A qualitative study of adolescents with medically unexplained symptoms and their parents. Part 2: How is healthcare perceived?
Abstract Medically unexplained symptoms (MUS) are common among adolescents and an important cause of clinical visits. This study sought to understand the experiences with, and perceptions of, the healthcare of adolescents who have MUS and their parents. Using a qualitative approach, six focus groups...
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Veröffentlicht in: | Journal of adolescence (London, England.) England.), 2015-12, Vol.45 (1), p.317-326 |
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description | Abstract Medically unexplained symptoms (MUS) are common among adolescents and an important cause of clinical visits. This study sought to understand the experiences with, and perceptions of, the healthcare of adolescents who have MUS and their parents. Using a qualitative approach, six focus groups and two individual interviews were conducted with a total of ten adolescents and sixteen parents. The participants were recruited in a university hospital in Switzerland. A thematic analysis was conducted in accordance with the Grounded Theory. Six main themes emerged: needing a label for the symptoms, seeking an etiology to explain the symptoms, negotiating the medical system, medication and treatments, interactions with doctors, and the inclusion of parents during consultations. Transcending these themes, however, was the need for good communication between the adolescents, their parents and the clinicians. When explaining the symptoms, clinicians should make sure to discuss the results, investigations and lack of organic origin. |
doi_str_mv | 10.1016/j.adolescence.2015.10.003 |
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Six main themes emerged: needing a label for the symptoms, seeking an etiology to explain the symptoms, negotiating the medical system, medication and treatments, interactions with doctors, and the inclusion of parents during consultations. Transcending these themes, however, was the need for good communication between the adolescents, their parents and the clinicians. 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Part 2: How is healthcare perceived?</title><title>Journal of adolescence (London, England.)</title><addtitle>J Adolesc</addtitle><description>Abstract Medically unexplained symptoms (MUS) are common among adolescents and an important cause of clinical visits. This study sought to understand the experiences with, and perceptions of, the healthcare of adolescents who have MUS and their parents. Using a qualitative approach, six focus groups and two individual interviews were conducted with a total of ten adolescents and sixteen parents. The participants were recruited in a university hospital in Switzerland. A thematic analysis was conducted in accordance with the Grounded Theory. Six main themes emerged: needing a label for the symptoms, seeking an etiology to explain the symptoms, negotiating the medical system, medication and treatments, interactions with doctors, and the inclusion of parents during consultations. Transcending these themes, however, was the need for good communication between the adolescents, their parents and the clinicians. When explaining the symptoms, clinicians should make sure to discuss the results, investigations and lack of organic origin.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Attitude to Health</subject><subject>Child</subject><subject>Communication</subject><subject>Delivery of Health Care</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health services</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medically unexplained symptoms</subject><subject>Medicine</subject><subject>Mental health services</subject><subject>Middle Aged</subject><subject>Parent-child relations</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Perceptions</subject><subject>Physicians</subject><subject>Qualitative Research</subject><subject>Somatoform Disorders</subject><subject>Switzerland</subject><subject>Symptom Assessment</subject><subject>Symptoms</subject><subject>Teenagers</subject><subject>Treatment methods</subject><subject>Young Adult</subject><issn>0140-1971</issn><issn>1095-9254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNUsFu1DAUjBCILoVfQEZcuGywndhOOFAtC6WgSiABZ8trv2i9eJPUdrrkwrdja0tBPfViS34z857fTFG8ILgkmPDXu1KZwUHQ0GsoKSYsvZcYVw-KBcEtW7aU1Q-LBSY1XpJWkJPiSQg7jDEVnD0uTihnmFPWLorfK3Q1KWejivYaUIiTmdHQodsGMaCDjVu0B2O1cm5GUw-_RqdsDwaFeT_GYR-Q6g2KW7AejcpnVom-Kh8RfYMuhgOyAW1BubjVqYpG8BpSO3P2tHjUKRfg2c19Wvw4__B9fbG8_PLx03p1udSMNCSf1FBDgCpgQCssGk2wEA1lvAJd1wZzUbNGGNxwrmux4R0ThHWg2qpTm-q0eHXUHf1wNUGIcm_T75xTPQxTkETUoqoIZixBX96B7obJ92m6hOK4qVnbkIRqjyjthxA8dHL0dq_8LAmW2SS5k_-ZJLNJuZRMStznNx2mTVrrLfOvKwmwOgIO1sF8f2X5efX-3Tmua54HXB81IK312oKXQdtMMNaDjtIM9l6jvr2jop3tcxB-wgzh32ZkoBLLbzlxOXCEpaxVrKr-AL170lE</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Moulin, V</creator><creator>Akre, C</creator><creator>Rodondi, P.-Y</creator><creator>Ambresin, A.-E</creator><creator>Suris, J.-C</creator><general>Elsevier Ltd</general><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>201512</creationdate><title>A qualitative study of adolescents with medically unexplained symptoms and their parents. Part 2: How is healthcare perceived?</title><author>Moulin, V ; Akre, C ; Rodondi, P.-Y ; Ambresin, A.-E ; Suris, J.-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5181-c512d2d1e2ae5e23078c107782563ec44d0674587d0866c47b6f5715fea93fab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Attitude to Health</topic><topic>Child</topic><topic>Communication</topic><topic>Delivery of Health Care</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Health services</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medically unexplained symptoms</topic><topic>Medicine</topic><topic>Mental health services</topic><topic>Middle Aged</topic><topic>Parent-child relations</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Perceptions</topic><topic>Physicians</topic><topic>Qualitative Research</topic><topic>Somatoform Disorders</topic><topic>Switzerland</topic><topic>Symptom Assessment</topic><topic>Symptoms</topic><topic>Teenagers</topic><topic>Treatment methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moulin, V</creatorcontrib><creatorcontrib>Akre, C</creatorcontrib><creatorcontrib>Rodondi, P.-Y</creatorcontrib><creatorcontrib>Ambresin, A.-E</creatorcontrib><creatorcontrib>Suris, J.-C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of adolescence (London, England.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moulin, V</au><au>Akre, C</au><au>Rodondi, P.-Y</au><au>Ambresin, A.-E</au><au>Suris, J.-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A qualitative study of adolescents with medically unexplained symptoms and their parents. Part 2: How is healthcare perceived?</atitle><jtitle>Journal of adolescence (London, England.)</jtitle><addtitle>J Adolesc</addtitle><date>2015-12</date><risdate>2015</risdate><volume>45</volume><issue>1</issue><spage>317</spage><epage>326</epage><pages>317-326</pages><issn>0140-1971</issn><eissn>1095-9254</eissn><abstract>Abstract Medically unexplained symptoms (MUS) are common among adolescents and an important cause of clinical visits. This study sought to understand the experiences with, and perceptions of, the healthcare of adolescents who have MUS and their parents. Using a qualitative approach, six focus groups and two individual interviews were conducted with a total of ten adolescents and sixteen parents. The participants were recruited in a university hospital in Switzerland. A thematic analysis was conducted in accordance with the Grounded Theory. Six main themes emerged: needing a label for the symptoms, seeking an etiology to explain the symptoms, negotiating the medical system, medication and treatments, interactions with doctors, and the inclusion of parents during consultations. Transcending these themes, however, was the need for good communication between the adolescents, their parents and the clinicians. When explaining the symptoms, clinicians should make sure to discuss the results, investigations and lack of organic origin.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26506259</pmid><doi>10.1016/j.adolescence.2015.10.003</doi><tpages>10</tpages></addata></record> |
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subjects | Adolescent Adolescents Adult Attitude to Health Child Communication Delivery of Health Care Female Focus Groups Health services Humans Interviews as Topic Male Medically unexplained symptoms Medicine Mental health services Middle Aged Parent-child relations Parents Parents & parenting Pediatrics Perceptions Physicians Qualitative Research Somatoform Disorders Switzerland Symptom Assessment Symptoms Teenagers Treatment methods Young Adult |
title | A qualitative study of adolescents with medically unexplained symptoms and their parents. Part 2: How is healthcare perceived? |
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