Initial Responses of Different Health Care Professionals to Various Patients with Headache: Which are Perceived as Difficult?

• Published in: International journal of behavioral medicine 2013-09, Vol.20 (3), p.468-475
• Main Authors: van Wilgen, C. Paul, Koning, Maaike, Bouman, Theo K.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Anxiety - psychology; Attitude of Health Personnel; Attitudes; Cross-Sectional Studies; Depression - psychology; Emotions; Family Medicine; Female; General Practice; Headache - psychology; Headaches; Health Psychology; Humans; Male; Medical personnel; Medicine; Medicine & Public Health; Middle Aged; Perception; Physicians - psychology; Professional-Patient Relations; Psychology; Somatoform Disorders - psychology; Students - psychology; Surveys and Questionnaires; Young Adult
• ISSN: 1070-5503; 1532-7558
• DOI: 10.1007/s12529-012-9232-7

Background Somatizing patients are considered a challenge to health care professionals. Purpose The purpose of this study was to investigate the responses of different health care professionals’ to patients with headache with different presentations. Method Medical professionals ( n  = 77), clinical psychologists ( n  = 40), and psychology students ( n  = 115) were shown with four different manifestations of headache (neutral, somatic trauma, anxious–depressed, and severe somatizing). Health professionals rated their initial cognitive and emotional responses using a standardized questionnaire. Results The severe somatizing and anxious–depressed patients with headache evoked significantly more negative cognitive and emotional responses in all three samples. Even brief exposure to a patient's story yields specific initial responses from various health care professionals irrespective of their disciplines. Conclusion Patients with headache and with a distressed presentation evoke significantly more negative cognitive and emotional responses in different health care professionals. Health care professionals should be more aware of their own response to difficult patients; in this way they will be more capable of managing this patient group.