Table 2. Categories and subcategories identified as part of the systematic text condensation and most representative quotes from the in-depth interviews with patients about their experiences discussing couple relationship problems with their GP (2021–2022)
CategoriesSubcategoriesQuotesParticipant characteristics
GPs in a facilitating role, not on an assembly linePractical follow-up, the GP as a gateway or gatekeeper 'Yes, the GP is a junction point, or ... a place to go, and then they refer you to other specialists you need.'Participant 10, female, aged 61–70 years.
Partners 'It is absolutely easier to bring this up in a GP consultation. Going to couples therapy is a very big step … So I think it would have been difficult to get him to come with me to that.'Participant 16, female, aged 61–70 years.
Time squeeze or prioritising time' … I think that in twenty years, that is what I am going to remember. That my GP gave me the last appointment for the day because she knew she had extra time then.'Participant 14, female, aged 51–60 years.
Navigating the 'elephant in the room'A direct approach ' … my GP had a direct approach, challenging the validity of my assessments and questioning my responsibility for the problems …' Participant 7, female, aged 51–60 years.
Engaged and interested GP 'That they have time and that they make time, that they are connected, that they are interested and concerned ... I value their interpersonal competence more than their theoretical expertise.'Participant 7, female, aged 51–60 years.
What is normal? 'For him [the GP], as a man, I guess he is 45 years or something like that, things I have complained about, is really normal stuff. So, I have got feedback from my doctor that this, this isn’t something only you’re experiencing. Many people experience this. And I have known it. But still, it has been good to be comforted by my GP that this isn’t a crisis, then.'Participant 4, female, aged 41–50 years.
The GP should see the whole picture ' … she was really good at diseases. But it didn’t seem like she was comfortable with me digging into stuff like this. When that happened, she became quite detached.'Participant 8, female, aged 61–70 years.
GPs as biomedically competent life witnessesThe GP as a life witness 'It is not okay when we are having a family party and he has been drinking on the quiet, you know. It is so embarrassing ... having couple relationship problems feels really lonely.'Participant 10, female, aged 61–70 years.
In sickness and health, and through relationship problems ' … I get lots of support [from my GP] to stay at a rehabilitation institution for a period of time to achieve more energy I can bring back to make my couple relationship work better. This support has been really helpful to me.'Participant 15, female, aged 61–70 years.