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Evaluating Differential Effects of Specific Pain Dismissal Interactions With Physicians. Clin J Pain 2018 Jul;34(7):664-669

Date

01/04/2018

Pubmed ID

29298187

DOI

10.1097/AJP.0000000000000586

Scopus ID

2-s2.0-85048950706   3 Citations

Abstract

OBJECTIVES: Over 40% of adolescents with chronic pain report experiencing pain dismissal, which is a response from another individual that is perceived as diminishing, denying, or disbelieving an individual's report of pain. Pain dismissal by physicians often leaves patients feeling discredited, which may discourage them from seeking and receiving proper treatment for their pain. The purpose of this study was to investigate how the 4 most commonly reported types of physician pain dismissal differentially affect individuals' reactions.

MATERIALS AND METHODS: Emerging adults, age 18- to 25-years old (N=352, 60% female), were randomly assigned to read 1 of 4 vignettes describing patient-provider interactions that included the most commonly reported types of pain dismissal identified by previous research: denial/disbelief, minimizing, faking for secondary gain, and psychogenic. Participants answered questions regarding their reactions to the pain dismissal vignettes.

RESULTS: All 4 vignettes were perceived as dismissive and problematic by the majority of participants, but participants who read the psychogenic pain dismissal vignette were less dissatisfied overall with the hypothetical medical appointment than participants who read the other 3 vignettes.

DISCUSSION: All 4 types of physician pain dismissal were broadly perceived negatively, suggesting that the experience of pain dismissal is likely not due to patient hypersensitivity but to physician behavior. Discussion of the psychological factors associated with pain was less likely to be perceived as dismissive. Psychologists and physicians should collaborate to develop recommended language that validates patients' experiences of pain, communicates appropriate levels of empathy, and reduces the frequency of perceived physician pain dismissal.

Author List

Lang AC, Igler EC, Defenderfer EK, Uihlein J, Brimeyer CT, Davies WH

Author

Chasity Brimeyer PhD Associate Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Female
Health Communication
Humans
Language
Male
Pain
Pain Perception
Patient Satisfaction
Physician-Patient Relations
Physicians
Psychophysiologic Disorders
Random Allocation
Young Adult