I am looking at the role or influence of EI in the "difficult physician-patient relationship" in the primary care setting, within a university family medicine residency clinic. So basically, I am gathering patient data that has been commonly seen as part of being a "difficult patient" (e.g., measures of patient personality, healthcare utilization, somatization, attachment, estimation of cognitive intelligence, depression/anxiety levels, etc.) and also having patients complete the MSCEIT 2.0
I am also gathering physician factors (as I have both faculty and residents PGY years 1-3 participating), such as their own EI, their OSCE scores (i.e., standardized patient interaction scores), PGY year, and their ratings of the level of difficulty of the individual patients that they see.
Ultimately, I am hoping to find that, through multi-level regression analysis, EI will explain a significant proportion of the variance in difficult doctor-patient relationship scores above and beyond the other important variables described above.
One of the ways that we can utilize EI in an applied sense would be to continue to see EI and a skill that can be developed. While there are no empirical papers that I know of that look at ability-based EI and somatization, there have been some theoretical lines of thought possible linking low EI and alexithymia. Of course, alexithymia has been linked to somatization, and therefore, if part of somatization involves low EI (which would entail a deficit in awareness of internal emotive states) perhaps low EI might part of the bedrock, or at least the cognitive component, of understanding etiology of somatization.
If, we as psychologists in these settings, can develop ways in which to properly identify primary care patients with low EI, we can then work with these patients to develop their own "emotional awareness" (I know, still a nebulous term) and/or help to combat the phenomena of "difficult patients" (e.g., patients that are high healthcare utilizers). This wold also include continuing to develop physician EI as a means to help them identify and work with these types of patients. There as been more progress in the EI research in this respect rather than on the patient side.
In summary, I am hoping to find that EI is a perverse variable, even in the brief primary care encounters.