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Exploring the Relationship of Three Medical Entitlement Beliefs and Psychiatric/Psychological Variables for Acute and Chronic Pain Patients
Author(s) -
Fishbain David A.,
Bruns Daniel,
Meyer Laura J.,
Lewis John E.,
Gao Jinrun,
Disorbio John Mark
Publication year - 2015
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12210
Subject(s) - entitlement (fair division) , logistic regression , anxiety , narcissism , medicine , anger , depression (economics) , chronic pain , clinical psychology , psychiatry , test (biology) , psychology , social psychology , paleontology , mathematics , mathematical economics , biology , macroeconomics , economics
Objectives The belief in medical care entitlement has recently resulted in major changes in the medical system in the United States. The objectives of this study were the following: to compare endorsement of three medical entitlement beliefs ( I deserve the best medical care no matter what the cost [ BMC ], I am entitled to all of the medical care I want at no charge [ NC ], I shouldn't have to wait to see my doctors [W]) in community nonpatients without pain ( CNPWP ), acute pain patients ( APP s), and chronic pain patients ( CPP s) and to develop predictor models for these beliefs in APP s and CPP s. Design CNPWP , APP s, and CPP s were compared statistically for frequency of endorsement of each belief. All available variables were utilized in logistic regression models to predict each belief in APP s and CPP s. Those affirming/nonaffirming each belief were compared by t ‐test for affirmation of narcissism, dependency, and antisocial practices on three scales from established inventories. Results CPP s were significantly more likely than APP s to endorse BMC . No other comparisons were significant. The logistic regression models identified variables that related to narcissism, anger, doctor dissatisfaction, depression, and anxiety, which entered the models for both APP s and CPP s for some beliefs. Those APP s and CPP s who affirmed the beliefs of NC and W were more likely than their counterparts to affirm antisocial practices, but not narcissism or dependency. Conclusions Patient medical entitlement beliefs may be related to some psychiatric/psychological issues.