYt-w6khhmnJOdNMejuG2UrSryLaIbFeR7Sqy8K_vqy7dQOGB_muuAOah7Z5wHpZM_zpbY8vf2u_rNqzLII0q8q3QfwB5rKii</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Woods, Sarah B</creator><creator>Priest, Jacob B</creator><creator>Fish, Jessica N</creator><creator>Rodriguez, José E</creator><creator>Denton, Wayne H</creator><general>Johns Hopkins University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BSCPQ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PMKZF</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>UXAQP</scope><scope>7X8</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope></search><sort><creationdate>20140501</creationdate><title>Relational Discord in Urban Primary Care: Prevalence Rates and Psychiatric Comorbidities</title><author>Woods, Sarah B ; Priest, Jacob B ; Fish, Jessica N ; Rodriguez, José E ; Denton, Wayne H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-80eecda73d6ecb86b1dcccd282aa7d7263c98be8bc66c81975cded9c80c6e11e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Alcohol</topic><topic>Alcoholism - 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statistics & numerical data</topic><topic>Socioeconomic factors</topic><topic>Uninsured persons</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woods, Sarah B</creatorcontrib><creatorcontrib>Priest, Jacob B</creatorcontrib><creatorcontrib>Fish, Jessica N</creatorcontrib><creatorcontrib>Rodriguez, José E</creatorcontrib><creatorcontrib>Denton, Wayne H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Black Studies Center</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>ProQuest Consumer Health Database</collection><collection>ProQuest Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Digital Collections</collection><collection>ProQuest Sociology & Social Sciences Collection</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>ProQuest Black Studies</collection><collection>MEDLINE - Academic</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><jtitle>Journal of health care for the poor and underserved</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woods, Sarah B</au><au>Priest, Jacob B</au><au>Fish, Jessica N</au><au>Rodriguez, José E</au><au>Denton, Wayne H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relational Discord in Urban Primary Care: Prevalence Rates and Psychiatric Comorbidities</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>25</volume><issue>2</issue><spage>913</spage><epage>929</epage><pages>913-929</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><coden>JHCUEK</coden><abstract>The current study primarily assesses uninsured, low-income patients (n = 125) in a primary care practice. Despite the knowledge that family relationships affect the management and outcomes of chronic illness, the rates of relational discord among primary care patients are unknown. Findings reveal that 54% of patients met criteria for problematic family functioning, while 40% of those in a romantic relationship reported relationship distress. In addition, 67% reported depression, 32% reported clinical levels of anxiety, and 33% at-risk alcohol use. Researchers used latent class analysis to explore characteristics of the sample, which revealed four classes. Comparisons with prior research with similar populations are made and implications for behavioral health providers working within primary care are discussed.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>24858894</pmid><doi>10.1353/hpu.2014.0101</doi><tpages>17</tpages></addata></record> |
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| identifier | ISSN: 1049-2089 |
| ispartof | Journal of health care for the poor and underserved, 2014-05, Vol.25 (2), p.913-929 |
| issn | 1049-2089 1548-6869 1548-6869 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection; Social Science Premium Collection; Sociology Collection; PAIS Index |
| subjects | Alcohol Alcoholism - epidemiology Anxiety Anxiety - epidemiology Anxiety - psychology Anxiety-Depression Cardiovascular disease Chronic Disease - epidemiology Chronic Disease - psychology Chronic Disease - therapy Comorbidity Cross-Sectional Studies Depression - epidemiology Drinking behavior Family Family Conflict - psychology Female Florida - epidemiology Humans Latent class analysis Low income people Male Medical research Medical service Mental Disorders - epidemiology Mental Disorders - psychology Mental Disorders - therapy Middle Aged Mortality Patients Population Prevalence Primary care Primary health care Primary Health Care - statistics & numerical data Socioeconomic factors Uninsured persons Urban Population |
| title | Relational Discord in Urban Primary Care: Prevalence Rates and Psychiatric Comorbidities |
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