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A comparison of Swedish IBS patients and general practitioners regarding viewpoints on IBS: a Q-methodology study.
Rauma, Jussi; Jansson, Stefan; Cao, Yang; van Nieuwenhoven, Michiel A.
Afiliação
  • Rauma J; School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
  • Jansson S; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
  • Cao Y; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
  • van Nieuwenhoven MA; Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Scand J Gastroenterol ; 59(6): 632-638, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38557218
ABSTRACT

OBJECTIVES:

Irritable bowel syndrome (IBS) is a common functional gastrointestinal condition. A respectful patient-doctor relationship with good communication is crucial for optimal treatment. Q-methodology is a combination of qualitative and quantitative methods used to study subjectivity. The aim of this study was to compare viewpoints on IBS between patients with IBS and general practitioners (GPs).

METHODS:

We conducted a Q-methodology study by including 30 patients and 30 GPs. All participants were asked to complete Q- sorting of 66 statements on IBS using an online software program. Data were processed using factor analysis. In addition, 3 patients and 3 GPs were interviewed.

RESULTS:

Three factors were extracted from both groups Patient Factor 1 'Question the diagnosis of IBS', Patient Factor 2 'Lifestyle changes for a physical disorder', Patient Factor 3 'Importance of a diagnosis', GP Factor 1 'Unknown causes of great suffering', GP Factor 2 'Lifestyle changes are important, stress makes IBS worse', GP Factor 3 'Recognized the way IBS affects patients'. There was a strong and statistically significant correlation between patient Factor 1 and GP Factor 1, with a Pearson's r of 0.81 (p < 0.001). Correlations between other factors varied.

CONCLUSIONS:

There was consensus between patients and GPs that IBS is a physical and not a psychiatric disorder of unknown etiology. They also seemed to agree that IBS has a great negative impact on patients' lives and that lifestyle changes are beneficial. There were conflicting opinions regarding gender, cultural factors and the use of antidepressants.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Síndrome do Intestino Irritável / Clínicos Gerais Limite: Adult / Aged / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Síndrome do Intestino Irritável / Clínicos Gerais Limite: Adult / Aged / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article