Patients Underreport Problems To Aloof Physicians

by Gopalan T on  November 10, 2010 at 6:37 AM Mental Health News
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Patients feeling intimidated or put off by physicians who seem aloof might tend to underreport their problems, thus impacting on the outcome of the treatment.

The warning by Canadian researchers stems from their finding that those feeling lonely or facing social rejection could develop less and less sensitivity to pain.

“Dozens of studies over the past several decades have demonstrated the impact of inadequate social connectedness on numerous health outcomes, including cardiovascular health, immune function, post-surgical recovery, and lifespan,” says Terry Borsook, a PhD student in the Department of Psychology at University of Toranto and author of a new study published in PAIN. “Our study is among the first to show in humans that the perception of physical pain can be immediately impacted by the types of social experiences that people have in their everyday lives.”

In the study, healthy participants rated the intensity and unpleasantness of painful stimuli before and after engaging in a structured interaction with a trained actor who was instructed to be either warm and friendly or indifferent throughout the exchange. Participants who experienced the indifferent social exchange reported less sensitivity to pain after the interaction when compared to that measured before the exchange. Participants exposed to the positive social interaction, however, exhibited no change in pain sensitivity.

“While the analgesic effect resulting from a socially disconnecting event might seem like a good thing, we know from a great deal of research in animals and humans that social threats provoke the well-known fight-or-flight stress response, of which pain inhibition is a typical component.”

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