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Master Thesis

L’abord des troubles des conduites alimentaires : étude qualitative sur les représentations des médecins généralistes et les obstacles à l’abord des TCA en pratique de soins primaires

Abstract : Introduction: general practitioners (GP) are the most suitable candidates to screen for eating disorders (ED), which affect 0.6 to 4.5% of the population over their lifetime. The outcome of ED improves with early detection but 50% of patients are still not identified in primary care. Aim: to explore GP’s representations of ED and the barriers they face while approaching the subject in practice, in order to understand this under-screening of ED. Method: five focus groups took part in this qualitative study, double coded in the grounded theory of data analysis. Results: the focus on anorexia nervosa, a BED remaining unrecognised and identifying obesity as an ED were the main representations of the asked GPs. They considered ED as being bound to the intimacy of patients, just as sexuality would be, they feared to be too intrusive while approaching them and to compromise the patient-doctor relationship. The time-consuming part of such consults, the unknown assessment tools, a perceived lack of communication and psychological skills, a feeling of helplessness when faced with these disorders and lack of a psychiatric support stood in the way of approaching ED in general practice. Conclusion: training for time-saving communication techniques, organising a dedicated screening consult, a well identified psychiatric network or free psychotherapy sessions are ways to improve screening of ED. To study how psychiatry can be more positively perceived would be a first step to overcome its induced mistrust.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02510529
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Submitted on : Tuesday, March 17, 2020 - 9:00:04 PM
Last modification on : Saturday, March 21, 2020 - 1:17:04 AM
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Jennifer Boyer. L’abord des troubles des conduites alimentaires : étude qualitative sur les représentations des médecins généralistes et les obstacles à l’abord des TCA en pratique de soins primaires. Médecine humaine et pathologie. 2019. ⟨dumas-02510529⟩

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