To self-disclose or not self-disclose? A systematic review of clinical self-disclosure in primary care

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Bruce Arroll, Emily-Charlotte Frances Allen

Abstract

There is a debate in medicine about the value of self-disclosure by the physician as a communication tool. To review the empirical literature of self-disclosure in primary care. Systematic review of empirical literature relating to self-disclosure by primary care physicians (including US paediatricians) from seven electronic databases (MEDLINE(®), Scopus, PsycINFO, Embase, Social Sciences Citation Index, EBSCOhost, and Cochrane Central Register of Controlled Trials [CENTRAL]). Databases were searched for empirical studies on self-disclosure and primary care published from 1946 to 28 November 2014, as well as references from primary studies. The search was extended to include working papers, theses, and dissertations. Nine studies were identified, with response rates ranging from 34% to 100%, as well as several not reported. Self-disclosure occurred in 14-75% of consultations, the most from paediatricians. Self-disclosure had intended benefit; however, one standardised patient study found that 85% of self-disclosures were not useful as reported by the transcript coders. Conflicting data emerged on the self-disclosure outcome. This is the first systematic review of self-disclosure in primary care and medicine. Self-disclosure app...Continue Reading

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Sep 2, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Emily-Charlotte Frances Allen, Bruce Arroll

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Citations

Dec 2, 2017·Journal of Clinical Nursing·Jeanette Varpen UnhjemMarit Helene Hem
Aug 3, 2018·Journal of Primary Health Care·Brett Mann
Oct 18, 2018·BMJ : British Medical Journal·Fran Robinson
May 24, 2019·Journal of Racial and Ethnic Health Disparities·Samantha NazioneDavid M Keating
Aug 10, 2018·Journal of Genetic Counseling·Brianna VolzSteven J Robbins
Dec 16, 2020·JAMA : the Journal of the American Medical Association·Tara MontgomeryClarence H Braddock

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