Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,
Advocate Children's Hospital, Park Ridge, Illinois.
WMJ. 2024 Sep;123(4):282-286.
Patients living with chronic pain may feel frustrated with and neglected by clinicians who care for them, leading to negative health care experiences. Clinicians may struggle to find new ways to engage and connect with patients experiencing chronic pain. Both patients and clinicians may benefit from expressive writing by potentially improving communication and creating a deeper sense of connection within medical visits.
An expressive writing activity, the Three-Minute Mental Makeover (3MMM), was conducted with 15 patients living with chronic pain during primary care visits with 5 UW Health family medicine physicians. Patient and physician experience using the 3MMM was measured using pre- and post-visit surveys and individual interviews.
Both physicians and patients viewed the experience of doing the 3MMM together positively. We identified 8 key themes from individual follow-up interviews with patients and physicians: (1) opening the door, (2) insight into the doctor/patient as a person, (3) peer-to-peer communication, (4) closeness and connection, (5) comfort and relaxation, (6) unexpected learning, (7) unexpected value to patients, and (8) vulnerability and self-disclosure. The most commonly reported barriers to physicians using the activity in practice were lack of time and persuading other physicians to do the activity.
Patients with chronic pain and the clinicians who care for them may benefit from an expressive writing exercise, such as the 3MMM, in the key realms of building relationships, communication, and trust.
患有慢性疼痛的患者可能会对照顾他们的临床医生感到沮丧和被忽视，导致他们的医疗体验不佳。临床医生可能难以找到新的方法来与经历慢性疼痛的患者建立联系。患者和临床医生都可能从表达性写作中受益，因为这可能会改善沟通，并在医疗就诊中建立更深的联系感。
在与 5 名 UW 健康家庭医学医生的初级保健就诊中，对 15 名患有慢性疼痛的患者进行了表达性写作活动，即三分钟心理改造（3MMM）。患者和医生使用 3MMM 的体验通过就诊前和就诊后的调查以及个人访谈进行了测量。
医生和患者都对一起做 3MMM 的体验给予了积极的评价。我们从对患者和医生的个人随访访谈中确定了 8 个关键主题：（1）打开大门，（2）深入了解医生/患者作为一个人，（3）医患间的交流，（4）亲近和联系，（5）舒适和放松，（6）意外的学习，（7）对患者的意外价值，以及（8）脆弱性和自我表露。医生在实践中使用该活动最常报告的障碍是缺乏时间和说服其他医生进行该活动。
患有慢性疼痛的患者和照顾他们的临床医生可能会从表达性写作练习中受益，例如 3MMM，在建立关系、沟通和信任方面。
