Physicians' Difficulty With Emergency Department Patients is Related to Patients' Attachment Style  

Oleh:

Maunder, Robert G. ; Panzer, Annie ; Viljoen, Margaretha ; Owen, Johanna ; Human, Schalk ; Hunter, Jonathan J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 2 (Jul. 2006), page 552-562.
Topik: EMERGENCY MEDICINE; south africa; adult attachment; emergency medicine; difficult patients

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Doctors experience 10 -20 percent of patient interactions as being personally difficult, but the sources of difficulty are incompletely understood. In particular, physician perceived difficulty has not been studied from the perspective of an established model of interpersonal relationshipds. Our objective was to determine whether a relationship exists between patients' attachment style and the degree of difficulty experienced by their attending physician in an emergency department in pretoria, south africa. Patients of an emergency department (n = 165) completed the experiences in close relationships, revised questionanire to measure attachment anxiety and attachment avoidance. Their physician (n = 26), blind to the attachement measure, rated perceived difficulty using the difficult doctor patient relationship questionnaire. Four categories of attachment style were identified by cluster analysis of attachment scores. Patients were divided into difficult and non difficult groups using a cut off score. Two percent of patients with a secure attachment style were experienced as difficult, whereas the prevalence of difficulty in the insecure styples was preoccupied 17 percent, dismissing 19 percent and feardul 39 percent (x2 = 16,383, df = 3, p = 0,0009), supporting the hypothesis that the physician's perception of patient difficulty is related to the patients : attachment style. The degree to which physicians serve attachment functions for patient's attachment style. The degree to which physicians were attachement functions for patients in crisis merits further investigation.

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