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Related Experiment Videos

Patient-practitioner agreement: does it matter?

M Gabbay1, C Shiels, P Bower

  • 1Department of Primary Care, University of Liverpool.

Psychological Medicine
|March 8, 2003
PubMed
Summary
This summary is machine-generated.

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See all related articles

Patient-therapist agreement on presenting problems in depression care is less critical than recognizing the issue as psychological. This understanding impacts therapy outcomes and patient satisfaction.

Area of Science:

  • Clinical Psychology
  • Primary Care Medicine
  • Health Communication

Background:

  • Effective clinical communication enhances patient outcomes.
  • Previous studies highlight the importance of shared understanding of patient complaints.
  • This study focuses on agreement in primary care for depressed patients.

Purpose of the Study:

  • To investigate the nature of agreement between patients, GPs, and therapists regarding presenting problems.
  • To assess the impact of this agreement on clinical outcomes in depressed primary care patients.

Main Methods:

  • A randomized controlled trial comparing cognitive-behavioural therapy and non-directive counselling.
  • Patients, GPs, and therapists completed problem formulations from a standardized list.

Related Experiment Videos

  • Outcome measures included Beck Depression Inventory (BDI) scores, therapy attendance, dropout rates, and patient satisfaction.
  • Main Results:

    • Patient formulations were more detailed than GPs', who were more detailed than therapists'.
    • Complete agreement between patients and therapists correlated with lower BDI scores at 12 months (9.7 vs. 12.8, P=0.03).
    • No other significant associations were found between agreement extent and clinical outcomes, though weak links to patient satisfaction existed.

    Conclusions:

    • Detailed agreement on specific complaints may be less crucial than a shared belief in a psychological basis for the problem.
    • Referral for psychological therapy is supported when a psychological cause is acknowledged.