Scandinavian Journal of Primary Health Care最新文献

{"title":"From prevalence to prognosis: the clinical relevance of depression and anxiety in COPD.","authors":"Josep Montserrat-Capdevila","doi":"10.1080/02813432.2026.2738628","DOIUrl":"10.1080/02813432.2026.2738628","url":null,"abstract":"","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"45 1","pages":"2738628"},"PeriodicalIF":1.9,"publicationDate":"2027-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physicians' perspectives of palliative care quality in nursing homes: a cross-sectional study.","authors":"Tuva Sandsdalen, Reidun Hov, Harald Sanaker, Liv Skomakerstuen Ødbehr","doi":"10.1080/02813432.2026.2742320","DOIUrl":"10.1080/02813432.2026.2742320","url":null,"abstract":"<p><strong>Background: </strong>Since physicians have primary responsibility for medical treatment, their perspectives of palliative care quality in nursing homes can provide important knowledge for service evaluation and enhancement in this context. However, few studies exist that include their perspectives.</p><p><strong>Objectives: </strong>The aim was to investigate physicians' perspectives of the quality of palliative care in Norwegian nursing homes.</p><p><strong>Methods: </strong>A cross-sectional study conducted between November 2022 and December 2023, which included 77 nursing home physicians (response rate 43.5%) in Norway. Data were collected using a questionnaire comprising questions about demographic variables and perceptions of quality of care, as measured by the short form of the instrument Quality from the Patients' Perspective for Palliative Care (QPP-PC), adapted for healthcare personnel. Descriptive analyses and Wilcoxon signed rank tests were performed.</p><p><strong>Results: </strong>Nursing home physicians scored subjective importance of the care significantly higher than their perception of the quality of actual care received in the two dimensions; medical-technical competence and sociocultural atmosphere and for nine out of the 24 items and three out of seven additional symptom-specific questions. A need for improvement was identified in care areas such as symptom relief for pain, depression and anxiety, existential care, understanding patients' perspective, waiting time, individualized care, cooperation, and continuity.</p><p><strong>Conclusion: </strong>The results show that provision of high-quality palliative care in nursing homes can be challenging and that the physicians identified several areas for improvement. The results can provide direction for future quality improvement. However, the findings need to be confirmed in a larger sample.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"45 1","pages":"2742320"},"PeriodicalIF":1.9,"publicationDate":"2027-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comorbid asthma - occurrence and associations with patient-related outcomes in COPD: a cohort study.","authors":"Åsa Athlin, Karin Lisspers, Mikael Hasselgren, Björn Ställberg, Hanna Sandelowsky, Maaike Giezeman, Christer Janson, Marta A Kisiel, Gabriella Eliason, Anna Nager, Scott Montgomery, Josefin Sundh","doi":"10.1080/02813432.2026.2747915","DOIUrl":"https://doi.org/10.1080/02813432.2026.2747915","url":null,"abstract":"<p><strong>Purpose: </strong>Clinical features of COPD and asthma overlap, complicating differential diagnosis. This study investigated the prevalence of comorbid asthma in COPD patients and its association with patient-related outcomes.</p><p><strong>Materials and methods: </strong>Patients with a doctor's diagnosis of COPD were randomly selected in two cohorts 2005 (<i>n</i> = 1060) and 2014 (<i>n</i> = 1671), from primary and secondary care in Sweden. Data were collected from medical records and patient questionnaires at baseline and at follow-up (2012 and 2022, respectively). Questionnaires included data on exacerbations. Symptoms were assessed using the clinical COPD questionnaire (CCQ). Comorbid asthma was identified through medical records. Ten-year mortality data were obtained from national registers. Logistic and linear regression assessed associations with patient-reported outcomes; Cox regression was applied for mortality analyses.</p><p><strong>Results: </strong>Comorbid asthma was found in 22% of the 2005 cohort and 9% of the 2014 cohort (<i>p</i> < .001). In both cohorts, it was associated with an increased risk of exacerbations: OR (95% CI) 1.58 (1.07-2.32), <i>p</i> = .02, and 2.20 (1.38-3.52), <i>p</i> < .001, respectively. No associations were found between comorbid asthma and worsening of health status (CCQ). Mortality risk did not differ in the 2005 cohort, HR (95% CI) 0.92 (0.71-1.18), but was lower in the 2014 cohort, HR (95% CI) 0.67 (0.49-0.93), <i>p</i> = .02.</p><p><strong>Conclusion: </strong>Comorbid asthma in COPD has changed from 22 to 9%, potentially due to improved diagnostics. Comorbid asthma remains clinically relevant due to its association with an increased exacerbation risk.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"45 1","pages":"2747915"},"PeriodicalIF":1.9,"publicationDate":"2027-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adjusting the 15-method to Danish general practice: a participatory design approach.","authors":"Peter Schøler, Jens Søndergaard, Sanne Rasmussen, Anette Søgaard Nielsen","doi":"10.1080/02813432.2025.2606046","DOIUrl":"10.1080/02813432.2025.2606046","url":null,"abstract":"<p><strong>Background: </strong>The 15-method is a primary healthcare tool for opportunistic screening and brief intervention for alcohol-related problems. A Danish feasibility test of the 15-method suggested that adjustments might enhance its fit to Danish general practice. This study reports on user-involving workshops aimed at refining a Danish version of the 15-method.</p><p><strong>Methods: </strong>Using a participatory design approach, we conducted iterative cycles of planning, user workshops, evaluating and revising design. Workshops engaged five general practitioners, three nurses, four patients, four researchers, a project manager, a graphics designer and a behavioral design specialist. Through prototyping and scenario enacting, participants co-developed solutions to improve the 15-method's structure and usability. Prototypes were field tested and evaluated.</p><p><strong>Results: </strong>The 15-method's treatment step was shortened from four consultations to three by re-structuring of the patient material and increasing flexibility in transitioning from screening to treatment. A quick guide was developed as a shared reference for patients and healthcare professionals, alongside visual aids such as flyers and posters. The healthcare manual was re-designed for flexibility and updated to include varied screening approaches. Field testing confirmed that these adjustments enhanced usability and interdisciplinary collaboration.</p><p><strong>Conclusion: </strong>The participatory design process effectively refined the 15-method for Danish general practice. Future studies will assess the effectiveness of the adapted version on a larger scale.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"44 1","pages":"2606046"},"PeriodicalIF":1.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145889740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences and perceptions of pharmacological treatment of obesity among primary health care physicians in Sweden: a qualitative content analysis study.","authors":"Jenny Hellgren, Tobias Herder, Pia Svensson","doi":"10.1080/02813432.2026.2703168","DOIUrl":"https://doi.org/10.1080/02813432.2026.2703168","url":null,"abstract":"<p><strong>Background: </strong>High body mass index (BMI) accounts for approximately 7% of total mortality in Sweden and represents a major global public health challenge. In recent years, new anti-obesity medications (AOMs) have been introduced; however, knowledge about how primary care physicians (PCPs) perceive these medications in clinical practice is limited. Understanding PCPs' perspectives is essential as these medications are expected to play an increasingly important role in obesity care.</p><p><strong>Aim: </strong>To explore PCPs' experiences and perceptions of AOMs, and to identify perceived challenges and opportunities related to their clinical use.</p><p><strong>Methods: </strong>A qualitative study was conducted, including 11 in-depth interviews with PCPs working in regional and private primary health care centers in Skåne, Sweden. Data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>The analysis yielded one overarching theme: <i>Negotiating tensions and shifting responsibilities in the transformation of obesity treatment,</i> supported by five categories and 13 sub-categories. AOMs facilitated person-centered discussions about weight management but posed challenges due to limited clinical experience and recent introduction. The multifactorial nature of obesity raised questions regarding clinical responsibility, treatment duration and resource allocation.</p><p><strong>Conclusions: </strong>Pharmacological treatment of obesity was perceived as useful for initiating discussions and supporting weight loss. However, PCPs reported challenges related to obesity complexity, lack of consensus on classification and treatment, unclear treatment duration, and economic barriers. Clear guidelines and shared understanding of obesity treatment may reduce uncertainty and provide stronger support for PCPs. Further research incorporating patient perspectives and other Swedish regions can inform national guidelines and enhance the overall understanding of AOMs.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"44 1","pages":"2703168"},"PeriodicalIF":1.9,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148472634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences among men with localised urinary tract infection in primary care: a qualitative study.","authors":"Mia Tyrstrup, Hedvig Gröndal, Malin André, Helena Kornfält Isberg","doi":"10.1080/02813432.2026.2647002","DOIUrl":"10.1080/02813432.2026.2647002","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) do not see men with localised urinary tract infection (UTI) very often which limits their possibility of developing expertise in the area. To gain knowledge of male patients' experiences and perspectives on localised UTIs, qualitative research is needed.</p><p><strong>Aim: </strong>To explore expectations, experiences and symptoms in men with localised urinary tract infection in primary health care (PHC).</p><p><strong>Design and setting: </strong>A qualitative study based on semi-structured interviews with men with a history of localised UTI treated in PHC was performed.</p><p><strong>Method: </strong>Data were collected from patients with recent experience of localised UTI, using semi-structured interviews. An interview guide with open-ended questions was used. All interviews were audio recorded and transcribed verbatim. A thematic analysis was performed.</p><p><strong>Results: </strong>The median age of the 18 patients was 77.5 years. The interviews lasted an average of 16 min. Four themes emerged: (1) stigma and self-blame in managing illness. (2) Adaptation, careful planning and normalization. (3) Gender and help seeking behaviour. (4) Healthcare experience-uncertainty and trust. Many patients reflected on the causes behind their infection and expressed aspects of self-infliction. They explained that symptoms from the localised UTI affected their daily lives and adjusted their way of living according to them.</p><p><strong>Conclusions: </strong>Localised UTI symptoms in men affect their daily lives. GPs should be perceptive regarding any beliefs among patients with localised UTI, as well as any self-imposed guilt that could lead to unnecessary lifestyle changes. Although the patients in this study expressed good confidence in health care, they also found the care not individualized enough.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"44 1","pages":"2647002"},"PeriodicalIF":1.9,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of skin and soft tissue infections in general practice and out-of-hours services in Norway 2006-2022.","authors":"Magnus Fossum, Ingrid Keilegavlen Rebnord, Knut Eirik Ringheim Eliassen, Leo Larsen, Guri Rørtveit, Knut-Arne Wensaas, Knut Erik Emberland","doi":"10.1080/02813432.2026.2649331","DOIUrl":"10.1080/02813432.2026.2649331","url":null,"abstract":"<p><strong>Background: </strong>Most patients with skin and soft tissue infections (SSTIs) are treated in the primary care setting. However, recent epidemiologic data in primary care are limited.</p><p><strong>Objective: </strong>To investigate incidence and patient characteristics of SSTI episodes in daytime general practice (DGP) and out-of-hours (OOH) services in Norway.</p><p><strong>Methods: </strong>Registry-based study using reimbursement claims data from Norwegian primary care for the period 2006-2022. SSTI consultations were grouped into episodes, and patient morbidities were identified using a morbidity index. Incidence rates were calculated based on population data from Statistics Norway.</p><p><strong>Results: </strong>During the study period, 1 171 018 unique patients experienced altogether 1 727 736 SSTI episodes in Norwegian primary care. Most SSTI episodes (76.1%) were managed in DGP and incidence rates peaked in the third quarter. The overall annual incidence was 20.0/1000 inhabitants, with a decrease from 23.7/1000 inhabitants in 2006 to 17.0 in 2022. During the period, the largest decline among the SSTIs was observed for impetigo (68.1% decrease), infected wound or bite (46.0% decrease), and cellulitis and erysipelas (23.6% decrease), while abscess and furuncle and paronychia all remained stable. Overall, elderly patients and patients with a morbidity score of one or more had higher incidence rates of SSTIs, that increased over the period.</p><p><strong>Conclusion: </strong>The incidence of SSTIs in DGP and OOH services in Norway declined over the study period, except for elderly and persons with multimorbidity. As the population is increasingly older and multimorbid, such infections may represent a growing challenge in the future.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"44 1","pages":"2649331"},"PeriodicalIF":1.9,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147532140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality-of-life and self-perceived inequity in people with severe mental illness: the SOFIA pilot study.","authors":"Maarten Bjoern-Rozing, Volkert Siersma, Kristine Bissenbakker, Maria Haahr Nielsen, Alexandra Brandt Ryborg Jønsson, Anne Møller, John Brandt Brodersen","doi":"10.1080/02813432.2026.2697923","DOIUrl":"10.1080/02813432.2026.2697923","url":null,"abstract":"<p><strong>Background: </strong>Living with severe mental illness (SMI) adversely affects quality of life (QoL). The SOFIA program, a coordinated general practice care initiative in Denmark, aimed to improve QoL and reduce mortality through extended general practitioner (GP) consultations, training for GPs and staff, and support in connecting patients with relevant health and social services.</p><p><strong>Objective: </strong>To evaluate the impact of the SOFIA intervention on needs-based QoL, self-perceived inequity, and health-related QoL in people with SMI.</p><p><strong>Design and setting: </strong>Cluster-randomised, non-blinded controlled pilot trial conducted in nine Danish general practices between November 2020 and March 2021. Practices were allocated to a coordinated care program (CCP; <i>n</i> = 27), CCP plus a needs-based QoL tool (CCP+; <i>n</i> = 37), or usual care (control; <i>n</i> = 23).</p><p><strong>Subjects: </strong>Adults with psychotic disorders, bipolar disorder, or severe depressive disorder.</p><p><strong>Main outcome measures: </strong>Outcomes were assessed using the Multi-Morbidity Questionnaire (MMQ) and the EQ-5D-5L.</p><p><strong>Results: </strong>No statistically significant differences were observed between intervention and control groups in changes in needs-based QoL. Compared with the control group, the CCP+ group showed statistically significant improvements in two self-perceived inequity domains: <i>not being seen and heard and powerlessness.</i> No significant differences were found for the remaining inequity domains or health-related QoL.</p><p><strong>Conclusion: </strong>The findings suggest that comprehensive, coordinated GP consultations may help reduce feelings of inequity among people with SMI. Larger pragmatic randomised controlled trials with adequate power and longer follow-up are needed to determine the intervention's effectiveness on patient-reported outcomes and long-term health.Trial registration The pilot trial protocol registration was dated 05/11/2020, and the registration number is NCT04618250.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"44 1","pages":"2697923"},"PeriodicalIF":1.9,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuity of care in the context of a primary health care reform: a follow-up after the Swedish <i>Patient Choice Reform</i>.","authors":"Hannes Kohnke, Andrzej Zielinski, Anders Beckman, Henrik Ohlsson","doi":"10.1080/02813432.2025.2527856","DOIUrl":"10.1080/02813432.2025.2527856","url":null,"abstract":"<p><strong>Background: </strong>Continuity of care (CoC) is essential for effective primary health care (PHC), yet Swedish PHC has historically exhibited low levels of continuity. The Swedish <i>Patient Choice Reform</i> introduced privatization and market-oriented principles into PHC, leading to increased utilization and growing inequities in service use driven by socioeconomic disparities and misalignment with health care needs. However, little is known about its impact on continuity. The aim of this study is to explore long-term effects of longitudinal CoC in PHC within the context of the <i>Patient Choice Reform</i>.</p><p><strong>Methods: </strong>Using register data from Region Skåne (2007-2017), we created three closed cohorts, each capturing three years of PHC utilization. Continuity with GPs was measured using the Continuity of Care Index (CoCI). Quantile regression assessed associations between continuity and individual characteristics, including age, sex, income, education and residence.</p><p><strong>Results: </strong>Among 322,641 individuals with 7,878,642 general practitioner (GP) visits, median CoCI declined from 0.17 (2007 cohort) to 0.13 (2015 cohort). Higher age, male sex and increased PHC utilization were linked to greater continuity in 2007, but these associations weakened by 2015.</p><p><strong>Conclusions: </strong>Continuity of care in Swedish PHC declined over time, particularly among older individuals and frequent PHC users. These findings highlight the need to address continuity deterioration in the context of the <i>Patient Choice Reform</i>.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12928609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent physical symptoms not explained by structural abnormalities or disease processes: a primary care approach to promote recovery.","authors":"Cathrine Abrahamsen, Mike Beadsworth, Will Bostock, Trudie Chalder, Signe Flottorp, Egil A Fors, Paul Garner, Sarah Hadfield, Becca Kennedy, Rebecca Kuehn, Live Landmark, Gunvor Launes, Helena Liira, Lina Linnestad, Hélène Rotkirch Virrantaus, Velina Vangelova-Korpinen","doi":"10.1080/02813432.2026.2633765","DOIUrl":"10.1080/02813432.2026.2633765","url":null,"abstract":"<p><p><b>Background:</b> A substantial proportion of people consulting primary care practitioners have symptoms that persist even after structural problems and diseases have been excluded. They experience distressing somatic complaints - such as fatigue, pain, headaches, and brain fog - lasting months or longer which impair quality of life and workability. In this article, we refer to these as persistent physical symptoms (PPS). When diagnosis, advice and care are based solely on a biomedical interpretation of symptoms, patients may not improve. This can result in repeated and often frustrating consultations and investigations.</p><p><p><b>Aim:</b> To outline contemporary theories around PPS for general practitioners, and offer practical, evidence-informed pathways to use in primary care.</p><p><p><b>Methods:</b> Narrative literature review and consensus development with experienced practitioners.</p><p><p><b>Synopsis:</b><b><i>Contemporary theories</i></b> Contemporary theories of PPS provide a coherent framework for understanding symptom persistence and guide treatment. These theories propose that symptoms may arise from brain-based responses to perceived threat, influenced by expectations and learned associations. Such responses can become unhelpful when benign sensations are interpreted as dangerous. Biopsychosocial factors unique to each individual influence these mechanisms which need to be considered when assessing PPS and working towards symptom resolution with the patient.</p><p><p><b><i>Evidence-informed pathways</i></b> Key strategies include validating patients' symptoms and emotional experiences, providing clear explanations of symptom persistence, and developing personalised management plans that combine biological, psychological, and social approaches. Such strategies can reduce or resolve symptoms, foster hope and a sense of agency, and often lead to recovery.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"44 1","pages":"2633765"},"PeriodicalIF":1.9,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12990270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}