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...

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...

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...

Undeniable: Evolution and the Science of Creation

Undeniable: Evolution and the Science of Creation
by Bill Nye (Author), Corey S. Powell (Editor)


"Evolution is one of the most powerful and important ideas ever developed in the history of science. Every question it raises leads to new answers, new discoveries, and new smarter questions. The science of evolution is as expansive as nature itself. It is also the most meaningful creation story that humans have ever found."—Bill Nye

Sparked by a controversial debate in February 2014, Bill Nye has set off on an energetic campaign to spread awareness of evolution and the powerful way it shapes our lives. In Undeniable: Evolution and the Science of Creation, he explains why race does not really exist; evaluates the true promise and peril of genetically modified food; reveals how new species are born, in a dog kennel and in a London subway; takes a stroll through 4.5 billion years...

The Elements: A Visual Exploration of Every Known Atom in the Universe

The Elements: A Visual Exploration of Every Known Atom in the Universe
by Theodore Gray (Author), Nick Mann (Photographer)


The Elements has become an international sensation, with over one million copies in-print worldwide. 

The highly-anticipated paperback edition of The Elements is finally available.

An eye-opening, original collection of gorgeous, never-before-seen photographic representations of the 118 elements in the periodic table. 

The elements are what we, and everything around us, are made of. But how many elements has anyone actually seen in pure, uncombined form? The Elements provides this rare opportunity. Based on seven years of research and photography, the pictures in this book make up the most complete, and visually arresting, representation available to the naked eye of every atom in the universe. Organized in order of appearance on the periodic table,...

A Short History of Nearly Everything

A Short History of Nearly Everything
by Bill Bryson (Author)


One of the world’s most beloved writers and bestselling author of One Summer takes his ultimate journey—into the most intriguing and intractable questions that science seeks to answer.

In A Walk in the Woods, Bill Bryson trekked the Appalachian Trail—well, most of it. In A Sunburned Country, he confronted some of the most lethal wildlife Australia has to offer. Now, in his biggest book, he confronts his greatest challenge: to understand—and, if possible, answer—the oldest, biggest questions we have posed about the universe and ourselves. Taking as territory everything from the Big Bang to the rise of civilization, Bryson seeks to understand how we got from there being nothing at all to there being us. To that end, he has attached himself to a host of the world’s most...

TIME For Kids Big Book of Science Experiments: A step-by-step guide

TIME For Kids Big Book of Science Experiments: A step-by-step guide
by Editors of TIME For Kids Magazine (Author)


@font-face { font-family: "Cambria"; }p.MsoNormal, li.MsoNormal, div.MsoNormal { margin: 0in 0in 0.0001pt; font-size: 12pt; font-family: "Times New Roman"; }div.Section1 { page: Section1; } TIME For Kids' successful Super Science Book just got bigger and better-with the all-new Big Book of Science Experiments. This full-color and expanded hardcover book presents 100 fresh and fascinating experiments for kids 8 to 12 to wrap their heads (and hands) around.

The inquiry-based experiments cover aspects of physical, life and earth science, and dovetail with the school science curriculum.

The intriguing experiments were created by the experts at Mad Science, the world's leading science enrichment provider. Probing questions to be explored include:
How does oil affect...

The Science of Interstellar

The Science of Interstellar
by Kip Thorne (Author), Christopher Nolan (Foreword)


A journey through the otherworldly science behind Christopher Nolan’s highly anticipated film, Interstellar, from executive producer and theoretical physicist Kip Thorne.Interstellar, from acclaimed filmmaker Christopher Nolan, takes us on a fantastic voyage far beyond our solar system. Yet in The Science of Interstellar, Kip Thorne, the physicist who assisted Nolan on the scientific aspects of Interstellar, shows us that the movie’s jaw-dropping events and stunning, never-before-attempted visuals are grounded in real science. Thorne shares his experiences working as the science adviser on the film and then moves on to the science itself. In chapters on wormholes, black holes, interstellar travel, and much more, Thorne’s scientific insights—many of them triggered during the actual...

The Science Book (Big Ideas Simply Explained)

The Science Book (Big Ideas Simply Explained)
by DK Publishing (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: The Definitive Visual Guide

Science: The Definitive Visual Guide
by Robert Dinwiddie (Author), Giles Sparrow (Author), Marcus Weeks (Author), Carole Stott (Author), Jack Challoner (Author), David Hughes (Author), David Burnie (Author), Adam Hart-Davis (Editor)


Encompassing everything from ancient Greek geometry and quantum physics to the wedge and the World Wide Web, Science is a remarkable reference book that tells the story of science from earliest times to the present day — now available in paperback!

© 2014 BrightSurf.com