| Full text | |
| Author(s): |
Mario Alfredo De Marco
[1]
;
Vanessa Albuquerque Cítero
[2]
;
Maria Cezira Fantini Nogueira-Martins
[3]
;
Latife Yazigi
[4]
;
Lawrence Sagin Wissow
[5]
;
Luiz Antonio Nogueira-Martins
[6]
;
Sergio Baxter Andreoli
[7]
Total Authors: 7
|
| Affiliation: | [1] Universidade Federal de São Paulo. Department of Psychiatry - Brasil
[2] Universidade Federal de São Paulo. Department of Psychiatry - Brasil
[3] Health Department of the State of São Paulo. Health Institute - Brasil
[4] Universidade Federal de São Paulo. Department of Psychiatry - Brasil
[5] Johns Hopkins Bloomberg School of Public Health. Department of Health Policy and Management
[6] Universidade Federal de São Paulo. Department of Psychiatry - Brasil
[7] Universidade Federal de São Paulo. Department of Psychiatry - Brasil
Total Affiliations: 7
|
| Document type: | Journal article |
| Source: | São Paulo Medical Journal; v. 129, n. 1, p. 5-10, 2011-01-06. |
| Abstract | |
CONTEXT AND OBJECTIVE: Previous studies have attempted to understand what leads physicians to label patients as 'difficult'. Understanding this process is particularly important for resident physicians, who are developing attitudes that may have long-term impact on their interactions with patients. The aim of this study was to distinguish between patients' self-rated emotional state (anxiety and depression) and residents' perceptions of that state as a predictor of patients being considered difficult. DESIGN AND SETTING: Cross-sectional survey conducted in the hospital of Universidade Federal de São Paulo (Unifesp). METHODS: The residents completed a sociodemographic questionnaire and rated their patients using the Hospital Anxiety and Depression Scale (HADS) and Difficulty in Helping the Patient Questionnaire (DTH). The patients completed HADS independently and were rated using the Karnofsky Performance Status scale. RESULTS: On average, the residents rated the patients as presenting little difficulty. The residents' ratings of difficulty presented an association with their ratings for patient depression (r = 0.35, P = 0.03) and anxiety (r = 0.46, P = 0.02), but not with patients' self-ratings for depression and anxiety. Residents from distant cities were more likely to rate patients as difficult to help than were residents from the city of the hospital (mean score of 1.93 versus 1.07; P = 0.04). CONCLUSIONS: Understanding what leads residents to label patients as having depression and anxiety problems may be a productive approach towards reducing perceived difficulty. Residents from distant cities may be more likely to find their patients difficult (AU) | |
| FAPESP's process: | 02/12918-8 - Effectiveness clinical indicators of general hospital's mental health services: identification of new indicators |
| Grantee: | Sérgio Baxter Andreoli |
| Support Opportunities: | Regular Research Grants |