title: Understanding physicians' challenges when treating type 2 diabetic patients' social and emotional difficulties: a qualitative study.
abstract: OBJECTIVE
  To explore physicians' awareness of and responses to type 2 diabetic patients' social and emotional difficulties.
  
  
  METHODS
  We conducted semistructured interviews with 19 physicians. Interviews were transcribed, coded, and analyzed using thematic analysis.
  
  
  RESULTS
  Three themes emerged: 1) physicians' awareness of patients' social and emotional difficulties: physicians recognized the frequency and seriousness of patients' social and emotional difficulties; 2) physicians' responses to patients' social and emotional difficulties: many reported that intervening with these difficulties was challenging with few treatment options beyond making referrals, individualizing care, and recommending more frequent follow-up visits; and 3) the impact of patients' social and emotional difficulties on physicians: few available patient treatment options, time constraints, and a perceived lack of psychological expertise contributed to physicians' feeling frustrated, inadequate, and overwhelmed.
  
  
  CONCLUSIONS
  Recognition and understanding of physicians' challenges when treating diabetes patients' social and emotional difficulties are important for developing programmatic interventions.
authors.affiliation: Joslin Diabetes Center, Boston, Massachusetts, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Beverly
authors.forename: Brittney A
authors.initials: BA
authors.lastname: Hultgren
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Brooks
authors.forename: Marilyn D
authors.initials: MD
authors.lastname: Ritholz
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Abrahamson
authors.forename: Katie
authors.initials: K
authors.lastname: Weinger
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D036301:Qualitative Research