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The Relation of Health Anxiety to Treatment Utilization Among Patients with Substance Use Disorders: The Moderating Role of Racial/Ethnic Background.

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Title: The Relation of Health Anxiety to Treatment Utilization Among Patients with Substance Use Disorders: The Moderating Role of Racial/Ethnic Background.
Authors: Smith, Madison D. (AUTHOR), Kromash, Rachelle (AUTHOR), Siebert, Shania (AUTHOR), Gratz, Kim L. (AUTHOR), Moore, Kelly E. (AUTHOR), Tull, Matthew T. (AUTHOR)
Source: Substance Use & Misuse. 2025, Vol. 60 Issue 1, p28-38. 11p.
Subjects: Psychology of the sick, Substance abuse, Physical diagnosis, Phobias, Health status indicators, Research funding, Mental health, Medical care, Anxiety, Descriptive statistics, Race, Odds ratio, Pain, Minorities, Confidence intervals, Alcoholism, Regression analysis
Geographic Terms: Ohio
Abstract: Background: Although health anxiety is broadly related to the overutilization of healthcare, limited research has examined this relation among individuals with substance use disorders (SUDs), or the extent to which racial/ethnic differences influence this relationship. Objectives: The purpose of the current study is to examine the moderating role of racial/ethnic minoritized background in the relationship between health anxiety and treatment utilization among individuals with SUDs. In the present study, patients with SUDs receiving residential treatment in Mississippi (N=118; 62% racial/ethnic minoritized status, 35.6% White) completed a measure of health anxiety and answered questions about past mental health, physical health, and substance use treatment. Regression models examined whether racial/ethnic minoritized status (White vs. racial/ethnic minoritized status) moderated the relation of health anxiety to treatment utilization among patients with SUDs. Treatment utilization was examined by asking whether participants had seen a doctor or mental health provider, engaged in substance use treatment, or alcohol treatment prior to their current treatment (dichotomous), as well as the number of times they had engaged in each treatment (physical health, mental health, substance use, and alcohol treatment) in the past year (continuous). Results: Results revealed that the facets of health anxiety involving concerns about pain and disease phobia were positively associated with treatment utilization, but only among racial/ethnic minoritized participants, with concerns about pain positively associated with self-reported physical health treatment utilization (OR=0.70, 95% CI=0.50; 0.97) and disease phobia positively associated with past mental health (B = 0.36, p = 0.023) and alcohol use treatment (B=-0.23, p=.009). Conversely, disease phobia was related to less prior alcohol use treatment among White participants (B=-0.23, p=.009). Conclusions: Overall, among patients in residential treatment for SUDs, racial/ethnic minoritized participants with SUDs reported more health anxiety compared to white participants, and certain facets of health anxiety (i.e., concerns about pain and worry about severe illness) were linked to heightened treatment utilization among racial/ethnic minoritized individuals. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The Relation of Health Anxiety to Treatment Utilization Among Patients with Substance Use Disorders: The Moderating Role of Racial/Ethnic Background.
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  Data: <searchLink fieldCode="AR" term="%22Smith%2C+Madison+D%2E%22">Smith, Madison D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kromash%2C+Rachelle%22">Kromash, Rachelle</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Siebert%2C+Shania%22">Siebert, Shania</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gratz%2C+Kim+L%2E%22">Gratz, Kim L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moore%2C+Kelly+E%2E%22">Moore, Kelly E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tull%2C+Matthew+T%2E%22">Tull, Matthew T.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2025, Vol. 60 Issue 1, p28-38. 11p.
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  Data: Background: Although health anxiety is broadly related to the overutilization of healthcare, limited research has examined this relation among individuals with substance use disorders (SUDs), or the extent to which racial/ethnic differences influence this relationship. Objectives: The purpose of the current study is to examine the moderating role of racial/ethnic minoritized background in the relationship between health anxiety and treatment utilization among individuals with SUDs. In the present study, patients with SUDs receiving residential treatment in Mississippi (N=118; 62% racial/ethnic minoritized status, 35.6% White) completed a measure of health anxiety and answered questions about past mental health, physical health, and substance use treatment. Regression models examined whether racial/ethnic minoritized status (White vs. racial/ethnic minoritized status) moderated the relation of health anxiety to treatment utilization among patients with SUDs. Treatment utilization was examined by asking whether participants had seen a doctor or mental health provider, engaged in substance use treatment, or alcohol treatment prior to their current treatment (dichotomous), as well as the number of times they had engaged in each treatment (physical health, mental health, substance use, and alcohol treatment) in the past year (continuous). Results: Results revealed that the facets of health anxiety involving concerns about pain and disease phobia were positively associated with treatment utilization, but only among racial/ethnic minoritized participants, with concerns about pain positively associated with self-reported physical health treatment utilization (OR=0.70, 95% CI=0.50; 0.97) and disease phobia positively associated with past mental health (B = 0.36, p = 0.023) and alcohol use treatment (B=-0.23, p=.009). Conversely, disease phobia was related to less prior alcohol use treatment among White participants (B=-0.23, p=.009). Conclusions: Overall, among patients in residential treatment for SUDs, racial/ethnic minoritized participants with SUDs reported more health anxiety compared to white participants, and certain facets of health anxiety (i.e., concerns about pain and worry about severe illness) were linked to heightened treatment utilization among racial/ethnic minoritized individuals. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=181802937
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      – Type: doi
        Value: 10.1080/10826084.2024.2403122
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 28
    Subjects:
      – SubjectFull: Psychology of the sick
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Physical diagnosis
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      – SubjectFull: Phobias
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      – SubjectFull: Health status indicators
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      – SubjectFull: Research funding
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      – SubjectFull: Mental health
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      – SubjectFull: Anxiety
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      – SubjectFull: Race
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      – SubjectFull: Odds ratio
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      – SubjectFull: Pain
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      – SubjectFull: Minorities
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Alcoholism
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      – SubjectFull: Regression analysis
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      – SubjectFull: Ohio
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      – TitleFull: The Relation of Health Anxiety to Treatment Utilization Among Patients with Substance Use Disorders: The Moderating Role of Racial/Ethnic Background.
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              Text: 2025
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