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How do general practitioners handle couple relationship problems in consultations? A focus group study.

Siri D Berge1, Mette Brekke2, Eivind Meland1

  • 1Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

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Summary

General practitioners (GPs) often encounter couple relationship problems but lack specific training. GPs need enhanced skills in cognitive restructuring to effectively address relationship issues and avoid common pitfalls in consultations.

Keywords:
couples therapyfamily relationsgeneral practicegeneral practitionersmarriageprimary health care

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Area of Science:

  • General Practice
  • Family Medicine
  • Psychology

Background:

  • Couple relationship problems are prevalent and linked to adverse health outcomes.
  • General practitioners (GPs) frequently encounter these issues in primary care settings.
  • Understanding GPs' perspectives is crucial for improving patient care.

Purpose of the Study:

  • To explore general practitioners' experiences with couple relationship problems.
  • To identify GPs' expectations and educational needs in managing these consultations.
  • To inform better support strategies for GPs.

Main Methods:

  • An exploratory qualitative study design was employed.
  • Three semistructured focus group interviews were conducted with 18 GPs.
  • Systematic text condensation was used for data analysis.

Main Results:

  • GPs identified opportunities for case-finding but experienced role confusion.
  • Themes included pragmatic case-finding, conceptual/role confusion, and professional/personal experience.
  • While providing supportive therapy, GPs questioned the medical nature of relationship issues and avoided a therapist role.

Conclusions:

  • GPs are confident in offering supportive therapy but face pitfalls like side-taking.
  • GPs do not perceive themselves as therapists despite managing relationship issues.
  • Enhanced training in cognitive restructuring and behavioral flexibility is recommended for GPs.