Evidence map›Paper›PMID 27845596›Full record

ArticleScandinavian journal of primary health care2016

How can the general practitioner support adolescent children of ill or substance-abusing parents? A qualitative study among adolescents.

Frøydis Gullbrå, Tone Smith-Sivertsen, Anette Hauskov Graungaard, Guri Rortveit, Marit Hafting

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Frøydis Gullbråa Uni Research Health, Research Unit for General Practice , Bergen , Norway.
Tone Smith-Sivertsena Uni Research Health, Research Unit for General Practice , Bergen , Norway.
Anette Hauskov Graungaardc Research Unit for General Practice , University of Copenhagen , Copenhagen , Denmark.
Guri Rortveita Uni Research Health, Research Unit for General Practice , Bergen , Norway.
Marit Haftingd Uni Research Health , Regional Research Centre for Child and Adolescent Mental Health West , Bergen , Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore significant experiences of adolescents as next of kin that the general practitioner (GP) should identify and recognize.

designQualitative study with focus-group interviews. SUBJECTS AND

settingThree focus-group interviews were conducted with a total of 15 Norwegian adolescents each with an ill or substance-abusing parent. The participants were recruited from existing support groups.

resultsThe adolescents' days were dominated by unpredictability in their family situation and their own exhausting efforts to keep up an ordinary youth life. Mostly, they consulted GPs for somatic complaints. In encounters with the GP, they wanted to be met both as a unique person and as a member of a family with burdens. Their expectations from the GP were partly negatively formed by their experiences. Some had experienced that both their own and their parent's health problems were not addressed properly. Others reported that the GP did not act when he or she should have been concerned about their adverse life situation. The GP may contribute to better long-term psychosocial outcomes by ensuring that the adolescents receive information about the parent's illness and have someone to talk to about their feelings and experiences. In addition, the GP may help by supporting their participation in relieving activities.

conclusionBurdened adolescents seek a GP most often for somatic complaints. The GP has a potential to support them by taking the initiative to talk about their life situation, and by recognizing their special efforts. Key points Little is known about how a general practitioner can support adolescents with ill or substance-abusing parents. Adolescents experience unpredictability in life and strive to find balance between their own needs and the restrictions caused by parental illness. In encounters with adolescents having ill parents, the GP should take the initiative to talk about their family situation. The GP may help them by recognizing their experiences and struggles, give information, offer talks and support coping strategies.

Indexed as

Child of Impaired ParentsChronic DiseaseGeneral PractitionersParentsSocial SupportSubstance-Related DisordersAdolescentAdolescent HealthCounselingFamily PracticeFemaleFocus GroupsHumansMaleNorwayPatient Satisfactionadolescent health serviceChildren of impaired parentsfocus groupsgeneral practicegeneral practitionershealth promotionNorwayqualitative research

Identifiers

PMID27845596
PMCPMC5217276

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.