• "Are You Saying She's Mentally Ill Then?" Explaining Medically Unexplained Seizures in Clinical Encounters 

      Robson, Catherine; Lian, Olaug S (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01)
      Bodily phenomena that are difficult to identify, localize, explain and cure with the aid of modern biomedical knowledge and technology leave ample room for cultural influence. That makes them a perfect case for studying the cultural dimension of medical knowledge and practice. Building on this assumption we qualitatively explore the communication between neurologists and women with seizure disorders ...
    • “Blaming, shaming, humiliation”: Stigmatising medical interactions among people with non-epileptic seizures. 

      Robson, Catherine; Lian, Olaug S (Journal article; Tidsskriftartikkel, 2017-07-24)
      Background: People with non-epileptic seizures (NES) describe difficult and challenging relationships with health professionals, and explain negative interactions as common and expected. Despite these difficulties, little is known about how people with NES experience healthcare encounters. Methods: Using a thematic discourse analysis approach, we analysed the free-text survey responses of 135 ...
    • Continuity of GP care is associated with lower use of complementary and alternative medical providers: a population-based cross-sectional survey 

      Hansen, Anne Helen; Kristoffersen, Agnete Egilsdatter; Lian, Olaug S; Halvorsen, Peder Andreas (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
    • Cross-sectional study of the differences between measured, perceived and desired body size and their relations with self-perceived health in young adults: The Tromsø Study - Fit Futures 2 

      Sand, Anne-Sofie; Furberg, Anne-Sofie; Lian, Olaug S; Nielsen, Christopher Sivert; Pettersen, Gunn; Winther, Anne; Emaus, Nina (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-02-09)
      Aims: The aim of this study was to explore the relationships between measured body size (body mass index (BMI)), perceived body size, weight change wishes and self-perceived health in young adults. Methods: The participants were recruited from a school-based population study in Norway, the Tromsø Study: Fit Futures 2, carried out in 2012–2013. A total of 629 young women and men (aged 18–23 years) ...
    • Diagnosenes sosiologi: Medisinske forståelser av utmattede kvinner – før og nå 

      Lian, Olaug S; Bondevik, Hilde (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Praktiseringen av moderne biomedisin skal være basert på vitenskapelig kunnskap og teknologi, men medisinskfaglige forståelser av helse og sykdom preges også av tid og sted. For kroppslige plager som vanskelig lar seg entydig identifisere, forklare og kurere ved hjelp av medisinsk kunnskap og teknologi, kan den kulturelle pregningen bli særlig stor. Slike plager er derfor spesielt godt egnet som ...
    • Experiences of general practitioner continuity among women with chronic fatigue syndrome/myalgic encephalomyelitis: a cross-sectional study 

      Hansen, Anne Helen; Lian, Olaug S (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-14)
      <b>Background:</b> Continuity of care is important for patients with chronic illness in need of coordinated healthcare services from multiple providers. Little is known about how patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) experience continuity of GP care. This study explores how women with CFS/ME experience GP care across the three dimensions of continuity: informational, ...
    • Geografiske ulikheter i tilbudet av polikliniske tjenester til barn og unge ved norske sykehus - et kulturperspektiv 

      Fundingsrud, Hans Petter; Lian, Olaug S (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-05-02)
      Nasjonale kartlegginger har påvist til dels store geografiske ulikheter i tilbudet av spesialisthelsetjenester til barn og unge i Norge. Tilbudsulikhetene varierer fra tre til fem ganger for enkelte sykdomskategorier. Disse ulikhetene kan ikke forklares med forskjeller i sykelighet. Helsepolitiske målsettinger om geografisk likeverdige tjenestetilbud til befolkningen tilsier at de geografiske ...
    • Health related quality of life of people with non-epileptic seizures: The role of socio-demographic characteristics and stigma 

      Robson, Catherine; Myers, Lorna; Pretorius, Chrisma; Lian, Olaug S; Reuber, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-01-12)
      <p><i>Purpose</i>: People with non-epileptic seizures (NES) consistently report poorer Health-Related Quality of Life (HRQoL) than people with epilepsy. Yet, unlike in epilepsy, knowledge of how social factors influence the HRQoL of adults with NES is limited. To add to the evidence base, this study explores the relationship between HRQoL and perceived stigma among adults with NES, and the role of ...
    • How do women with chronic fatigue syndrome/myalgic encephalomyelitis rate quality and coordination of health care services? A cross-sectional study 

      Hansen, Anne Helen; Lian, Olaug S (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-18)
      Objective: To test the association between self-rated health and self-rated degree of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), and CFS/ME patients’ assessment of quality of primary care, specialist care and coordination of care. Design: Cross-sectional study. Setting: Self-reported questionnaire data from women members of The Norwegian ME Association obtained in ...
    • “I Do Not Really Belong Out There Anymore”: Sense of Being and Belonging Among People With Medically Unexplained Long-Term Fatigue 

      Lian, Olaug S; Lorem, Geir F (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-03-01)
      In this article, we explore relations between health, being, belonging and place through an interpretive thematic analysis of autobiographic text and photographs about the everyday lives of 10 women and men living with medically unexplained long-term fatigue in Norway. While interpreting their place-related illness experiences, we ask: How do they experience their being in the world, where do they ...
    • ‘It feels like my metabolism has shut down’. Negotiating interactional roles and epistemic positions in a primary care consultation 

      Lian, Olaug S; Nettleton, Sarah; Grange, Huw R.; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-11-16)
      Introduction: Our aim is to explore the ways in which a patient and a general practitioner (GP) negotiate knowledge-claims stemming from different epistemic domains while dealing with a mismatch between experiential and biomedical knowledge during a clinical consultation. We interpret their interaction in relation to the sociocultural context in which their negotiation is embedded, and identify ...
    • ”It´s incredible how much I´ve had to fight.” Negotiating medical uncertainty in clinical encounters. 

      Lian, Olaug S; Robson, Catherine (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-10-24)
      Purpose: Clinical encounters related to medically unexplained physical symptoms (MUPS) are associated with high levels of conflict between patients and doctors. Collaborative difficulties are fused by the medical uncertainty that dominates these consultations. The main aim of this study is to explore the interactional dynamics of clinical encounters riddled by medical uncertainty, as experienced by ...
    • ‘It’s like getting your car checked’: the social construction of diabetes risk among participants in a population study 

      Norddal, Guri A.; Wifstad, Åge; Lian, Olaug S (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-31)
      In western industrialised societies, asymptomatic individuals are increasingly labelled as at-risk of future illness and targeted for public health interventions. These at-risk people are identified through health checks, population studies and national screening programs. The main purpose of communicating such risk to individuals is to motivate them to make lifestyle changes. Many of these risk-labels ...
    • “I’m not the doctor; I’m just the patient”: Patient agency and shared decision-making in naturally occurring primary care consultations 

      Lian, Olaug S; Nettleton, Sarah; Grange, Huw R.; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-30)
      Objectives: To explore interactional processes in which clinical decisions are made in situ during medical consultations, particularly the ways in which patients show agency in decision-making processes by proposing and opposing actions, and which normative dimensions and role-expectations their engagement entail.<p> Methods: Narrative analysis of verbatim transcripts of 22 naturally occurring ...
    • Life according to ME: Caught in the ebb-tide 

      Lian, Olaug S; Rapport, Frances (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-01)
      In this article, we explore the role of ‘place’ in shaping people’s illness experiences through a data-led inductive case-study based on experiential data from people living with myalgic encephalomyelitis (ME) in Norway. Our main aim is to understand how they experience, interpret and attach meaning to various places in which they reside, and how they construct the course of a life influenced by ...
    • Medical constructions of long-term exhaustion, past and present 

      Lian, Olaug S; Bondevik, Hilde (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-04-24)
      Culture and history affect the ways in which medical knowledge is shaped, sustained and changed. The less knowledge we have, the larger the space for the cultural imprint becomes. Based on these assumptions, we ask: how have medical constructions of long-term exhaustion changed over time, and how are changing constructions related to societal change? To discuss these questions we conducted a ...
    • Modes of Interaction in Naturally Occurring Medical Encounters with General Practitioners: The ´One in a Million´ Study 

      Lian, Olaug S; Nettleton, Sarah; Wifstad, Åge; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-03-04)
      In this article, we qualitatively explore the manner and style in which medical encounters between patients and general practitioners (GPs) are mutually conducted, as exhibited in situ in 10 consultations sourced from the <i>One in a Million: Primary Care Consultations Archive</i> in England. Our main objectives are to identify interactional modes, to develop a classification of these modes, and to ...
    • Motivation and obstacles for weight management among young women - a qualitative study with a public health focus - the Tromsø study: Fit Futures 

      Sand, Anne-Sofie; Emaus, Nina; Lian, Olaug S (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-05-08)
      Background: <br>Due to a worldwide increase in overweight and obesity, weight-management through lifestyle changes has become an important public health issue. Adolescents and young adults comprise a vulnerable group. The transition into adulthood represents a stage in life when establishing good lifestyle habits for the future is important. The aim of this study was to explore motivation and ...
    • “My cousin said to me ...” Patients’ use of 3rd-party references to facilitate shared decision-making during naturally occurring primary care consultations. 

      Lian, Olaug S; Nettleton, Sarah Joan; Grange, Huw Robert; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-07-30)
      In this paper, we explore the ways in which patients invoke third parties to gain decision-making influence in clinical consultations. The patients’ role in decision-making processes is often overlooked, and this interactional practice has rarely been systematically studied. Through a contextual narrative exploration of 42 naturally occurring consultations between patients (aged 22–84) and general ...
    • Ny ME-veileder innebærer en kursendring i behandlingen av kroniske utmattelsestilstander 

      Lian, Olaug S (Chronicle; Kronikk, 2021)
      National Institute for Health and Care Excellence (NICE) har nylig publisert nye retningslinjer for behandling av langvarige medisinsk uforklarte utmattelsestilstander som myalgisk encefalopati (ME) og kronisk utmattelsessyndrom (CFS). Retningslinjene innebærer en relativt stor kursendring, blant annet er den tidligere vektleggingen av fysisk trening og mentale mestringsstrategier erstattet av råd ...