Abstract:
BACKGROUND:Social connectedness exerts strong influences on health, including major depression and suicide. A major component of social connectedness is having individual relationships with close supports, romantic partners, and other trusted members of one's social network. OBJECTIVE:The objective of this study was to understand how individuals' relationships with close supports might be leveraged to improve outcomes for primary care patients with depression and at risk for suicide. DESIGN:In this qualitative study, we used a semi-structured interview guide to probe patient experiences, views, and preferences related to social support. PARTICIPANTS:We conducted interviews with 30 primary care patients at a Veterans Health Administration (VA) medical center who had symptoms of major depression and a close support. APPROACH:Thematic analysis of qualitative interview data examined close supports' impact on patients. We iteratively developed a codebook, used output from codes to sort data into themes, and selected quotations that exemplified themes for inclusion in this manuscript. KEY RESULTS:"Being there" as an important quality of close supports emerged as a key concept. "Being there" was defined in three ways: physical proximity, frequent or responsive contact, or perceived availability. Close supports who were effective at "being there" possessed skills in intuitively sensing the patient's emotional state and communicating indirectly about depression. Three major barriers to involving close supports in depression care were concerns of overburdening the close support, a perception that awareness of the patient's depression would make the close support unnecessarily worried, and a desire and preference among patients to handle depression on their own. CONCLUSIONS:"Being there" represents a novel, patient-generated way to conceptualize and talk about social support. Suicide prevention initiatives such as population-level communication campaigns might be improved by incorporating language used by patients and addressing attitudinal barriers to allowing help and involvement of close supports.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Teo AR,Marsh HE,Ono SS,Nicolaidis C,Saha S,Dobscha SKdoi
10.1007/s11606-020-05692-7subject
Has Abstractpub_date
2020-07-01 00:00:00pages
1954-1962issue
7eissn
0884-8734issn
1525-1497pii
10.1007/s11606-020-05692-7journal_volume
35pub_type
杂志文章abstract:OBJECTIVE:To assess the effect of a program that encourages teamwork between physicians and pharmacists on attempts to lower total cholesterol levels and to meet recommended goals proposed by the National Cholesterol Education Program (NCEP). DESIGN:A single-blind, randomized, controlled trial lasting 6 months. SETTI...
journal_title:Journal of general internal medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s11606-006-5023-7
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:Genotype-guided initial warfarin dosing may reduce over-anticoagulation and serious bleeding compared to a one-dose-fits-all dosing method. OBJECTIVE:The objective of this review was to investigate the safety and efficacy of genotype-guided dosing of warfarin in reducing the occurrence of serious bleeding e...
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journal_title:Journal of general internal medicine
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doi:
更新日期:2002-05-01 00:00:00
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更新日期:2010-01-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2001-07-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2012-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-08-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:1994-07-01 00:00:00
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更新日期:2020-03-01 00:00:00
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更新日期:2006-12-01 00:00:00
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doi:10.1007/s11606-008-0639-4
更新日期:2008-09-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s11606-013-2529-7
更新日期:2013-12-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:1996-08-01 00:00:00
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更新日期:2019-08-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
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更新日期:2006-05-01 00:00:00
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更新日期:1996-02-01 00:00:00
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更新日期:2019-02-01 00:00:00
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更新日期:2010-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2008-07-01 00:00:00