Moulin Virginie, Akre Christina, Rodondi Pierre-Yves, Ambresin Anne-Emmanuelle, Suris Joan-Carles
Research Group on Adolescent Health (GRSA), Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 1010 Lausanne, Switzerland.
Research and Teaching Group on Complementary Medicine, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 1010 Lausanne, Switzerland.
J Adolesc. 2015 Dec;45:307-16. doi: 10.1016/j.adolescence.2015.10.010. Epub 2015 Oct 31.
Medically unexplained symptoms (MUS) are common among adolescents and are frequently encountered in primary care. Our aim was to explore how these adolescents and their parents experience the condition and its impact on their daily lives and to provide recommendations for health professionals. Using a qualitative approach, six focus groups and two individual interviews were conducted. These involved a total of ten adolescents with different types of MUS and sixteen parents. The respondents were recruited in a university hospital in Switzerland. A thematic analysis was conducted according to the Grounded Theory. The analysis of the data highlighted four core themes: disbelief, being different, concealing symptoms, and priority to adolescent's health. Transcending these themes was a core issue regarding the discrepancy between the strategies that adolescents and their parents use to cope with the symptoms. Health professionals should be made aware of the emotional needs of these patients and their families.
医学上无法解释的症状（MUS）在青少年中很常见，并且在初级保健中经常遇到。我们的目的是探讨这些青少年及其父母如何体验这种状况及其对他们日常生活的影响，并为卫生专业人员提供建议。采用定性方法，进行了六个焦点小组讨论和两次个人访谈。这些共涉及十名患有不同类型MUS的青少年和十六名家长。受访者是在瑞士的一家大学医院招募的。根据扎根理论进行了主题分析。数据分析突出了四个核心主题：怀疑、与众不同、隐瞒症状以及青少年健康优先。超越这些主题的是一个关于青少年及其父母应对症状所采用策略之间差异的核心问题。应该让卫生专业人员了解这些患者及其家庭的情感需求。
