{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T09:29:01Z","timestamp":1740130141439,"version":"3.37.3"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T00:00:00Z","timestamp":1645142400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Norwegian Research Fund for General Practice"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Couple relationship problems are common and associated with health problems. The aim of this study was to explore general practitioners\u2019 (GPs\u2019) experiences, expectations, and educational needs when dealing with couple relationship problems in consultations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted an exploratory qualitative study by carrying out 3 semistructured focus group interviews with 18 GPs. We used systematic text condensation for the analyses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Participants shared their experiences of handling couple relationship problems in consultations. Three main themes emerged: (i) pragmatic case-finding: golden opportunities to reveal patients\u2019 couple relationship problems; (ii) conceptual and role confusion; (iii) professional competence and personal experience. While issues in relationships could serve as an explanation for relevant clinical problems, some GPs questioned whether relationship issues are strictly medical. All participants had engaged in individual supportive therapy, but none saw themselves as therapists. The interviews revealed that an individual supportive focus might lead to a consolidation of 1 partner\u2019s view, rather than challenging their position. Long-term doctor\u2013patient relationships made it easier to talk about these issues.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study revealed several paradoxes. GPs are confident in offering individual supportive therapy for couple relationship issues but should be aware of substantial pitfalls such as side-taking and constraining change. Despite dealing with relationship problems, GPs do not see themselves as therapists. They use professional and personal experience but would benefit from increasing their skills in cognitive restructuring promoting behavioural flexibility facing relationship problems.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/fampra\/cmac010","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T20:14:17Z","timestamp":1643141657000},"page":"913-919","source":"Crossref","is-referenced-by-count":0,"title":["How do general practitioners handle couple relationship problems in consultations? A focus group study"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0983-6547","authenticated-orcid":false,"given":"Siri D","family":"Berge","sequence":"first","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen , Bergen , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3454-2329","authenticated-orcid":false,"given":"Mette","family":"Brekke","sequence":"additional","affiliation":[{"name":"General Practice Research Unit, Department of General Practice, Institute of Health and Society, University of Oslo , Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9161-1680","authenticated-orcid":false,"given":"Eivind","family":"Meland","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen , Bergen , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7879-7513","authenticated-orcid":false,"given":"Thomas","family":"Mildestvedt","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen , Bergen , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,2,18]]},"reference":[{"key":"2022092414275706800_CIT0001","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1146\/annurev-clinpsy-032816-045111","article-title":"Lovesick: how couples\u2019 relationships influence health.","volume":"13","author":"Kiecolt-Glaser","year":"2017","journal-title":"Annu Rev Clin Psychol"},{"issue":"4","key":"2022092414275706800_CIT0002","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1037\/0033-2909.127.4.472","article-title":"Marriage and health: his and hers.","volume":"127","author":"Kiecolt-Glaser","year":"2001","journal-title":"Psychol Bull"},{"issue":"4","key":"2022092414275706800_CIT0003","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.","volume":"14","author":"Felitti","year":"1998","journal-title":"Am J Prev Med"},{"issue":"8","key":"2022092414275706800_CIT0004","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1080\/01494929.2016.1157559","article-title":"Relationship help-seeking: a review of the efficacy and reach.","volume":"52","author":"Stewart","year":"2016","journal-title":"Marriage Fam Rev"},{"issue":"2","key":"2022092414275706800_CIT0005","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/fare.12298","article-title":"Brief interventions for couples: an integrative review.","volume":"67","author":"Kanter","year":"2018","journal-title":"Fam Relat"},{"issue":"3","key":"2022092414275706800_CIT0006","doi-asserted-by":"crossref","first-page":"206","DOI":"10.3109\/02813432.2015.1067518","article-title":"What do patients bring up in consultations? 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