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General practice consultations: is there any point in being positive?
Abstract
A group of 200 patients who presented in general practice with symptoms but no abnormal physical signs and in whom no definite diagnosis was made were randomly selected for one of four consultations: a consultation conducted in a "positive manner," with and without treatment, and a consultation conducted in a "non-positive manner," called a negative consultation, with and without treatment. Two weeks after consultation there was a significant difference in patient satisfaction between the positive and negative groups but not between the treated and untreated groups. Similarly, 64% of those receiving a positive consultation got better, compared with 39% of those who received a negative consultation (p = 0.001) and 53% of those treated got better compared with 50% of those not treated (p = 0.5).
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Effective physician-patient communication and health outcomes: a review.
(1995) · Europe PMC (PubMed Central) · Cited by 4,085
External validity of randomised controlled trials: “To whom do the results of this trial apply?”
Rothwell, P. M. (2005) · The Lancet · doi:10.1016/s0140-6736(04)17670-8 · Cited by 2,544
Placebo interventions for all clinical conditions
Hróbjartsson, A., & Gøtzsche, P. C. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003974.pub3 · Cited by 777
Patients presenting with somatic complaints: epidemiology, psychiatric co‐morbidity and management
Kroenke, K. (2003) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.140 · Cited by 624
The double-blind, randomized, placebo-controlled trial
Kaptchuk, T. J. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(00)00347-4 · Cited by 595
Griffin, S. J. (2004) · The Annals of Family Medicine · doi:10.1370/afm.142 · Cited by 578
Hartogsohn, I. (2016) · Journal of Psychopharmacology · doi:10.1177/0269881116677852 · Cited by 483
Placebos and painkillers: is mind as real as matter?
Colloca, L., & Benedetti, F. (2005) · Nature Reviews Neuroscience · doi:10.1038/nrn1705 · Cited by 465
A comparison of placebo effects in clinical analgesic trials versus studies of placebo analgesia
Vase, L., Riley, J. L., & Price, D. D. (2002) · Pain · doi:10.1016/s0304-3959(02)00205-1 · Cited by 434
Practices to foster physician presence and connection with patients in the clinical encounter
Zulman, D. M., Haverfield, M. C., Shaw, J. G., Brown-Johnson, C. G., Schwartz, R., Tierney, A. A., Zionts, D. L., Safaeinili, N., Fischer, M., Thadaney Israni, S., et al. (2020) · JAMA · doi:10.1001/jama.2019.19003 · Cited by 287
Placebo effects: clinical aspects and neurobiology
Oken, B. S. (2008) · Brain · doi:10.1093/brain/awn116 · Cited by 237
A simple and valid tool distinguished efficacy from effectiveness studies
Gartlehner, G., Hansen, R. A., Nissman, D., Lohr, K. N., & Carey, T. S. (2006) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2006.01.011 · Cited by 207
Patient and practitioner influences on the placebo effect in irritable bowel syndrome.
Kelley, J. M., Lembo, A. J., Ablon, J. S., Villanueva, J. J., Conboy, L. A., Levy, R., Marci, C. D., Kerr, C. E., Kirsch, I., Jacobson, E. E., et al. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181acee12 · Cited by 208
How the doctor's words affect the patient's brain
Benedetti, F. (2002) · Evaluation & the Health Professions · doi:10.1177/0163278702238051 · Cited by 173
Pitfalls of Patient Education: Limited Success of a Program for Back Pain in Primary Care
Cherkin, D. C., Deyo, R. A., Street, J. H., Hunt, M., & Barlow, W. (1996) · Spine · doi:10.1097/00007632-199602010-00019 · Cited by 144
Little, P., Turner, S., Rumsby, K., Warner, G., Moore, M., Lowes, J., Smith, H., Hawke, C., Turner, D., Leydon, G., et al. (2009) · Health Technology Assessment · doi:10.3310/hta13190 · Cited by 137
Acupuncture and Reflexology for Insomnia: A Feasibility Study
Hughes, C. M., McCullough, C. A., Bradbury, I., Boyde, C., Hume, D., Yuan, J., Quinn, F., & McDonough, S. M. (2009) · Acupuncture in Medicine · doi:10.1136/aim.2009.000760 · Cited by 136
Alamo, M. M., Moral, R. R., & Pérula de Torres, L. A. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00095-2 · Cited by 126
Why use placebos in clinical trials? A narrative review of the methodological literature
Vickers, A. (2000) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(99)00139-0 · Cited by 121
Buetow, S. A. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(94)e0074-3 · Cited by 63
Sumathipala, A., Siribaddana, S., Hewege, S., Sumathipala, K., Prince, M., & Mann, A. (2008) · BMC Psychiatry · doi:10.1186/1471-244x-8-54 · Cited by 59
Chen, J. A., Papakostas, G. I., Youn, S. J., Baer, L., Clain, A. J., Fava, M., & Mischoulon, D. (2011) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.10m06453 · Cited by 56
What is important in transdisciplinary pain neuroscience education? A qualitative study
Wijma, A. J., Speksnijder, C. M., Crom-Ottens, A. F., Knulst-Verlaan, J. M. C., Keizer, D., Nijs, J., & van Wilgen, C. P. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1327990 · Cited by 46
Positive suggestion techniques in somatic medicine: A review of the empirical studies
Kekecs, Z., & Varga, K. (2013) · Interventional Medicine and Applied Science · doi:10.1556/imas.5.2013.3.2 · Cited by 37
Rethinking placebo in psychiatry: how and why placebo effects occur
McQueen, D., Cohen, S., St John-Smith, P., & Rampes, H. (2013) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.112.010405 · Cited by 23
Metadata
- Authors
- Thomas, K. B.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1987-05-09
- Volume
- 294
- Issue
- 6581
- Pages
- 1200-1202
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2158491620
- Cited by
- 419
- References
- 0
- FWCI
- 10.17
- Type
- journal article
- Language
- en
- Open access
- closed
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