Evidence map›Paper›PMID 34040871›Full record

ArticleHealth psychology and behavioral medicine2020

'Maybe we are losing sight of the human dimension' - physicians' approaches to existential, spiritual, and religious needs among patients with chronic pain or multiple sclerosis. A qualitative interview-study.

Aida Hougaard Andersen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Kirsten K Roessler

Abstract read
In one paragraph

Article in Health psychology and behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. [Chronic pain as an existential challenge].Schmerz (Berlin, Germany) · 2023
    Article
  8. Spiritual Needs Assessment in Post-Secular Contexts: An Integrative Review of Questionnaires.International journal of environmental research and public health · 2021
    Review
  9. The Process of Spiritual Care.Frontiers in psychology · 2021
    Article
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

4 authors.

Aida Hougaard AndersenDepartment of Psychology, Faculty of Health Science, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-5848-1706
Elisabeth Assing HvidtResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Niels Christian HvidtResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-6311-9784
Kirsten K RoesslerDepartment of Psychology, Faculty of Health Science, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveResearch suggests that existential, spiritual, and religious issues are important for patient's psychological adjustment when living with chronic pain and multiple sclerosis. However, there is a paucity of studies investigating how physicians experience and approach these patients' needs.

designPhysicians' experiences with and approaches to existential, spiritual, and religious needs when treating chronic pain or multiple sclerosis were studied in eight semi-structured interviews and analysed using interpretative phenomenological analysis (IPA).

resultsPhysicians found that only few patients had spiritual and religious needs; however, they experienced that every patient were struggling with existential challenges related to the illness and rooted in a changed identity and approaching death. How the physicians approached these needs appeared to be influenced by six conditions: Their medical culture, training, role, experiences of time pressure, their personal interests, and interpersonal approach.

conclusionPhysicians' training seems better suited to meet biomedical objectives and their patients' concrete needs than patients' wish for a relational meeting focused on their subjective lifeworld. This challenge is discussed in relation to modern patient-centeredness, doctor-patient relationship, culturally constructed experiences of privacy, and future clinical practice and research needs.

Indexed as

chronic painDoctor–patient communicationexistential needsinterpretative phenomenological analysismultiple sclerosisqualitative methodsreligious needsspiritual needs

Identifiers

PMID34040871
PMCPMC8114351

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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.