在疼痛治疗中对副作用信息的渴望:对情境和个体差异因素的实验分析
Kelly S Clemens1, Michael Vang2, Luana Colloca3
1Department of Psychology, Illinois State University, Normal, IL, United States.
Pain
|November 17, 2023
概括
患者希望了解疼痛治疗副作用的信息,但这可能会增加nocebo效应. 减少副作用的披露,当从道德上达成一致时,可以通过管理患者信息需求来降低nocebo反应.
科学领域:
- 医学伦理 医学伦理
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 告知患者疼痛治疗副作用对于决策至关重要,但可能引发nocebo效应.
- 通过共享决策来授权隐副作用,可能会从道德上减少nocebo反应.
- 关于影响疼痛治疗中对副作用信息的渴望因素的实验数据有限.
研究的目的:
- 实验性地调查影响患者在疼痛治疗中获得副作用信息的愿望的因素.
- 确定影响对副作用需求的情境和个人差异.
- 探索共享医疗决策的潜力,以减轻nocebo效应.
主要方法:
- 两个横截面的,主体间的场景实验与999名社区成年人 (18-79岁) 进行.
- 参与者评估了腰部疼痛治疗,操纵了副作用的严重程度,频率和持续时间.
- 对个人信息回避差异的评估与对副作用信息的愿望一起进行了评估.
主要成果:
- 参与者普遍表示,他们对副作用信息的渴望很高.
- 当副作用被描述为不那么严重和不那么频繁时,对信息的渴望下降.
- 高信息回避分数也与对副作用信息的渴望减少相关.
- 对未来信息需求的信念和预期的遗憾调解了低严重程度/频率对信息欲望的影响.
结论:
- 副作用的严重程度和频率显著影响人们对治疗信息的渴望.
- 个人差异,例如避免获取信息,在塑造这种愿望方面发挥着作用.
- 共享医疗决策可以是一个有价值的策略,以道德管理信息披露,以减少疼痛管理中的nocebo效应.
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