ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Facilitating understanding of mental health problems in GP consultations: a qualitative study using taped-assisted recall.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators to GP-patient communication about emotional concerns in UK primary care: a systematic review.Family practice · 2020Pooled it
- Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation.BMC psychiatry · 2019Trial
- Realist assessment of fidelity during the implementation of the PARTNERS collaborative care intervention for people with diagnoses of severe mental illness within a cluster randomised controlled trial.PLOS mental health · 2024Article
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- The INCLUDE study: INtegrating and improving Care for patients with infLammatory rheUmatological DisordErs in the community; identifying multimorbidity: Protocol for a pilot randomized controlled trial.Journal of comorbidity · 2018Article
- A scoping review of the potential for chart stimulated recall as a clinical research method.BMC health services research · 2017Article
- 'She believed in me'. What patients with depression value in their relationship with practitioners. A secondary analysis of multiple qualitative data sets.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- 'I should have taken that further' - missed opportunities during cardiovascular risk assessment in patients with psoriasis in UK primary care settings: a mixed-methods study.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- Which medical interview skills are associated with patients' verbal indications of undisclosed feelings of anxiety and depressive feelings?Asia Pacific family medicine · 2016Article
- 'I wouldn't push that further because I don't want to lose her': a multiperspective qualitative study of behaviour change for long-term conditions in primary care.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Therapeutic consultations for patients with depressive symptoms.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Improving the care of people with long-term conditions in primary care: protocol for the ENHANCE pilot trial.Journal of comorbidity · 2015Article
- How QOF is shaping primary care review consultations: a longitudinal qualitative study.BMC family practice · 2013Article
- What we talk about when we talk about depression: doctor-patient conversations and treatment decision outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- The interpretation of low mood and worry by high users of secondary care with medically unexplained symptoms.BMC family practice · 2011Article
- Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study.Journal of multimorbidity and comorbidityArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health problems are common in primary care and most are managed solely by the GP. Patients strive to understand their mental health problems, and facilitating patients' understanding may be important in their care, yet little is known about this process in GP consultations.
aimTo explore how patients' understanding of common mental health problems is developed in GP consultations. DESIGN OF STUDY: Qualitative study.
settingTen general practices in North Central London.
methodFourteen patients and their GPs were interviewed using the taped-assisted recall (TAR) method, and asked how understanding of the patients' mental health problems had been discussed in a recent consultation. The resulting 42 transcripts of the GP-patient consultations and separate GP and patient TAR interviews were analysed using qualitative thematic and process analytic methods.
resultsPatients considered understanding their mental health problems to be important, and half reported their GP consultations as helpful in this respect. The process of coming to an understanding was predominantly patient-led. Patients suggested their own explanations, and these were facilitated and focused by the doctors' questioning, listening, validating, and elaborating aspects they considered important. Both doctors and patients experienced constraints on the extent to which developing understanding of problems was possible in GP consultations.
conclusionGPs can help patients understand their mental health problems by recognising patients' own attempts at explanation and helping to shape and develop these.
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