The Subjective Health Complaint Inventory (SHC)

Transkript

1 The Subjective Health Complaint Lister opp 9 plager, somatiske og psykologiske grad av plage skal angis på en -punkts skala varighet (antall dager med plage siste 3 dager) The Subjective Health Complaint ingen diagnose av plagen ingen attribuering til psykologiske eller psykosomatiske faktorer 1

2 Helseproblemer siste 3 døgn Nedenfor nevnes noen alminnelige helseproblemer 1. Forkjølelse, influensa. Hoste, bronkitt 3. Astma. Hodepine 5. Nakkesmerter. Smerter øverst i ryggen 7. Smerter i korsrygg 8. Smerter i armer 9. Smerter i skuldre 1. Migrene 11. Hjertebank, ekstraslag 1. Brystsmerter 13. Pustevansker 1. Smerter i føttene ved anstrengelser 15. Sure oppstøt, "halsbrann" 1. Sug eller svie i magen 17. Magekatarr, magesår 18. Mageknip 19. "Luftplager". Løs avføring, diaré 1. Forstoppelse. Eksem 3. Allergi. Hetetokter 5. Søvnproblemer. Tretthet 7. Svimmelhet 8. Angst 9. Nedtrykthet, depresjon =ikke plaget 1=litt plaget =endel plaget 3=alvorlig plaget Antall dager plagene varte (omtrent) The Subjective Health Complaint Faktoranalyse gav 5 faktorer: 1) muskelskjelett plager (hodepine,nakke,øvre rygg, korsrygg, armer, skulder, migrene, føtter) Eriksen, H.R., Ihlebæk, C. & Ursin, H A scoring system for subjective health complaints (SHC). Scand J Public Health; 7(1): 3-7.

3 The Subjective Health Complaint ) pseudonevrologiske plager (ekstra hjerteslag, hetetokter, søvnproblemer, tretthet, svimmelhet, angst, depresjon) Eriksen, H.R., Ihlebæk, C. & Ursin, H A scoring system for subjective health complaints (SHC). Scand J Public Health; 7(1): 3-7. The Subjective Health Complaint 3) gastrointestinale plager (sure oppstøt, sug/svie i magen, magesår, mageknip, gassproblemer, diare, forstoppelse) Eriksen, H.R., Ihlebæk, C. & Ursin, H A scoring system for subjective health complaints (SHC). Scand J Public Health; 7(1):

4 The Subjective Health Complaint ) allergi (astma, pustevansker, eksem, allergier, brystsmerter) Eriksen, H.R., Ihlebæk, C. & Ursin, H A scoring system for subjective health complaints (SHC). Scand J Public Health; 7(1): 3-7. The Subjective Health Complaint 5) forkjølelse (forkjølelse, hoste) Total sumskåre Eriksen, H.R., Ihlebæk, C. & Ursin, H A scoring system for subjective health complaints (SHC). Scand J Public Health; 7(1): 3-7.

5 The Subjective Health Complaint Intern konsistens på faktorene er tilfredstillende Test-retest bra Validitet? Number of people 3 What is subjective health complaints? Normal, everyday complaints Chronic, disabling complaints Ihlebæk, C, Eriksen, H.R. & Ursin, H.. Prevalence of subjective health complaints (SHC) in Norway. Scand J Public Health, 3(1): -9. 5

6 Normalbefolkning antall plager - SHC total skår % Normaldata Ihlebæk C, Lie SA, Eriksen HR. Subjective health complaints in the general population, low back pain patients, chronic whiplash patients, irritable bowel syndrome patients, neurasthenia patients, and disability pensioners with musculoskeletal disorders. To be submitted. Forskjell mellom pasienter og normalbefolkning antall plager SHC total skår % Normaldata Rygg Ihlebæk C, Lie SA, Eriksen HR. Subjective health complaints in the general population, low back pain patients, chronic whiplash patients, irritable bowel syndrome patients, neurasthenia patients, and disability pensioners with musculoskeletal disorders. To be submitted.

7 % Forskjell mellom pasienter og normalbefolkning antall plager SHC total skår Normaldata Rygg Kronisk whiplash Ihlebæk C, Lie SA, Eriksen HR. Subjective health complaints in the general population, low back pain patients, chronic whiplash patients, irritable bowel syndrome patients, neurasthenia patients, and disability pensioners with musculoskeletal disorders. To be submitted. % Forskjell mellom pasienter og normalbefolkning antall plager SHC total skår Normaldata Rygg Kronisk whiplash IBS Ihlebæk C, Lie SA, Eriksen HR. Subjective health complaints in the general population, low back pain patients, chronic whiplash patients, irritable bowel syndrome patients, neurasthenia patients, and disability pensioners with musculoskeletal disorders. To be submitted. 7

8 % Forskjell mellom pasienter og normalbefolkning antall plager SHC total skår Normaldata Rygg Kronisk whiplash IBS Neurasteni Ihlebæk C, Lie SA, Eriksen HR. Subjective health complaints in the general population, low back pain patients, chronic whiplash patients, irritable bowel syndrome patients, neurasthenia patients, and disability pensioners with musculoskeletal disorders. To be submitted. Number of musculoskeletal complaints (median) Ihlebæk C, Lie SA, Eriksen HR. Subjective health complaints in the general population, low back pain patients, chronic whiplash patients, irritable bowel syndrome patients, neurasthenia patients, and disability pensioners with musculoskeletal disorders. To be submitted. 8

9 Uoffesielt NM i muskel-skjelett plager WAD pasienter IBS pasienter 3 Neurasteni pasienter 1 Ihlebæk, C, Eriksen, HR, Natvig, B, Bruusgaard D. Some people get it all Widespreadness of musculoskeletal pain is associated with more of all other types of subjective health complaints. Submitted BMC. 9

10 Kamaleri YB, Natvig B, Ihlebæk C, Benth JS, Bruusgaard D. Number of pain sites is associated with demographic-, lifestyle-, and health-related factors in the general population. Resubmitted to Eur Pain. 3,5 Function and widespreadness COOP -WONCA score (range 1-5) 3,5 1,5 Physical fitness Feelings Daily activities Social activities Number of pain sites last week Kamaleri YB, Natvig B, Ihlebæk C, Bruusgaard D. Localized or widespread musculoskeletal pain: Does it matter? Resubmitted to Pain. 1

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12 Sickness absence and pain 15 Change in prevalence Change in degree Change in sickness absence % change Muskuloskeletal factor Pseudoneurological factor Gastrointestinal factor Allergy factor Flu factor Ihlebæk, C., Brage, S. Eriksen, HR. 7. Subjective health complaints and sickness absence in Norway Occupational medicine, 57(1):3-9 Eriksen, H.R., Hellesnes, B., Staff, P., and Ursin, H. Are subjective health complaints a result of modern civilization? International Journal of behavioral Medicine, ; 11(),

13 Wilhelmsen I, Mulindi S, Sankok D, Wilhelmsen AB, Eriksen HR, Ursin H. Subjective health complaints are more prevalent in Maasais than in Norwegians. Nord J Psychiatry. 7;1():3-9. Subjective health complaints 5 Means 3 1 Musculo-skeletal Pseudo-neurology Gastro Allergy Flu Norway Mangyan Maasai 13