Coping with patients with medically unexplained symptoms: work-related strategies of physicians in primary health care.

General practitioners (GPs) often meet patients with medically unexplained symptoms (MUS). From a patient perspective, MUS is a well-acknowledged problem within the primary health care services today, but less is known about the GPs' perceptions. This study aims to elucidate GPs' perceptions of patients with MUS, focusing on stressing situations, emotional reactions and coping strategies. Twenty-seven physicians participated in focus-group discussions. In the analysis, where a phenomenographic approach was used, six situations were identified as being especially stressful in the encounter with these patients. The GPs described how they used both problem-focused and emotion-focused strategies, but with emotion-focused strategies slightly dominating, indicating that the GPs had difficulties in managing their own stress when working with patients with MUS.

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Adaptation
Psychological
Adult
Anxiety
Appointments and Schedules
Attitude of Health Personnel
Behavioral Symptoms
Diagnosis
Differential
Emotions
Female
Focus Groups
Humans
Male
Middle Aged
Physician-Patient Relations
Physicians
Family
psychology
Primary Health Care
methods
Problem Solving
Rural Health Services
Social Perception
Sweden
Work Capacity Evaluation

Krantz, GunillaGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xkrgun (författare)
Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

Ingår i:Journal of health psychology: SAGE Publications11:1, s. 107-161359-10531461-7277

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