What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized?
What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized?
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DOI：
10.1016/j.jpsychores.2005.03.004
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发表时间：
2005-10-01
影响因子：
4.7
通讯作者：
Humphris, GM
中科院分区：
文献类型：
--
作者：
Salmon, P;Ring, A;Humphris, GM
目的：我们测试的预测，医学上无法解释的症状（MUS）的患者希望更多的情感支持和解释，从他们的全科医生（GP）比其他patients，医生发现他们更控制，因为这一点。设计：35名医生参加了一个横断面比较的病例匹配组。357例连续就诊的MUS患者与357例解释症状的就诊医生和就诊时间相匹配。患者自我报告他们想要身体干预，情感支持，解释和安慰的程度。医生们评估了他们对病人对咨询的影响的看法。预测进行了多层次analysis.Results检验：MUS患者寻求更多的情感支持比别人，但没有更多的解释和安慰或躯体干预。少数医生认为他们比其他人发挥更大的影响力。患者的影响力的经验与患者的愿望support.Conclusions：未来的研究应该研究为什么全科医生提供不成比例的躯体干预的患者谁寻求，而不是更高水平的情感支持。(c)2005年爱思唯尔公司All rights reserved.
Objective: We tested predictions that patients with medically unexplained symptoms (MUS) want more emotional support and explanation from their general practitioners (GPs) than do other patients, and that doctors find them more controlling because of this.Design: Thirty-five doctors participated in a cross-sectional comparison of case-matched groups. Three hundred fifty-seven patients attending consecutively with MUS were matched for doctor and time of attendance with 357 attending with explained symptoms. Patients self-reported the extent to which they wanted somatic intervention, emotional support, explanation and reassurance. Doctors rated their perception of patients' influence on the consultation. Predictions were tested by multilevel analyses.Results: Patients with MUS sought more emotional support than did others, but no more explanation and reassurance or somatic intervention. A minority of doctors experienced them as exerting more influence than others. The experience of patient influence was related to the patients' desire for support.Conclusions: Future research should examine why GPs provide disproportionate levels of somatic intervention to patients who seek, instead, greater levels of emotional support. (c) 2005 Elsevier Inc. All rights reserved.