Congreso Nacional de la Sociedad Espanola de Epidemiologia Psiquiátrica. Pamplona, USA, 1993/09/27.
The aim of this research was to study the relationship between the clinical interview skills of primary care physicians and their psychodiagnostic ability during office visits.
Ten doctors took part in the study, and 233 patients were assessed.
The patients were seen and diagnosed by their physicians and interviewed afterward by a psychiatrist using the Present State Examination.
All the interviews with the primary care physicians were recorded on videotape, and the Physician's Skills Observation Scale was used to analyze 10 interviews per doctor, five psychiatric cases and five nonpsychiatric cases.
The physician's active listening (eye contact, posture, and absence of verbal interruptions) and ability to ask questions with psychological content were associated with the ability to identify the patient's emotional problems.
This association was shown to be independent of the physician's characteristics (social, academic, attitudinal, and professional), the sociodemographic characteristics of the patients, the time spent in exploration during the office visit, and the severity of the emotional or somatic disorder.
The findings of this research highlight the need to train primary care physicians in specific interview skills, in order to improve their ability to identify mental disorders in their practices.
Mots-clés Pascal : Trouble émotion, Dépistage, Aptitude professionnelle, Médecin, Soin santé primaire, Entretien clinique, Psychométrie, Personnel sanitaire, Homme, Détresse psychologique
Mots-clés Pascal anglais : Emotional disorder, Medical screening, Vocational aptitude, Physician, Primary health care, Clinical interview, Psychometrics, Health staff, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0286291
Code Inist : 002B18H04. Création : 27/11/1998.