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Asia Pacific Family Medicine
Published in: Asia Pacific Family Medicine 1/2016

Open Access 01-12-2016 | Research

Which medical interview skills are associated with patients’ verbal indications of undisclosed feelings of anxiety and depressive feelings?

Authors: Michiko Goto, Yousuke C. Takemura

Published in: Asia Pacific Family Medicine | Issue 1/2016

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Abstract

Background

In medical practice, obtaining information regarding patients’ undisclosed “feelings of anxiety” or “depressive feelings” is important. The purpose of this study was to determine which interview skills are best suited for eliciting verbal indications of undisclosed feelings, for example anxiety or depressive feelings in patients.

Methods

Our group videotaped 159 medical interviews at an outpatient department of the Department of Family Medicine, Mie University Hospital (Mie, Japan). Physicians’ medical interview skills were evaluated using a Medical Interview Evaluation System and Emotional Information Check Sheet for assessing indications of “feelings of anxiety” or “depressive feelings”. We analyzed the relationship between the interview skills and patients’ consequent emotional disclosure using generalized linear model (GLIM).

Results

The usage of interview skills such as “open-ended questions” “asking the patient’s ideas about the meaning of illness” “reflection” and “legitimization” were positively associated with the number of anxiety disclosure, whereas “close-ended questions” and “focused question” were negatively associated. On the other hand, only “respect” was positively associated with the number of depressive disclosures, whereas “surveying question” was negatively associated.

Conclusions

The results revealed that there are several interview skills that are effective in eliciting verbal indication of undisclosed “feelings of anxiety” or “depressive feelings”.
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Metadata
Title
Which medical interview skills are associated with patients’ verbal indications of undisclosed feelings of anxiety and depressive feelings?
Authors
Michiko Goto
Yousuke C. Takemura
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Asia Pacific Family Medicine / Issue 1/2016
Electronic ISSN: 1447-056X
DOI
https://doi.org/10.1186/s12930-016-0027-x

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