TY - JOUR

T1 - Experiences of guilt and shame in patients with familial hypercholesterolemia: a qualitative interview study

AU - Frich, J.C.

AU - Malterud, K.

AU - Fugelli, P.

N1 - DA - 20071112IS - 0738-3991 (Print)LA - engPT - Journal ArticlePT - Research Support, Non-U.S. Gov'tSB - N

PY - 2007

Y1 - 2007

N2 - OBJECTIVE: To explore patients' experiences of guilt and shame with regard to how they manage familial hypercholesterolemia. METHODS: We interviewed 40 men and women diagnosed with heterozygous familial hypercholesterolemia. Data were analyzed by systematic text condensation inspired by Giorgi's phenomenological method. RESULTS: Participants disclosed their condition as inherited and not caused by an unhealthy lifestyle. They could experience guilt or shame if they violated their own standards for dietary management, or if a cholesterol test was not favorable. Participants had experienced health professionals who they felt had a moralizing attitude when counseling on lifestyle and diets. One group took this as a sign of care. Another group conveyed experiences of being humiliated in consultations. CONCLUSION: Patients with familial hypercholesterolemia may experience guilt and shame related to how they manage their condition. Health professionals' counseling about lifestyle and diet may induce guilt and shame in patients. PRACTICE IMPLICATIONS: Health professionals should be sensitive to a patient's readiness for counseling in order to diminish the risk of unintentionally inducing guilt and shame in patients Udgivelsesdato: 2007/12

AB - OBJECTIVE: To explore patients' experiences of guilt and shame with regard to how they manage familial hypercholesterolemia. METHODS: We interviewed 40 men and women diagnosed with heterozygous familial hypercholesterolemia. Data were analyzed by systematic text condensation inspired by Giorgi's phenomenological method. RESULTS: Participants disclosed their condition as inherited and not caused by an unhealthy lifestyle. They could experience guilt or shame if they violated their own standards for dietary management, or if a cholesterol test was not favorable. Participants had experienced health professionals who they felt had a moralizing attitude when counseling on lifestyle and diets. One group took this as a sign of care. Another group conveyed experiences of being humiliated in consultations. CONCLUSION: Patients with familial hypercholesterolemia may experience guilt and shame related to how they manage their condition. Health professionals' counseling about lifestyle and diet may induce guilt and shame in patients. PRACTICE IMPLICATIONS: Health professionals should be sensitive to a patient's readiness for counseling in order to diminish the risk of unintentionally inducing guilt and shame in patients Udgivelsesdato: 2007/12

M3 - Journal article

VL - 69

SP - 108

EP - 113

JO - Patient Education and Counselling

JF - Patient Education and Counselling

IS - 1-3

ER -