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Titolo:
Patient-rated therapeutic relationship and outcome in general practitionertreatment of psychological problems
Autore:
Cape, J;
Indirizzi:
Camden & Islington Community Hlth Serv NHS Trust, St Pancras Hosp, London NW1 0PE, England Camden & Islington Community Hlth Serv NHS Trust London England NW1 0PE
Titolo Testata:
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
, volume: 39, anno: 2000,
parte:, 4
pagine: 383 - 395
SICI:
0144-6657(200011)39:<383:PTRAOI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE PHYSICIANS; SOMATIC PRESENTATION; MEDICAL ENCOUNTERS; EMOTIONAL-PROBLEMS; FAMILY PHYSICIANS; PSYCHOTHERAPY; ALLIANCE; SATISFACTION; DEPRESSION; CONSULTATIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
65
Recensione:
Indirizzi per estratti:
Indirizzo: Cape, J Camden & Islington Community Hlth Serv NHS Trust, St Pancras Hosp,1st Floor,East Wing,4 St Pancras Hosp, London NW1 0PE, England Camden & Islington Community Hlth Serv NHS Trust 1st Floor,East Wing,4 St Pancras HospLondon England NW1 0PE
Citazione:
J. Cape, "Patient-rated therapeutic relationship and outcome in general practitionertreatment of psychological problems", BR J CL PSY, 39, 2000, pp. 383-395

Abstract

Objective. To explore the association between therapeutic relationship andclinical outcome in general medical practitioner (GP) treatment of emotional problems. Design. Correlational analyses of patient and observer measures of GP consultations with 3-month clinical outcomes. Method. Patients of nine GPs, presenting with emotional problems as assessed by the 30-item General Health Questionnaire (GHQ-30), were interviewed and completed a questionnaire about their experience of their consultation with the GP. The audiotaped consultations were coded by external observers for patient involvement, doctor empathy and amount of the consultation that involved listening interactions (patient talking and doctor listening). After 3 months the patients completed a postal follow-up questionnaire including the GHQ-SO and a single item measure of patient perceived change. Results. Fifty-seven patients provided follow-up data. Interview and questionnaire measures of patient perceptions of their relationship with the GP in the consultation predicted both GHQ-30 outcome at 3 months (partial correlations controlling for initial GHQ-30, r = .30 and r = .36) and patient perceived change on the single item measure. Observer ratings of patient involvement and doctor empathy predicted patient rated change on the single item measure, but not follow-up GHQ-30. Observer coded listening interactionswere unrelated to both outcome measures. Conclusion. The results indicate an association between patient perceptions of how GP and patient related in the consultation and reduction in symptom severity 3 months later.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 23:17:36