Science Current Events | Science News | Brightsurf.com
 

DOCTOR-PATIENT RELATIONSHIP INFLUENCES HEALTH OUTCOMES

March 07, 2001

Physicians who adopt a warm, friendly, and reassuring manner are more effective than those who keep consultations formal and do not offer reassurance, conclude authors of a systematic review published in this week’s issue of THE LANCET.

Throughout history, doctor–patient relationships have been acknowledged as having an important therapeutic effect – known as a context effect - irrespective of any prescribed drug or treatment. Zelda Di Blasi and colleagues from the University of York, UK, did a systematic review to determine whether there was any empirical evidence to support this theory.

The investigators used various medical, psychological, and sociological databases to identify potential trials for inclusion in the review. Two independent reviewers assessed the quality of the trials. The type of non-treatment care given in each trial was categorised as either cognitive or emotional. Cognitive care aimed to influence patients’ expectations about the illness or the treatment, whereas emotional care referred to the style of the consultation (eg, warm, empathic), and aimed to reduce negative feelings such as anxiety and fear. Emotional and cognitive care were expected to work in an interactive manner, and to enhance the effectiveness of therapy or physical care.

25 eligible randomised controlled trials were identified. 19 examined the effects of influencing patients’ expectations about treatment, half of which reported a positive effect. None of the studies examined the effects of emotional care alone, but four trials assessed a combination of both cognitive and emotional care. Three of these studies showed that enhancing patients’ expectations through positive information about the treatment or the illness, while providing support or reassurance, positively influenced health outcomes.

In an accompanying Commentary (p 733), Chris van Weel from University Medical Centre St Radboud, Nijmegen, Netherlands, states that primary care is the obvious environment for context effects to influence health outcomes. He comments: “…the care is low in technology, rich in personal touch. The continuity of care by one person and over time strengthens the trust between patient and practitioner and enables the doctor to accumulate knowledge of the patient’s personal and family circumstances. Di Blasi and colleagues’ report adds empirical data to these theoretical considerations and emphasises the importance of the labelling of health problems, of clarifying the most likely prognosis, and of offering reassurance, thus presenting a focus for future research in general practice”.

Contact: Ms Zelda Di Blasi; T) +353 21 450 1515; M) +353 (0)879 448192; E) zeldadiblasi@yahoo.com

Professor Chris van Weel, Department of General Practice, University Medical Centre St Radboud, Nijmegen, 6500 HB Nijmegen, Netherlands; T) +31 24 361 6332; F) +31 24 354 1862; E) c.vanweel@hsv.kun.nl




Lancet


Science Research Departments



Earth Science

Alternative Energy  |   Anthropology and Archaeology  |   Earthquakes and Volcanoes  |   Environment and Nature News  |   Global Warming  |   High-Energy and Particle Physics  |   Ozone Hole  |   Scientists Slow Light  |   Tsunami


Space Science

Astronomy and Space News  |   Black Holes  |   Chandra X-Ray Observatory  |   Extrasolar Planets  |   Hubble Telescope  |   International Space Station  |   Jupiter Galileo Mission  |   Jupiter Cassini Mission Flyby  |   Mars Exploration  |   Mars Odyssey 2001  |   Mars Global Surveyor  |   Mars Polar Lander  |   Mars Climate Orbiter  |   Mars Pathfinder  |   Meteors and Asteroids  |   Mir Space Station  |   NEAR Asteroid Probe Mission  |   Pluto Planet Debate |   Search for Extraterrestrial Life  |   Space Shuttle Program  |   Space Shuttle Mission: STS-102  |   Space Weather


Life Science

Animal News  |   Biotechnology and Genetics  |   Brain Research  |   Human Cloning  |   Dinosaur and Fossil Discoveries  |   Endangered Species  |   Gene Therapy  |   Genetically Modified Food  |   Stem Cell Research  |   Whales and Whaling


The Science Book: Everything You Need to Know About the World and How It Works

The Science Book: Everything You Need to Know About the World and How It Works
by National Geographic (Author), Marshall Brain (Foreword)


The Science Book: Everything You Need to Know About the World and How It Works encapsulates centuries of scientific thought in one volume. Natural phenomena, revolutionary inventions, scientific facts, and the most up-to-date questions are all explained in detailed text that is complemented by visually arresting graphics.
 
Six major sections ranging from the universe and the planet Earth to biology, chemistry, physics, and mathematics are further broken down into subsections that encompass everything from microscopic life to nuclear power.
 
The Science Book covers a wide range of scientific areas, providing both a general overview of topics for the browsing reader, and more specific information for those who wish to obtain in-depth insight into a particular subject...

Women in Science: 50 Fearless Pioneers Who Changed the World

Women in Science: 50 Fearless Pioneers Who Changed the World
by Rachel Ignotofsky (Author)


It’s a scientific fact: Women rock!
 
A charmingly illustrated and educational book, New York Times best seller Women in Science highlights the contributions of fifty notable women to the fields of science, technology, engineering, and mathematics (STEM) from the ancient to the modern world. Full of striking, singular art, this fascinating collection also contains infographics about relevant topics such as lab equipment, rates of women currently working in STEM fields, and an illustrated scientific glossary. The trailblazing women profiled include well-known figures like primatologist Jane Goodall, as well as lesser-known pioneers such as Katherine Johnson, the African-American physicist and mathematician who calculated the trajectory of the 1969 Apollo 11 mission to the moon....

What If?: Serious Scientific Answers to Absurd Hypothetical Questions

What If?: Serious Scientific Answers to Absurd Hypothetical Questions
by Randall Munroe (Author)


From the creator of the wildly popular webcomic xkcd, hilarious and informative answers to important questions you probably never thought to ask. Millions of people visit xkcd.com each week to read Randall Munroe’s iconic webcomic. His stick-figure drawings about science, technology, language, and love have a large and passionate following. Fans of xkcd ask Munroe a lot of strange questions. What if you tried to hit a baseball pitched at 90 percent the speed of light? How fast can you hit a speed bump while driving and live? If there was a robot apocalypse, how long would humanity last? In pursuit of answers, Munroe runs computer simulations, pores over stacks of declassified military research memos, solves differential equations, and consults with nuclear reactor operators. His...

Klutz LEGO Chain Reactions Craft Kit

Klutz LEGO Chain Reactions Craft Kit
by Klutz Press


LEGO Chain Reactions is packed full of ideas, instructions, and inspiration for 10 LEGO machines that spin, swing, pivot, roll, lift, and drop. Each machine alone is awesome, but put them together and you get incredible chain reactions. Then, combine the machines in any order you like to create your own chain reactions. Our team of experts worked with educators and 11-year-olds to invent the machines, then wrote a book that teaches the skills (and some of the physics behind the fun) kids need to create their own amazing chain reaction machines.

Our book includes 33 special LEGO elements that combine with basic bricks from your collection to make your machines go. But don’t worry that you won’t have the right bricks; we worked with the folks at LEGO to make sure you’ll need...

The Everything Kids' Science Experiments Book: Boil Ice, Float Water, Measure Gravity-Challenge the World Around You!

The Everything Kids' Science Experiments Book: Boil Ice, Float Water, Measure Gravity-Challenge the World Around You!
by Tom Robinson (Author)


Science has never been so easy--or so much fun!

With The Everything Kids' Science Experiments Book, all you need to do is gather a few household items and you can recreate dozens of mind-blowing, kid-tested science experiments. High school science teacher Tom Robinson shows you how to expand your scientific horizons--from biology to chemistry to physics to outer space.

You'll discover answers to questions like:
Is it possible to blow up a balloon without actually blowing into it?What is inside coins?Can a magnet ever be "turned off"?Do toilets always flush in the same direction?Can a swimming pool be cleaned with just the breath of one person?
You won't want to wait for a rainy day or your school's science fair to test these cool experiments for...

Algorithms to Live By: The Computer Science of Human Decisions

Algorithms to Live By: The Computer Science of Human Decisions
by Brian Christian (Author), Tom Griffiths (Author)


What should we do, or leave undone, in a day or a lifetime? How much messiness should we accept? What balance of the new and familiar is the most fulfilling? These may seem like uniquely human quandaries, but they are not. Computers, like us, confront limited space and time, so computer scientists have been grappling with similar problems for decades. And the solutions they’ve found have much to teach us.In a dazzlingly interdisciplinary work, Brian Christian and Tom Griffiths show how algorithms developed for computers also untangle very human questions. They explain how to have better hunches and when to leave things to chance, how to deal with overwhelming choices and how best to connect with others. From finding a spouse to finding a parking spot, from organizing one’s inbox to...

Everything You Need to Ace Science in One Big Fat Notebook: The Complete Middle School Study Guide (Big Fat Notebooks)

Everything You Need to Ace Science in One Big Fat Notebook: The Complete Middle School Study Guide (Big Fat Notebooks)
by Workman Publishing (Author), Editors of Brain Quest (Draft Writer)


It’s the revolutionary science study guide just for middle school students from the brains behind Brain Quest.
    
Everything You Need to Ace Science . . . takes readers from scientific investigation and the engineering design process to the Periodic Table; forces and motion; forms of energy; outer space and the solar system; to earth sciences, biology, body systems, ecology, and more.

The BIG FAT NOTEBOOK™ series is built on a simple and irresistible conceit—borrowing the notes from the smartest kid in class. There are five books in all, and each is the only book you need for each main subject taught in middle school: Math, Science, American History, English Language Arts, and World History. Inside the reader will find every subject’s key concepts,...

Science Encyclopedia: Atom Smashing, Food Chemistry, Animals, Space, and More!

Science Encyclopedia: Atom Smashing, Food Chemistry, Animals, Space, and More!
by National Geographic Kids (Author)


Food chemistry, atom crashing, wave power, food chemistry, and robots! These are just a few of the topics covered in this fantastic new science encyclopedia, which presents a comprehensive overview of physical and life sciences from A to Z. Super smart and kid-friendly, it’s packed with full-color photographs, weird but true facts, amazing statistics, do-it-yourself experiments, plus profiles of scientists and National Geographic's explorers who rock the world of science. Keep up with the changes happening all around us with this stellar science reference book.

The Science Book (Big Ideas Simply Explained)

The Science Book (Big Ideas Simply Explained)
by DK (Author)


With over 225,000 copies in print, DK's Big Ideas series has struck a chord with readers fascinated-but also intimidated-by complex subjects like philosophy, psychology, politics, and religion. The newest title in this successful and acclaimed series is The Science Book, an inventive visual take on astronomy, biology, chemistry, geology, and physics. With eye-catching artwork, step-by-step diagrams, and illustrations that break down complicated ideas into manageable concepts, The Science Book will have readers conversant in genetic engineering, black holes, and global warming in no time. Along the way are found mini-biographies of the most well-known scientists, and a glossary of helpful scientific terms. For students, and students of the world, there is no better way to explore the...

Science: A Visual Encyclopedia

Science: A Visual Encyclopedia
by Chris Woodford (Author), Steve Parker (Author)


The essential reference book for today's young scientists from ages 7-12, Science: A Visual Encyclopedia tackles key curriculum topics including biology, chemistry, and physics, and introduces children to the world of science around them. Explaining the principles of science in a lively and exciting way, the scope of subjects covered is immense — from atoms to acids, hydrogen to heat, recycling to radioactivity, single-celled organisms to sound and everything in between. Throughout the book, fast fact boxes reveal fascinating information at a glance while cutting-edge images help bring the subject matter to life and biographies of scientists and inventors including Galileo, Isaac Newton, and Marie Curie help highlight great discoveries through time. With content appropriate for children...

© 2017 BrightSurf.com