Evidence map›Paper›PMID 42418273›Full record

ArticleScandinavian journal of primary health care2026

In search of existential health in Swedish primary care: perspectives from older adults who took part in an existential group treatment.

Isak Erling, Carl Anton Waltersson, Margda Waern, Maria Tillfors, Sara Hed, Maria Åberg, Stefan Wiktorsson, Anne Ingeborg Berg

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Isak ErlingDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.ORCID 0009-0006-2787-6231
Carl Anton WalterssonSlottsskogen Primary Care Centre, Närhälsan, Region Västra Götaland, Gothenburg, Sweden.
Margda WaernDepartment of Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-8330-6915
Maria TillforsDepartment of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.ORCID 0000-0002-9688-5805
Sara HedDepartment of Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-5009-4517
Maria ÅbergGeneral Practice/Family Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-0323-1061
Stefan WiktorssonDepartment of Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-0412-4679
Anne Ingeborg BergDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.ORCID 0009-0004-3444-4897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough interest in existential perspectives on health is growing, little is known about how such perspectives are experienced by older adults in primary care. The aim of this study was to understand how older adults who took part in a primary care-based existential group treatment describe the role of existential challenges in relation to their health and in primary care.

methodsSeventeen patients (75+) with psychological distress who had completed a 7-week existential group treatment took part in individual interviews. Transcripts were analyzed using thematic analysis.

resultsThree main themes were derived from the participants' experiences: (1) Existential challenges are embedded in health in later life; (2) Existential challenges are not usually addressed in primary care consultations; and (3) Engagement with existential challenges is possible within primary care. Older adults with psychological distress describe existential challenges in terms of age-related losses which raise questions of health-related agency. However, barriers to addressing existential challenges in this care setting persist in the form of time constraints, perceived ageism and a one-sided focus on physical health. Relational and trustful healthcare encounters helped to overcome these barriers, as did the existential group treatment.

conclusionWhile existential challenges are embedded in older adults' health, addressing these issues is not yet an integrated part of primary care services. In search of existential health in Swedish primary care, relational and trustful healthcare encounters as well as structured existential interventions, were found to facilitate the integration of existential perspectives in older adults' primary care experience.

Indexed as

ExistentialismPrimary Health CarePsychotherapy, GroupStress, PsychologicalAgedAged, 80 and overAgeismFemaleHumansInterviews as TopicMaleQualitative ResearchSwedenexistential group treatmentExistential healthexistential therapyolder adultsprimary carepsychological distressqualitative analysis

Identifiers

PMID42418273
PMCPMC13353439

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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.