Key result
Open-ended questions, legitimization, reflection, and asking the meaning of illness were positively associated with anxiety disclosures, while respect for patients increased depression disclosures.
Why the study?
Which medical interview skills are associated with patients' verbal indications of undisclosed feelings of anxiety and depressive feelings?
Cross-Sectional (n=159)
No
Which medical interview skills are associated with patients' verbal indications of undisclosed feelings of anxiety and depressive feelings?
Specific interview skills such as open-ended questions, reflection, and legitimization are effective in eliciting undisclosed feelings of anxiety, while showing respect is associated with eliciting depressive feelings in primary care.
These skills may aid detection of undisclosed anxiety and depression; hypothesis-generating and requires prospective trials before training adoption.
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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Goto et al. (2016) conducted a cross-sectional in Primary care patients (n=159). Medical interview skills was evaluated on Number of disclosures about anxiety and depression. Open-ended questions, legitimization, reflection, and asking the meaning of illness were positively associated with anxiety disclosures, while respect for patients increased depression disclosures.
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