@article{article_458680, title={Difficult Patient in Psychiatry Practice: A Case-Control Study}, journal={Adıyaman Üniversitesi Sağlık Bilimleri Dergisi}, volume={4}, pages={1064–1073}, year={2018}, DOI={10.30569/adiyamansaglik.458680}, author={Ozen, Murat Eren and Orum, Mehmet Hamdi and Kalenderoglu, Aysun}, keywords={Case-Control Study,Difficult Patient,Physician-Patient Relation,Relationship}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span style="font-family:’Times New Roman’, serif;">Aim: </span> </b> <span style="font-family:’Times New Roman’, serif;"> Some of the patient-physician
encounters are considered "difficult" by the relevant physicians. Somatic
symptoms, substance abuse, aggression, hostility, and lack of co-operation are
the most common features related to difficult patients. That is, the risk of
encountering difficult patients in psychiatric practice is high. The difficult
relationship may be related to the patient as well as to the physician. We
aimed to investigate the difficult patient characteristics associated with the
patient in this study. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span style="font-family:’Times New Roman’, serif;">Material and Methods: </span> </b> <span style="font-family:’Times New Roman’, serif;"> </span> <span style="font-family:’Times New Roman’, serif;">Difficult relationship is defined
as "situations in which the psychiatrist-patient relationship is perceived
as problematic”. The cases were defined as difficult relationship with at least
two of the psychiatrists who were studying. Controls consisted of patients
without difficult relationships. 45 cases and 90 controls were included in the
study. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span style="font-family:’Times New Roman’, serif;">Results: </span> </b> <span style="font-family:’Times New Roman’, serif;"> </span> <span lang="tr" style="font-family:’Times New Roman’, serif;" xml:lang="tr">There was no
significant difference in terms of age, sex, marital status, education status,
and working status between the two groups. The number of hospitalization, drugs
used, psychotherapy, and social intervention was higher in the case group than
in the control group. Personality disorders was significantly higher in the
case group. </span> </p> <p> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span lang="tr" style="font-family:’Times New Roman’, serif;" xml:lang="tr">Conclusion: </span> </b> <span lang="tr" style="font-family:’Times New Roman’, serif;" xml:lang="tr"> </span> <span style="font-family:’Times New Roman’, serif;">The
use of more medicines, more social interventions, more hospital admissions have
been attributed to the dissatisfaction of these patients. </span> <span style="font-family:’Times New Roman’, serif;"> </span> <span style="font-family:’Times New Roman’, serif;">The improved good
therapeutic relationship can lead to less symptoms and fewer applications in
these difficult patients. Further systematic research should be conducted with
respect to patient-physician relationship to provide a greater understanding of
both its etiology and solution. </span> </p> <p> </p>}, number={3}, publisher={Adıyaman University}