The Role of Expectations in Patients?? Reports of Post-Operative Outcomes and Improvement Following Therapy
Bibliographic Data
| ID | 9099680 |
|---|---|
| Authors | Ann Barry Flood (0000-0002-4035-3084, Dartmouth College, corresponding author), Daniel P Lorence, Daniel Lorence, Jiao Ding (0000-0002-5622-9600, Dartmouth College, corresponding author), Klim Mcpherson (0000-0002-5461-2569, London School of Hygiene & Tropical Medicine), Nicholas A Black, Nicholas Black (0000-0002-0089-6180, London School of Hygiene & Tropical Medicine) |
| Year | 1993 |
| Volume | 31 |
| Issue | 11 |
| Pages | 1043-1056 |
| Publication date | 1993-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199311000-00006 |
| PMID | 7694013 |
| OpenAlex | W2071802947 |
| Language | EN |
| Citations received | 10 |
| References cited | 5 |
Outcomes research typically focuses on the technical capabilities associated with treatment that predicts patients' post-therapy outcomes adjusting for health-related factors. Research on the ability of placebo therapy to alter outcomes suggests that a patient's expectations about therapy can also influence outcomes. Few studies have examined the effects of expectations and their implications for assessing outcomes. This study followed 348 patients who had surgery for benign prostatic hyperplasia. Four hypotheses are tested: whether positive expectations about improvement influence: 1) patients' postoperative reports of symptoms; 2) their belief that they have improved; 3) their overall health after treatment; and 4) whether these effects persist during the year following treatment. Using step-wise regression to control for sociodemographic and clinical factors, we found positive expectations did not appear to strongly influence a patient's report of postoperative symptoms or their overall health. However, we found strong support for positive expectations increasing the likelihood of reporting they felt better after surgery, even after controlling for symptom changes. This effect persisted throughout the postoperative year. We conclude that positive expectations result in a more optimistic view of improvement after surgery rather than altering reports of outcomes or health
Alternative medicine · Physical therapy · Placebo · Clinical Psychology · Complementary and Alternative Medicine Studies · Medicine · Meta-analysis and systematic reviews · Pain Management and Placebo Effect
Partnerships with Patients
The daily spiritual experience scale
Educational Intervention for Management of Acute Trauma Pain
Dimensions of Religion/Spirituality and Relevance to Health Research
Investigation of the ways in which patients' reports of their satisfaction with healthcare are constructed
Expect the unexpected
Outcome Expectancies, Functional Outcomes, and Expectancy Fulfillment for Patients With Shoulder Problems
Testing a New Theory of Patient Satisfaction With Treatment Outcome
Preoperative Expectations of Pain and Recovery in Relation to Postoperative Disappointment in Patients Undergoing Lumbar Surgery
Mending Broken Hearts
| Unique citing works | 10 |
|---|---|
| Citations per year | 0,34 |
| Citation span | 1997 - 2022 (26) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 10 |