Views of Dutch general practitioners about premenstrual symptoms: A qualitative interview study.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL European Journal of General Practice Pub Date : 2021-12-01 DOI:10.1080/13814788.2021.1889505
Marijke S Labots-Vogelesang, Doreth A M Teunissen, Vivianne Kranenburg, Antoine L M Lagro-Janssen
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引用次数: 3

Abstract

Background: General practitioners (GPs) encounter women suffering from premenstrual symptoms. Often women with premenstrual problems experience little understanding from GPs. Views of GPs will influence their approach to these women and their care. Insight into these views is lacking but could help in designing educational programmes for GPs.

Objectives: To explore the views of Dutch GPs towards aetiology, diagnostic process, and preferred treatment of premenstrual symptoms.

Methods: In 2017, we conducted a qualitative, semi-structured, interview survey among 27 GPs, varying in age, gender, and practice setting.

Results: Important themes emerged from the interviews: 'no need for a symptom diary,' 'PMS defined as illness' exclusively in case of disruption of normal functioning, and 'symptomatic treatment' as preferred approach. Most GPs considered PMS to be a physiological phenomenon, with taking history as an adequate diagnostic tool. Almost all GPs regarded a normal cyclical hormonal cycle as causal; many also mentioned the combination with personal sensitivity. Some pointed to a dividing line between physiological condition and illness if women could not function normally in daily life. Lastly, the approach GPs preferred was focussing on relieving symptoms of individual patients. In addition to explaining the hormonal cycle and lifestyle advice, all GPs advocated oral contraceptives, and if necessary psychological support. GPs expressed negative feelings about prescribing antidepressants.

Conclusion: GPs considered physiological changes and personal sensitivity as aetiological factors. We recommend more training to improve GPs knowledge and more insight into the burden of women with PMS. A symptom diary is an essential diagnostic tool for GPs.

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荷兰全科医生对经前症状的看法:一项定性访谈研究。
背景:全科医生(全科医生)遇到患有经前症状的妇女。通常有经前问题的妇女很少得到全科医生的理解。全科医生的观点将影响他们对这些妇女及其护理的方法。目前还缺乏对这些观点的深入了解,但可能有助于为全科医生设计教育计划。目的:探讨荷兰全科医生对经前症状的病因、诊断过程和首选治疗方法的看法。方法:2017年,我们对27名不同年龄、性别、执业背景的全科医生进行了定性、半结构化访谈调查。结果:访谈中出现了重要的主题:“不需要写症状日记”,“经前症候群只在正常功能中断的情况下被定义为疾病”,以及“对症治疗”是首选方法。大多数全科医生认为经前症候群是一种生理现象,以病史作为充分的诊断工具。几乎所有的全科医生都认为正常的激素周期是病因;许多人还提到了与个人敏感性的结合。一些人指出,如果女性在日常生活中不能正常运作,生理状况和疾病之间就有了分界线。最后,全科医生首选的方法是专注于缓解个别患者的症状。除了解释激素周期和生活方式建议外,所有全科医生都提倡口服避孕药,必要时提供心理支持。全科医生对开抗抑郁药表达了负面情绪。结论:全科医生认为生理变化和个人敏感性是病因因素。我们建议进行更多培训,以提高全科医生的知识,并更深入地了解经前综合症妇女的负担。症状日记是全科医生必不可少的诊断工具。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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