Psychotraumatology in Gynaecological Medicine
Konferenzpapier/Poster - 10.11.2022
Schmid Dagmar, Hornung René, Schmidt Roger, Krolak Monika, Nobel Gloria, Germann Nicolas, Schönenberger Michelle, Hämmerli Keller Katja
Name der Konferenz
(SAPPM SPS 2022; Bern, SGPP 2022; Bern, EAPM 2022; Vienna, DGPPN 2021; Berlin)
Psychological traumatization and psychological symptoms are very relevant in medical care and represent a challenge for the physician-patient interaction, especially in a gynaecological setting. Despite progress in recent years, clinical care of such patients is still inadequate. The aim of this study was to examine 1) the influence of early/current psychological traumatization on the physician-patient interaction, 2) the correlation between psychological traumatization and current psychological distress, and 3) influencing factors on the part of gynecologists (e.g., professional experience or additional trauma-specific training) on physician-patient interactions in gynaecological routine examinations.
We assessed 200 gynaecological outpatients prospectively in a tertiary somatic hospital. Before a gynaecological routine examination, the patients completed validated questionnaires on early and current psychological traumatization (CTQ, IES-R) and current psychological distress (HADS, FDS-20, ISI, Distress Thermometer). After the examination, patients rated the quality of the physician-patient interaction (PRA-D). Subsequently, gynaecologists indicated whether they assumed psychological traumatization and/or psychological distress (yes/no) in the particular patient.
Overall, patients scored high on the quality of physician-patient interaction (M = 98.62, SD = 7.35, scale range from 15 to 105). The quality of physician-patient interaction did not differ between patients with vs. without psychological traumatization (.236 ≤ p ≤ .456). Current psychological distress was significantly higher in patients with early and/or current psychological traumatization than in patients without psychological traumatization (.001 ≤ p ≤ .049). Professional experience and trauma-specific training among gynaecologists were positively associated with patients' score of physician-patient interaction. Gynaecologists were able to identify both psychological traumatization and current psychological distress.
Early and/or current psychological traumatization were associated with higher levels of current psychological distress in gynaecological patients. Trauma-specific training and professional experience on the part of gynaecologists led to a better physician-patient interaction, highlighting the importance of such additional training. These skills are likely to play an important role when adapting communication in psychologically traumatized patients.
This study was funded by the Research Commission of the Cantonal Hospital St.Gallen. There are no conflicts of interest.