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Helpful ways providers can communicate about persistent medically unexplained physical symptoms.

Nicole Anastasides¹, Carmelen Chiusano¹, Christina Gonzalez¹

¹War Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.

BMC Family Practice

|January 18, 2019

Summary

Veterans with Gulf War Illness (GWI) find provider acknowledgement, validation, and symptom management recommendations most helpful. However, a significant portion reported no helpful communication, indicating missed opportunities in patient-provider interactions for medically unexplained symptoms (MUS).

Keywords:

Gulf war illness Medically unexplained symptoms Patient provider communication Patient provider relationship Qualitative Veteran

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Area of Science:

Medical Communication
Patient-Provider Relationship
Gulf War Illness

Background:

Persistent "medically unexplained" physical symptoms (MUS) often involve communication discordance between patients and providers.
Gulf War Illness (GWI) is a type of MUS where patients historically face complex medical relationships.
Effective communication strategies for GWI patients may offer insights for all MUS patients.

Purpose of the Study:

To identify what communication veterans with GWI perceive as most helpful from their medical providers.
To understand critical communication elements for patients with complex medical conditions like GWI.

Main Methods:

A written questionnaire was administered to 210 veterans diagnosed with GWI.
Participants were asked to identify the most useful information received from their medical providers regarding GWI.
Responses were systematically coded into predefined categories.

Main Results:

The most frequently reported helpful communication was provider acknowledgement and validation (N=70).
Specific recommendations for managing GWI or its symptoms were also commonly cited as helpful (N=48).
A substantial number of patients (N=63) reported that no aspect of their provider's communication was helpful.

Conclusions:

Most GWI patients can identify helpful provider communication, especially acknowledgement, validation, and treatment recommendations.
The study highlights significant missed communication opportunities, with one-third of patients finding no communication helpful.
Findings underscore the importance of empathetic and informative communication in managing medically unexplained symptoms.