This project aimed to explore the nature of psychological distress experienced by patients at the initial medical consultation prior to bone marrow transplant (BMT). BMT patients (n=20) completed standardized measures of physical and emotional distress related to their illness, the impact the illness was having on their life, anxiety and depression. Patient satisfaction with the doctor was assessed, as were doctor impressions of patient distress and behaviour during the consult. Results indicated that patient distress was best represented by the physical and emotional impact it was having on the patient's life. Overall, doctors had difficulty accurately assessing distress levels in their patients. Interpretation of multiple regression analysis revealed that doctor perception of patient behaviour was predicted more highly by patient distress levels than patient satisfaction. Due to the continual restrictions in doctors accurately assessing distress during medical consultations this research suggests that further studies are needed, in particular regarding the use of direct questioning or brief screening measures to assist doctors with the identification of distress. / Thesis (MPsychology)--University of South Australia, 2006.

Thesis (Ed. D.)--University of Toronto, 2005.

Thesis--University of Florida. / Vita. Includes bibliography.

Thesis, PlanB (M.S.)--University of Wisconsin--Stout, 2005. / Includes bibliographical references.

Thesis (Ph.D.)--Ohio University, June, 2005. / Includes bibliographical references (leaves 185-221)

Thesis--Wisconsin. / Includes bibliographical references (leaves 38-41).

Thesis--Wisconsin. / Includes bibliographical references (leaves 34-35).

The ability to gather accurate and complete information is important in scientific endeavors and the field of medicine is no exception. The medical interview is one of the primary methods by which the physician gathers information. His/her method should be no less than that used by the scientist. There are two components to the medical interview: The content, or the specific information, and the process, or the method by which the information is obtained. Traditional methods for teaching interviewing skills to medical students emphasized an on-the-job type of experience with students going out on the wards to interview actual patients. The method had several problems including lack of standardized methods of teaching and evaluating. This dissertation looks at a competency-based method of teaching and evaluating medical interview skills used at The University of Arizona College of Medicine. It uses patient instructors (PIs) to objectively evaluate interviewing skills. PIs are highly trained non-physicians who have been trained to function as patients, teachers, and evaluators. Analysis of the data collected on student interview performance from the classes of 1982-1984 indicated that there was no significant difference in content or process scores due to sex or prior occupational experience in a health-related profession. However, significant differences were found in content and process scores due to the age of the interviewer with students older than the class average scoring higher than the younger students.

Thesis (Ph. D.)--University of Texas at Austin, 2001. / Vita. Includes bibliographical references (leaves 197-202). Available also in a digital version from Dissertation Abstracts.

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