title: Patients with skin disease and their relationships with their doctors: a qualitative study of patients with acne, psoriasis and eczema.
abstract: OBJECTIVE
  To explore the experiences of patients with acne, psoriasis or atopic eczema in their relationships with their treating doctors.
  
  
  METHODS
  Qualitative study, using semi-structured interviews conducted between January 2004 and April 2005, thematic analysis and modified grounded theory methodology.
  
  
  METHODS
  Participants were patients with acne, psoriasis or atopic eczema recruited from urban general practices and urban dermatology practices.
  
  
  RESULTS
  62 semi-structured interviews were conducted. Reports of negative experiences with doctors treating participants' skin conditions were common. Both general practitioners and dermatologists were reported as having poor comprehension of the psychological implications of skin diseases, being insensitive to their patients' emotional suffering, and trivialising participants' disease. Participants acknowledged that time considerations and other pressures may explain these apparent deficiencies. Some participants perceived their doctors as medical technicians and sought treatment for their physical skin disease, not for its emotional or social aspects.
  
  
  CONCLUSIONS
  We recommend education for GPs about the psychological effects of skin diseases, and education for dermatologists and GPs on how to elicit and manage, or appropriately refer, these problems.
authors.affiliation: Discipline of General Practice, University of Newcastle, Newcastle, NSW, Australia. parker.magin@newcastle.edu.au
authors.forename: Parker J
authors.initials: PJ
authors.lastname: Magin
authors.forename: Jon
authors.initials: J
authors.lastname: Adams
authors.forename: Gaynor S
authors.initials: GS
authors.lastname: Heading
authors.forename: C Dimity
authors.initials: CD
authors.lastname: Pond
mesh_terms: D000152:Acne Vulgaris / Q000523:psychology* / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001315:Australia; D003880:Dermatology; D004485:Eczema / Q000523:psychology* / Q000628:therapy; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011565:Psoriasis / Q000523:psychology* / Q000628:therapy; D036301:Qualitative Research; D055815:Young Adult