识别欺骗教育的心理效应:两项预先登记实验的结果。

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI:10.1007/s10865-024-00520-3
Kim J Görner, Emily K Spotts, Andrew L Geers
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引用次数: 0

摘要

向患者提供治疗副作用的信息会增加因 "前兆效应 "而造成伤害的风险。消错教育,即让患者了解消错效应,是一种新颖的策略,可用于各种情况和个人,以减少令人不快的治疗副作用。目前还不清楚消错教育会诱发哪些心理变化,而这正是最大限度地利用这种干预措施所需要的信息。两项预先注册的研究调查了假说教育对副作用预期、副作用控制信念、对治疗的感觉、避免或寻求副作用信息的意向以及对治疗效果的看法的影响。在研究 1(N = 220)中,成年参与者在阅读有关接受手术治疗疼痛和药物治疗疼痛的小故事之前,可以观看或不观看知觉教育干预视频。研究 2(N = 252)与研究 1 类似,但加入了健康行为视频对照组,参与者只阅读了有关疼痛药物治疗的内容。在这两项实验中,虚惊一场教育降低了总体副作用预期,增加了副作用自我效能信念。假想教育还增加了避免副作用信息的意向,减少了寻求更多副作用信息的意向。至于假说教育是否会改变对治疗的情感联想,目前尚无定论。研究结果表明,前兆教育具有多方面的影响,有可能改变患者的行为。研究结果可用于改善不良治疗副作用的管理。
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Identifying the psychological effects of nocebo education: results from two pre-registered experiments.

Providing treatment side effect information to patients increases the risk of harm due to the nocebo effect. Nocebo education, in which patients learn about nocebo effects, is a novel strategy that can be used across a variety of situations and individuals to decrease unpleasant treatment side effects. It is currently unclear which psychological changes are induced by nocebo education, which is information required to maximize this intervention. Two pre-registered studies investigated the effects of nocebo education on side effect expectations, side effect control beliefs, feelings toward treatments, intentions to avoid or seek side effect information, and perceptions of treatment efficacy. In Study 1 (N = 220), adult participants either watched or did not watch a nocebo education intervention video prior to reading vignettes about receiving a surgical treatment for pain and a medication for pain. Study 2 (N = 252) was similar to Study 1, with the inclusion of a health behavior video control group and participants only reading about a medication treatment for pain. In both experiments, nocebo education reduced global side effect expectations and increased side effect self-efficacy beliefs. Nocebo education also increased intentions to avoid side effect information and decreased intentions to seek more side effect information. Evidence was inconclusive on whether nocebo education changes affective associations with the treatments. The findings demonstrate that nocebo education has a multi-faceted influence with the potential to change patient behavior. The results can be used to improve the management of adverse treatment side effects.

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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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