识别nocebo教育的心理影响:来自两个预先注册的实验的结果
Kim J Görner1, Emily K Spotts1, Andrew L Geers2
1Department of Psychology, University of Toledo, Toledo, OH, 43606, USA.
Journal of behavioral medicine
|September 21, 2024
概括
在nocebo教育中,患者了解治疗的负面影响,可以减少副作用的预期,并提高自我有效性. 这种策略也可能改变患者在寻求或避免治疗信息方面的意图.
科学领域:
- 心理学 心理学 心理学
- 医学教育 医学教育
- 患者行为 患者行为
背景情况:
- 提供治疗信息可以触发nocebo效应,导致伤害.
- 诺塞博教育是一种新的策略,可以减轻治疗的负面副作用.
- 了解nocebo教育带来的心理变化对于优化其使用至关重要.
研究的目的:
- 为了调查nocebo教育的心理影响.
- 评估副作用预期,控制信念和治疗感知的变化.
- 为了确定对寻求或避免副作用信息的意图的影响.
主要方法:
- 两项预先注册的研究与成年参与者.
- 干预涉及通过视频进行nocebo教育.
- 参与者阅读有关医疗治疗 (止痛药,手术治疗) 的小故事.
- 第二项研究包括一个健康行为视频控制组.
主要成果:
- 诺塞博教育显著降低了全球副作用预期.
- 通过nocebo教育,关于副作用的自我有效性信念增加了.
- 避免副作用信息的意图增加,而寻求信息的意图减少.
- 对情感治疗关联的影响是不确定的.
结论:
- 诺塞博教育会影响多种心理因素,包括期望和自我效能.
- 这项干预表明,它有可能改变患者关于治疗信息的行为.
- 这些发现可以为管理治疗不良副作用的策略提供信息.
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