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Master Thesis

Rôle des types d’attachement dans la gestion des situations d’incertitude en médecine générale : enquête réalisée auprès des médecins généralistes de Béarn et Soule

Abstract : Introduction: each individual has an attachment style that allows him/her to interact with others based on haw he/she represents his/her own resources and how he/she feels about the help that others could provide. This mode of relationship is activated in a situation of stress or distress. However, a common situation in general practice and a potential source of anxiety is uncertainty. It would be present in 13% of the consultations. It seems to be a source of activation of the attachment system. Aim : measure the level of anxiety and uncertainty management modalities of general practitioners according to their type of attachment. Method: cross sectional study by self-questionnaire with general practitioners based in the Pyrénées Atlantiques. The questionnaire included items from the RelationShip Scale Questionnaire and the Physician’s Reaction to Uncertainty. Result: 61 general practitioners from the Pyrénées participated. Most physicians (48,3%) has a distant type of attachment, 23,3% a secure type of attachment and 21,7% a fearful type of attachment. A statistically significant link was not found between the type of attachment of physicians and their mode of managing uncertainty. On the other hand, there was a link between this management method and the anxiety level of the doctors. Fear of making a mistake was statistically significantly associated with greater use of specialists and additional examinations (p<0,05). Discussion: despite the partially insignificant results and given the low power of the study, the question of the role of the type of attachment in general medicine in the relationship with the patient remains interesting and deserves other more precise studies to assess the impact and educate physicians.
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Master Thesis
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Charlotte Bernard. Rôle des types d’attachement dans la gestion des situations d’incertitude en médecine générale : enquête réalisée auprès des médecins généralistes de Béarn et Soule. Médecine humaine et pathologie. 2020. ⟨dumas-02525157⟩

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