ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Patients' descriptions of the relation between physical symptoms and negative emotions: a qualitative analysis of primary care consultations.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Integrative Management of Premenstrual Dysphoric Disorder: The Role of Traditional Chinese Medicine.Depression and anxiety · 2026Review
- Symptom and Sentiment Analysis of Older People with Cancer and Caregivers: A Text Mining Approach Using Korean Social Media Data.Healthcare informatics research · 2025Article
- The Five-Dimension Patient Experience Model and Its Applications in Healthcare Using the Example of Spinal Cord Injury and COPD.Journal of patient experience · 2024Article
- Patients' experiences with fluctuations in persistent physical symptoms: a qualitative study.BMJ open · 2020Article
- Language matters: indeed it does.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Body Reprogramming: Reframing the Fibromyalgia narrative and providing an integrative therapeutic model.Health psychology openArticle
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4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundPrimary care guidelines for the management of persistent, often 'medically unexplained', physical symptoms encourage GPs to discuss with patients how these symptoms relate to negative emotions. However, many GPs experience difficulties in reaching a shared understanding with patients.
aimTo explore how patients with persistent symptoms describe their negative emotions in relation to their physical symptoms in primary care consultations, in order to help GPs recognise the patient's starting points in such discussions. DESIGN AND
settingA qualitative analysis of 47 audiorecorded extended primary care consultations with 15 patients with persistent physical symptoms.
methodThe types of relationships patients described between their physical symptoms and their negative emotions were categorised using content analysis. In a secondary analysis, the study explored whether patients made transitions between the types of relations they described through the course of the consultations.
resultsAll patients talked spontaneously about their negative emotions. Three main categories of relations between these emotions and physical symptoms were identified: separated (negation of a link between the two); connected (symptom and emotion are distinct entities that are connected); and inseparable (symptom and emotion are combined within a single entity). Some patients showed a transition between categories of relations during the intervention.
conclusionPatients describe different types of relations between physical symptoms and negative emotions in consultations. Physical symptoms can be attributed to emotions when patients introduce this link themselves, but this link tends to be denied when introduced by the GP. Awareness of the ways patients discuss these relations could help GPs to better understand the patient's view and, in this way, collaboratively move towards constructive explanations and symptom management strategies.
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