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Journal of Clinical Psychology in Medical Settings

Erschienen in:

01.09.2014

The Patient–Doctor Relationship Questionnaire (PDRQ-9) in Primary Care: A Validity Study

verfasst von: John H. Porcerelli, William Murdoch, Pierre Morris, Shannon Fowler

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 3/2014

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Abstract

This study assessed the validity of the Patient–Doctor Relationship Questionnaire-9 (PDRQ-9) in a primary care sample (N = 180). Convergent validity was assessed through a correlation between the patient-rated PDRQ-9 and the physician-rated Difficult Doctor Patient Relationship Questionnaire-10 (DDPRQ-10). Discriminant validity was assessed through correlations between the PDRQ-9 and patient age, patient- and physician-reported health and psychological distress. To determine if the PDRQ-9 could discriminate between groups, patient PDRQ-9 ratings were compared between patients who were treated by faculty physicians versus those who were treated by residents. An exploratory factor analysis confirmed that the PDRQ-9 was made up of a single factor. The PDRQ-9 scale was internally consistent (α = .96) and significantly and negatively correlated with the DDPRQ-10 (r = −.22, p = .003) and was not significantly correlated with patient age, health, or psychological distress. PDRQ-9 ratings were statistically greater in patients who were treated by faculty physicians than those who were treated by residents (p = .01). This study provides additional support for the reliability and validity of the PDRQ-9 as a measure of the doctor–patient relationship in a primary care sample.

American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association. (2007). Joint principles of the patient-centered medical home. www.medicalhomeinfo.org/Joint%20Statement.pdf. 24 Oct 2007.

Bayer-Fetzer Conference. (2001). Essential elements of communication in medical encounters: The Kalamazoo Consensus Statement. Academic Medicine, 76, 390–393.CrossRef

Bornstein, R. F. (2010). A process dissociation approach to objective-projective test score interrelationships. Journal of Personality Assessment, 78, 47–68.CrossRef

Campbell, D. T., & Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin, 56, 81–105.CrossRefPubMed

Clark, L., Beesley, H., Holcombe, C., & Salmon, P. (2011). The influence of childhood abuse and adult attachment style on clinical relationships in breast cancer care. General Hospital Psychiatry, 33, 579–586.CrossRefPubMed

Curran, P. J., West, S. G., & Finch, J. F. (1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods, 1, 16–29.CrossRef

Didden, D. G., Philbrick, J. T., & Schorling, J. B. (2001/2002). Anxiety and depression in an internal medicine resident continuity clinic: Difficult diagnoses. International Journal of Psychiatry in Medicine, 31, 155–167.

Hahn, S. R. (2001). Physical symptoms and physician-experienced difficulty in the physician–patient relationship. Annals of Internal Medicine, 134(Supplement), 897–904.CrossRefPubMed

Hahn, S. R., Kroenke, K., Spitzer, R. L., Brody, D., Williams, J. B., Linzer, M., deGruy, F. V. (1996). The difficult patient: Prevalence, psychopathology, and functional impairments. Journal of General Internal Medicine, 11, 1–8.CrossRefPubMed

Hahn, S. R., Thompson, K. S., Wills, T. A., Stern, V., & Budner, N. S. (2004). The difficult doctor–patient relationship: Somatization, personality and psychopathology. Journal of Clinical Epidemiology, 47, 647–657.CrossRef

Hanel, G., Henningson, P., Herzog, W., Sauer, N., Schaefert, R., Szecsenyid, J., Löwe, B. (2009). Depression, anxiety, and somatoform disorders: Vague or distinct categories in primary care? Results from a large cross-sectional study. Journal of Psychosomatic Research, 67, 189–197.CrossRefPubMed

Jackson, J. L., & Kroenke, K. (1999). Difficult patient encounters in the ambulatory clinic: Clinical predictors and outcomes. Archives of Internal Medicine, 159, 1069–1075.CrossRefPubMed

Kroenke, K., Jackson, J. L., & Chamberlin, J. (1997). Depressive and anxiety disorders in patients presenting with physical complaints: Clinical predictors and outcome. American Journal of Medicine, 103, 339–347.CrossRefPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.CrossRefPubMed

Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50, 613–621.PubMed

Löwe, B., Wahl, I., Rose, M., Spitzer, C., Glaesmer, H., Wingenfeld, K., … Brahler, E. (2010). A 4-item measure of depression and anxiety: Validation and standardization of the patient health questionnaire-4 (PHQ-4) in the general population. Journal of Affective Disorders, 122, 86–95.CrossRefPubMed

Martín-Fernández, J., delCura-González, M. I., Gómez-Gascón, T., Fernández-López, E., Pajares-Carabajal, G., & Moreno-Jiménez, B. (2009). Patient satisfaction with the patient–doctor relationship measured using the questionnaire (PDRQ-9). Atencion Primaria, 42, 196–203.CrossRef

Maunder, R. G., Panzer, A., Viljoen, M., Owen, J., Human, S., & Hunter, J. J. (2006). Physicians’ difficulty with emergency department patients is related to patients’ attachment style. Social Science and Medicine, 63, 552–562.CrossRefPubMed

Miller, M. D., & Ferris, D. G. (1993). Measurement of subjective phenomena in primary care research: The visual analogue scale. Family Practice Research Journal, 13, 15–24.PubMed

Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097.CrossRefPubMed

Stewart, A. L., Hays, R. D., & Ware, J. E., Jr. (1988). The MOS short-form general health survey: Reliability and validity in a patient population. Medical Care, 26, 724–735.

Stewart, M., Brown, J. B., Donner, A., McWhinney, I. R., Oates, J., Weston, W. W., & Jordon, J. (2000). The impact of patient-centered care on outcomes. Journal of Family Practice, 49, 796–804.PubMed

Van der Feltz-Cornelis, C. M., Van Oppen, P., Van Marwijk, H. W. J., De Beurs, E., & Van Dyck, R. (2004). A patient–doctor relationship questionnaire (PDRQ-9) in primary care: Development and psychometric evaluation. General Hospital Psychiatry, 26, 115–120.CrossRefPubMed

Wells, K. B., Stewart, A., Hays, R. D., Burnam, M. A., Rogers, W., Daniels, M., … Ware, J. (1989). The functioning and well-being of depressed patients. Journal of the American Medical Association, 262, 914–919.CrossRefPubMed

Titel: The Patient–Doctor Relationship Questionnaire (PDRQ-9) in Primary Care: A Validity Study
verfasst von: John H. Porcerelli
William Murdoch
Pierre Morris
Shannon Fowler
Publikationsdatum: 01.09.2014
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 3/2014
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-014-9407-2

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