A Doctor's Belief May Influence A Patient's Response

By Jane Farrell

How your health care provider interacts with you is important. Their style can shape how you feel about your treatment.

A new study found that people experienced less pain when the treatment provider expected a pain reliever to work. This may have been due, in part, to the providerΓÇÖs facial expressions.

The findings were published in Nature Human Behaviour.

The study didnΓÇÖt use real doctors and patients. Participants were assigned to play these roles. Those playing the doctor were first asked to rate their experience of pain relief after applying two creams on their own arms. The creams were actually the same. But the ΓÇ£doctorsΓÇ¥ were given different levels of mildly painful creams. That led them to believe that one was effective and the other wasnΓÇÖt.

The doctors then tested the patients to see how they responded to the creams. Researchers analyzed the facial expressions of both participants. They found that the amount of pain displayed in the doctorΓÇÖs facial expressions affected the patientΓÇÖs overall pain rating. Patients experienced less pain when the treatment provider expected the pain reliever to work.

ΓÇ£When the doctor thought that the treatment was going to work, the patient reported feeling that the doctor was more empathetic,ΓÇ¥ says Dr. Luke Chang of Dartmouth College. ΓÇ£The doctor may have come across as warmer or more attentive. Yet, we donΓÇÖt know exactly what the doctor was doing differently to convey these beliefs that a treatment works.ΓÇ¥

The story was reported in News in Health, a newsletter of the National Institutes of Health.