Treatment and life goals among veterans with Gulf War illness

被引:2
作者
Sullivan, Nicole [1 ]
Schorpp, Hannah [1 ,2 ]
Crosky, Sarah [3 ]
Thien, Scott [1 ]
Helmer, Drew A. [4 ,5 ]
Litke, David R. [1 ,6 ]
Pigeon, Wilfred R. [7 ,8 ]
Quigley, Karen S. [9 ]
McAndrew, Lisa M. [1 ,3 ]
机构
[1] Vet Affairs New Jersey Hlth Care Syst, War Related Illness & Injury Study Ctr, E Orange, NJ 07018 USA
[2] William Paterson Univ, Dept Psychol, Wayne, NJ USA
[3] Univ Albany, Dept Educ & Counseling Psychol, Albany, NY USA
[4] Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
[5] Baylor Coll Med, Dept Med, Houston, TX USA
[6] New York Univ, Grossman Sch Med, Dept Rehabil Med, New York, NY USA
[7] Canandaigua VA Med Ctr, Ctr Excellence Suicide Prevent, Canandaigua, NY USA
[8] Univ Rochester, Med Ctr, Dept Psychiat, Rochester, NY USA
[9] Northeastern Univ, Dept Psychol, Boston, MA USA
来源
PLOS ONE | 2023年 / 18卷 / 11期
关键词
MEDICALLY UNEXPLAINED SYMPTOMS; LOW-BACK-PAIN; PHYSICIANS-AGREE; PATIENT; CARE; MANAGEMENT; FIBROMYALGIA; PREVALENCE;
D O I
10.1371/journal.pone.0295168
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Medically unexplained syndromes (MUS), also termed persistent physical symptoms, are both prevalent and disabling. Yet treatments for MUS are marked by high rates of patient dissatisfaction, as well as disagreement between patients and providers on the management of persistent physical symptoms. A better understanding of patient-generated goals could increase collaborative goal setting and promote person-centered care, a critical component of MUS treatment; yet research in this area is lacking. This paper aimed to develop a typology of treatment and life goals among Gulf War veterans with a medically unexplained syndrome (Gulf War Illness). We examined participants' responses to open-ended questions about treatment and life goals using Braun and Clarke's thematic analysis methodology. Results showed that treatment goals could be categorized into four overarching themes: 1) Get better/healthier, 2) Improve quality of life, 3) Improve or seek additional treatment, and 4) Don't know/Don't have any. Life goals were categorized into six overarching themes: 1) Live a fulfilling life, 2) Live a happy life, 3) Live a healthy life, 4) Be productive/financially successful, 5) Manage GWI, and 6) Don't know/Don't have any. Treatment goals were largely focused on getting better/healthier (e.g., improving symptoms), whereas life goals focused on living a fulfilling life. Implications for the treatment of Gulf War Illness and patient-provider communication are discussed.
引用
收藏
页数:10
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