@article{30726,
  keywords = {Resilience, Psychological support, Health Literacy, Empowerment, Doctor{\textendash}patient relationship},
  author = {N{\'a}fr{\'a}di L and Kostova Z and Nakamoto K and Schulz P},
  title = {The doctor-patient relationship and patient resilience in chronic pain: A qualitative approach to patients{\textquoteright} perspectives.},
  abstract = {<p><strong>Objectives</strong> To study patients{\textquoteright} perspectives about the role of the doctor-patient relationship in promoting the resilience process. <strong>Methods</strong> We conducted in-depth interviews with 20 chronic pain patients. Using open-ended questions, the interviews explored aspects of the doctor-patient relationship that impacted the patients{\textquoteright} perceptions of their resilience. Thematic analysis built on an inductive, adaptive approach to data coding was employed to organize a representation of key factors affecting resilience.<strong> Results </strong>The themes emerging from the interviews inform us about how the different aspects of the doctor-patient relationship can promote patient resilience in chronic pain. Three main themes emerged: the doctor providing psychological support, promoting patients{\textquoteright} health literacy related to chronic pain and its treatment, and empowering the patients to cooperate in finding the right treatment. This fosters patients{\textquoteright} direct outcomes (feeling validated, health literate, and empowered), which, in turn, lead to adaptive coping responses and day-to-day disease management. These direct outcomes are crucial for patients to maintain socially and personally meaningful activities and their functional (physical) capacity. <strong>Discussion</strong> A doctor-patient relationship following the precepts of the patient-centered care is a significant resource that can lead to increased patient resilience. Thus, future interventions promoting patient resilience might consider addressing the doctor-patient relationship.</p>
},
  year = {2017},
  journal = {Chronic illness},
  issn = {1745-9206},
  doi = {10.1177/1742395317739961},
  language = {eng},
}