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General practitioners’ own traumatic experiences and their skills in addressing patients’ past history of adversities: a cross-sectional study in Portugal

dc.contributor.authorSá, Mariana
dc.contributor.authorPereira, Paulo Almeida
dc.contributor.authorCastro-Vale, Ivone
dc.date.accessioned2023-09-18T14:29:04Z
dc.date.available2023-09-18T14:29:04Z
dc.date.issued2023-09-01
dc.description.abstractAddressing trauma has been found to be important for primary care patients, as it can improve their health-related outcomes. We aimed to assess how Portuguese general practitioners’ (GPs) past history of traumatic events (TEs) and adverse childhood experiences (ACEs) influence their clinical communication skills when addressing their patients’ past history of adversities. An online survey was circulated by email to GPs’ associations and through GPs’ social media groups. A sample of 143 GPs participated in this study. GPs’ exposure to ACEs and TEs was assessed using the Childhood Trauma Questionnaire-Short Form and the Life Events Checklist for the DSM-5. To evaluate clinical communication skills, we adapted the Self-confidence Scale and used the Jefferson Scale of Physician Empathy. GPs identified barriers to addressing trauma routinely, including a lack of time (86.7%) and a fear of causing further patient suffering (56.6%). GPs’ exposure to TEs and ACEs was positively correlated with scores in some dimensions of self-confidence and empathy (r values varying from 0.170 to 0.247). GPs exposed to traumatic experiences felt more confident when addressing their patients’ adversities and were more empathic when conducting therapeutic relationships. This study shows that GPs with a history of traumatic experiences are able to address their patients’ adversities; however, they lack proper training and better patient care conditions, such as more time and more resources available for patient guidance.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/healthcare11172450pt_PT
dc.identifier.eid85170392448
dc.identifier.issn2227-9032
dc.identifier.pmcPMC10487406
dc.identifier.pmid37685484
dc.identifier.urihttp://hdl.handle.net/10400.14/42432
dc.identifier.wos001060538100001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdverse childhood experiencespt_PT
dc.subjectClinical communication skillspt_PT
dc.subjectConfidencept_PT
dc.subjectEmpathypt_PT
dc.subjectGeneral practitionerspt_PT
dc.subjectTraumatic eventspt_PT
dc.titleGeneral practitioners’ own traumatic experiences and their skills in addressing patients’ past history of adversities: a cross-sectional study in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue17pt_PT
oaire.citation.titleHealthcare (Switzerland)pt_PT
oaire.citation.volume11pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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