Having allies-Experiences of support in people with stress-related exhaustion: A qualitative study

PLoS One. 2022 Nov 9;17(11):e0277264. doi: 10.1371/journal.pone.0277264. eCollection 2022.

Abstract

Background: The number of people seeking care for symptoms of exhaustion and stress is a major concern in several countries. The condition is a challenging and life-changing experience, and a deeper understanding of support to help people on sick leave due to stress-related exhaustion in their early stages is needed to facilitate recovery.

Objective: The aim was to explore experiences of support in people with stress-related exhaustion being on sick-leave less than six months.

Method: A qualitative interview study was conducted with 12 participants (7 women and 5 men; aged 25-46 years) who were on sick leave that had not exceeded six months due to stress-related exhaustion. The participants were recruited from public healthcare centres in the western part of Sweden, and the intention was to reach them early in their ongoing sick leave period. The interviews were performed face-to-face and analysed using a phenomenological hermeneutical approach.

Results: The findings show that people affected by stress-related exhaustion struggle to maintain their dignity and define support in terms of allies who acknowledge their personhood and provide them helpful guidance. Participants expressed their needs to be taken seriously by professionals, family, and friends willing to engage in their situation. Lack of empathy and professional knowledge in the clinical encounter induced additional stress.

Conclusions: This study indicates that people affected by stress-related exhaustion need allies from their surrounding networks in their struggle to maintain their dignity. Our findings highlight that it is essential to acknowledge them as persons and establish an alliance to provide appropriate support based on each person's specific situation, needs and resources. This approach can be facilitated in a partnership, as emphasized in person-centred care (PCC). PCC emphasizes the co-creation of care in partnership between the patient (often with relatives) and health care professionals which may imply a more collaborative view of health care in which patients are engaged as active partners in planning their care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care*
  • Empathy
  • Female
  • Health Personnel
  • Humans
  • Male
  • Qualitative Research
  • Sick Leave*

Grants and funding

This study was financed by grants from The Swedish Research Council for Health, Working Life and Welfare (reference number 2016-07418, 2017-00557 and 2019-01726) and from the Swedish agreement between the government and the county councils concerning economic support for providing an infrastructure for research and education of doctors (ALFGBG-772191 and ALFGBG-932659). The funders had no role in the design of the study, data collection, analysis, or interpretation.