Medication and the patient–doctor relationship

A qualitative study with patients suffering from fibromyalgia

Dados Bibliográficos

ID19506191
AutoresChristine Durif‐Bruckert (Social Psychology Research Group EA 4163 Psychology Department University of Lyon (Lyon 2) Bron France, autor correspondente), Perrine Roux (0000-0002-5403-1940, Lyon 1 Université), Pauline Roux (0000-0003-1595-7326, Social Psychology Research Group EA 4163 Psychology Department University of Lyon (Lyon 2) Bron France), Hugues Rousset (Lyon – Internal Medicine Claude Bernard University University Hospital of Lyon South Lyon France)
Ano2015
Volume18
Fascículo6
Páginas2584-2594
Data de publicação2015-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Expectations (JOURNAL)
Identificadores do periódicoISSN: 1369-6513 • E-ISSN: 1369-7625
EditoraWiley (PUBLISHER • GB)
DOI10.1111/hex.12230
PMID24995371
OpenAlexW1963603339
IdiomaEN
Citações recebidas7
Referências citadas35

BACKGROUND: Fibromyalgia is characterized by a diffuse and predominantly axial and chronic pain, for which there is no explicit rationale for treatment options. OBJECTIVE: This qualitative study aims to understand the medication experience of patients with fibromyalgia and their relationship with the doctors derived from treatment negotiation. DESIGN: A qualitative approach was used, based on interviews with patients. SETTING AND PARTICIPANTS: Semi-structured interviews were held in a public hospital, with 35 patients diagnosed with fibromyalgia. Qualitative content analysis was performed. RESULTS: The first axis is centred on the unsuccessful quest for an effective treatment for pain and the feeling of dismissal of patients, who are in search of validation and recognition. The second part of the accounts explains the medication adjustments and the search for collaboration. Developing a model of partnership with the doctor enables the patients to shape their own illness, through the medication. DISCUSSION: It is by mediating their relationship with medication that patients gain access to this state of co-expertise and that they put sense into the collaboration they develop with their doctors. Through this collaboration, useful drugs are identified and adjusted to treat the pain

Dismissal · Feeling · Fibromyalgia · General partnership · Negotiation · Physical therapy · Qualitative research · Sociology · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Patient-Provider Communication in Healthcare · Psychology · Psychosomatic Disorders and Their Treatments · Social Psychology