Potentially traumatic events and serious life stressors are prospectively associated with frequency of doctor visits and overnight hospital visits

Gawronski, Katerina A.B.; Kim, Eric S.; Miller, Laura E.

doi:10.1016/j.jpsychores.2014.05.009

Cited by 15Posttraumatic Stress Disorder ResearchChild Abuse and TraumaMigration, Health and Trauma

Potentially traumatic events and serious life stressors are prospectively associated with frequency of doctor visits and overnight hospital visits

Gawronski, Katerina A.B., Kim, Eric S., Miller, Laura E.·2014·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2014.05.009

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Abstract

Objective Cumulative lifetime exposure to potentially traumatic events and serious life stressors has been linked with both mental and physical health problems; however, less is known about the association between exposure to potentially traumatic events and serious life stressors with health care use. We investigated whether a higher number of potentially traumatic events and serious life stressors were prospectively associated with an increased number of doctor visits and nights spent in the hospital.Methods Participants were drawn from the Health and Retirement Study, a prospective and nationally representative study of adults aged 50+ in the United States (n=7168). We analyzed the data using a generalized linear model with a gamma distribution and log link.Results A higher number of potentially traumatic events and serious life stressors were associated with an increased number of doctor visits and nights spent in the hospital. On a 10-point scale, each additional potentially traumatic event or serious life stressor was associated with an 8% increase in doctor visits after controlling for sociodemographic factors (RR=1.08, 95% CI=1.06-1.11; p<.001). Each additional potentially traumatic event or serious life stressor was also associated with an 18% increase in the number of nights spent in the hospital after controlling for sociodemographic factors (RR=1.18, 95% CI=1.10-1.27; p<.001).Conclusion Exposure to potentially traumatic events and serious life stressors is associated with increased doctor visits and nights spent in the hospital, which may have important implications for the current standard of care.

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Authors: Gawronski, K. A. B., Kim, E. S., & Miller, L. E.
Affiliations: University of Michigan (US)
University of Notre Dame (US)
Corresponding author: Gawronski, Katerina A.B.
ORCID: Kim, Eric S.
Miller, Laura E.
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2014-08
Volume: 77
Issue: 2
Pages: 90-96
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2014.05.009
OpenAlex: W2000078593
Cited by: 15
References: 65
Citations by year: 2026: 1 · 2025: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 2
FWCI: 2.36
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (U01AG09740)
Social Security Administration
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords: potentially traumatic events, health care utilization, physician visits, hospitalization, older adults
MeSH terms: Aged, Aged, 80 and over, Female, Hospitalization, Humans, Life Change Events, Male, Middle Aged, Office Visits, Prospective Studies, Risk, Stress, Psychological, United States, Wounds and Injuries

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Potentially traumatic events and serious life stressors are prospectively associated with frequency of doctor visits and overnight hospital visits

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