Schäfer, G;
Prkachin, KM;
Kaseweter, KA;
de C Williams, AC;
(2016)
Health care providers' judgments in chronic pain: the influence of gender and trustworthiness.
Pain
, 157
(8)
pp. 1618-1625.
10.1097/j.pain.0000000000000536.
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Abstract
Estimates of patients' pain, and judgments of their pain expression, are affected by characteristics of the observer and of the patient. In this study, we investigated the impact of high or low trustworthiness, a rapid and automatic decision made about another, and of gender and depression history on judgments made by pain clinicians and by medical students. Judges viewed a video of a patient in pain presented with a brief history and rated his or her pain, and the likelihood that it was being exaggerated, minimized, or hidden. Judges also recommended various medical and treatment options. Contrary to expectations, trustworthiness had no main effect on pain estimates or judgments, but interacted with gender producing pervasive bias. Women, particularly those rated of low trustworthiness, were estimated to have less pain and to be more likely to exaggerate it. Unexpectedly, judgments of exaggeration and pain estimates were independent. Consistent with those judgments, men were more likely to be recommended analgesics, and women to be recommended psychological treatment. Effects of depression history were inconsistent and hard to interpret. Contrary to expectations, clinicians' pain estimates were higher than medical students', and indicated less scepticism. Empathy was unrelated to these judgments. Trustworthiness merits further exploration in healthcare providers' judgments of pain authenticity and how it interacts with other characteristics of patients. Furthermore, systematic disadvantage to women showing pain is of serious concern in healthcare settings.
| Type: | Article |
|---|---|
| Title: | Health care providers' judgments in chronic pain: the influence of gender and trustworthiness |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1097/j.pain.0000000000000536 |
| Publisher version: | http://dx.doi.org/10.1097/j.pain.0000000000000536 |
| Language: | English |
| Additional information: | Copyright © 2016 by the International Association for the Study of Pain. Unauthorized reproduction of this article is prohibited. This is a non‐final version of an article published in final form as: Schäfer, G; Prkachin, KM; Kaseweter, KA; de C Williams, AC; (2016) Health care providers’ judgments in chronic pain. Pain, 157 (8) pp. 1618-1625. DOI: 10.1097/j.pain.0000000000000536. |
| Keywords: | pain expression, judgment study, vignette study, observer bias |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1496053 |
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