کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6013436 1185913 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Duration and structure of unaccompanied (dyadic) and accompanied (triadic) initial outpatient consultations in a specialist seizure clinic
ترجمه فارسی عنوان
مدت زمان و ساختار مشاوره اولیه سرپایی بدون ارتباط همراه (سه گانه) همراه با یک کلینیک تشنج تخصصی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
چکیده انگلیسی
This study explores differences in the duration and structure of unaccompanied (dyadic) and accompanied (triadic) initial (diagnostic) outpatient consultations in a specialist seizure clinic. This is the first known study to explore this topic quantitatively by analyzing the discourse space taken up by the different participants in real clinical encounters. We did not observe significant differences between the duration of accompanied and unaccompanied interactions (p = 0.589). Results suggest that patients occupy proportionally less discourse space (measured by the number of words produced) in accompanied interactions than in unaccompanied interactions (56.9% versus 28.3%, p ≤ 0.0001). In accompanied interactions, there is a weak negative correlation between the discourse space of patients and that of doctors (rs = − 0.43, p = 0.017) and a moderate to strong negative correlation with the discourse spaces of companions (rs = − 0.64, p = 0.001). These findings indicate that the presence of a companion may reduce opportunities for doctors to observe the interactional, linguistic, and topical features of seizure patient talk, whose differential diagnostic value has been described in a number of previous publications, or for patients to raise issues they want to talk about.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Epilepsy & Behavior - Volume 27, Issue 3, June 2013, Pages 449-454
نویسندگان
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