Patients' expectations regarding medical treatment: a critical review of concepts and their assessment
Open accessAbstract
Patients' expectations in the context of medical treatment represent a growing area of research, with accumulating evidence suggesting their influence on health outcomes across a variety of medical conditions. However, the aggregation of evidence is complicated due to an inconsistent and disintegrated application of expectation constructs and the heterogeneity of assessment strategies. Therefore, based on current expectation concepts, this critical review provides an integrated model of patients' expectations in medical treatment. Moreover, we review existing assessment tools in the context of the integrative model of expectations and provide recommendations for improving future assessment. The integrative model includes expectations regarding treatment and patients' treatment-related behavior. Treatment and behavior outcome expectations can relate to aspects regarding benefits and side effects and can refer to internal (e.g., symptoms) and external outcomes (e.g., reactions of others). Furthermore, timeline, structural and process expectations are important aspects with respect to medical treatment. Additionally, generalized expectations such as generalized self-efficacy or optimism have to be considered. Several instruments assessing different aspects of expectations in medical treatment can be found in the literature. However, many were developed without conceptual standardization and psychometric evaluation. Moreover, they merely assess single aspects of expectations, thus impeding the integration of evidence regarding the differential aspects of expectations. As many instruments assess treatment-specific expectations, they are not comparable between different conditions. To generate a more comprehensive understanding of expectation effects in medical treatments, we recommend that future research should apply standardized, psychometrically evaluated measures, assessing multidimensional aspects of patients' expectations that are applicable across various medical treatments. In the future, more research is needed on the interrelation of different expectation concepts as well as on factors influencing patients' expectations of illness and treatment. Considering the importance of patients' expectations for health outcomes across many medical conditions, an integrated understanding and assessment of such expectations might facilitate interventions aiming to optimize patients' expectations in order to improve health outcomes.
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Patient expectations about treatment effectiveness can significantly impact health outcomes.
“Numerous studies show that patient expectations about treatment effectiveness can significantly impact health outcomes (Mohamed Mohamed et al., 2020; Laferton et al., 2017; Bingel, 2020; Colloca et al., 2004).”
From Revisiting the SSRI vs. placebo debate in the treatment of social anxiety disorder: the role of expectancy effects, neural responsivity, and monoamine transporters (2025) · cites this paper as Laferton et al., 2017
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A Comprehensive Review of Platelet-Rich Plasma and Its Emerging Role in Accelerating Bone Healing
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Patients' Expectancies to Acupuncture: A Systematic Review
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The Relation of Patient Expectations, Satisfaction, and Outcome in Surgery of the Cervical Spine
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More expectations, more disappointments: Ego depletion in uncertain promotion
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Development of a model to predict antidepressant treatment response for depression among Veterans
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Ask Patients What They Expect! A Survey Among Patients Awaiting Total Hip Arthroplasty in Germany
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- Authors
- Laferton, J. A. C., Kube, T., Salzmann, S., Auer, C. J., & Shedden-Mora, M. C.
- Affiliations
- Philipps University of Marburg (DE)
- University of Lübeck (DE)
- Corresponding author
- Laferton, Johannes A. C.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2017-02-21
- Volume
- 8
- Pages
- 233-233
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC5318458
- OpenAlex
- W2589370417
- Cited by
- 267
- References
- 120
- Citations by year
- 2026: 26 · 2025: 31 · 2024: 39 · 2023: 36 · 2022: 55 · 2021: 19 · 2020: 20 · 2019: 22 · 2018: 13 · 2017: 5
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- patient expectations, medical treatment, treatment outcome expectations, adverse effects, general self-efficacy, optimism, psychometric assessment, health outcomes
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