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Cited by 36Action Observation and SynchronizationPatient-Provider Communication in HealthcareEmpathy and Medical Education

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Clinician-Patient Movement Synchrony Mediates Social Group Effects on Interpersonal Trust and Perceived Pain

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Goldstein, Pavel, Losin, Elizabeth A. Reynolds, Anderson, Steven R., Schelkun, Victoria R., Wager, Tor D.·2020·The Journal of Pain
DOI 10.1016/j.jpain.2020.03.001PMC PMC7722052
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Abstract

Pain is an unfortunate consequence of many medical procedures, which in some patients becomes chronic and debilitating. Among the factors affecting medical pain, clinician-patient (C-P) similarity and nonverbal communication are particularly important for pain diagnosis and treatment. Participants (N = 66) were randomly assigned to clinician and patient roles and were grouped into C-P dyads. Clinicians administered painful stimuli to patients as an analogue of a painful medical procedure. We manipulated the perceived C-P similarity of each dyad using groups ostensibly based on shared beliefs and values, and each patient was tested twice: Once with a same group clinician (concordant, CC) and once with a clinician from the other group (discordant, DC). Movement synchrony was calculated as a marker of nonverbal communication. We tested whether movement synchrony mediated the effects of group concordance on patients' pain and trust in the clinician. Movement synchrony was higher in CC than DC dyads. Higher movement synchrony predicted reduced pain and increased trust in the clinician. Movement synchrony also formally mediated the group concordance effects on pain and trust. These findings increase our understanding of the role of nonverbal C-P communication on pain and related outcomes. Interpersonal synchrony may be associated with better pain outcomes, independent of the specific treatment provided. PERSPECTIVE: This article demonstrates that movement synchrony in C-P interactions is an unobtrusive measure related to their relationship quality, trust toward the clinician, and pain. These findings suggest that interpersonal synchrony may be associated with better patient outcomes, independent of the specific treatment provided.

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  • Impaired trust evaluation may hamper social synchrony, which in turn can explain the lower perceived trustworthiness of HL individuals.

    “and suggest that the impaired trust evaluation may hamper social synchrony, which in turn can explain the lower perceived trustworthiness of HL individuals.[ 51 ]”

    From Loneliness and the Social Brain: How Perceived Social Isolation Impairs Human Interactions (2021) · cites this paper as [51]

    The Results (Mediation analysis; page unavailable) report that clinician–patient movement synchrony was associated with greater trust and mediated the effect of group concordance on patients’ trust. The paper does not study HL individuals or show that impaired trust evaluation hampers synchrony; those parts of the proposed explanation are unsupported. (LLM, conf=0.85)

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Metadata

Authors
Goldstein, P., Losin, E. A. R., Anderson, S. R., Schelkun, V. R., & Wager, T. D.
Affiliations
  • University of Colorado Boulder (US)
  • University of Miami (US)
  • Dartmouth College (US)
Corresponding author
Wager, Tor D.
ORCID
Venue
The Journal of Pain
Publisher
Elsevier BV
Published
2020-11
Volume
21
Issue
11-12
Pages
1160-1174
ISSN
1526-5900 (ISSN-L)
DOI
10.1016/j.jpain.2020.03.001
PMC
PMC7722052
OpenAlex
W3035247363
Cited by
36
References
25
Citations by year
2026: 3 · 2025: 12 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 8
FWCI
4.08
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health
Topics
  • Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Keywords
motor synchronization, patient-clinician interaction, interpersonal trust, pain perception, nonverbal communication, interpersonal synchrony
MeSH terms
Social Interaction, Adult, Female, Humans, Imitative Behavior, Male, Middle Aged, Movement, Pain, Physician-Patient Relations, Trust, Young Adult, Pain Perception

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