ArticleThe journal of pain2013
The effect of discussing pain on patient-physician communication in a low-income, black, primary care patient population.
Article in The journal of pain, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Development of the Chronic Pain Coding System (CPCS) for Characterizing Patient-Clinician Discussions About Chronic Pain and Opioids.Pain medicine (Malden, Mass.) · 2016Trial
- Cancer pain awareness and communication practices among physicians in China: a nationwide mixed-methods study.Scientific reports · 2026Article
- Article
- Let's talk about pain and opioids: Low pitch and creak in medical consultations.Discourse studies · 2020Article
- Patient and provider characteristics associated with communication about opioids: An observational study.Patient education and counseling · 2019Observational
- Patient-Clinician Communication About Pain: A Conceptual Model and Narrative Review.Pain medicine (Malden, Mass.) · 2018Review
- Longitudinal Analysis of Parent Communication Behaviors and Child Distress during Cancer Port Start Procedures.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2018Article
- The influence of affective behavior on impression formation in interactions between black cancer patients and their oncologists.Social science & medicine (1982) · 2018Article
- Parent Caring Response Scoring System: development and psychometric evaluation in the context of childhood cancer-related port starts.Scandinavian journal of caring sciences · 2018Article
- Parents' Verbal and Nonverbal Caring Behaviors and Child Distress During Cancer-Related Port Access Procedures: A Time-Window Sequential Analysis.Oncology nursing forum · 2017Observational
- Associations between thin slice ratings of affect and rapport and perceived patient-centeredness in primary care: Comparison of audio and video recordings.Patient education and counseling · 2017Article
- Comparing thin slices of verbal communication behavior of varying number and duration.Patient education and counseling · 2015Article
- Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
unlabelledPatients and physicians report that discussions about pain are frequently frustrating and unproductive. However, the relationship between discussions about pain and patient-physician communication is poorly understood. We analyzed 133 video-recorded visits and patient self-report data collected at a clinic providing primary care to a low-income, black patient population. We used "thin slice" methods to rate two or three 30-second video segments from each visit on variables related to patient and physician affect (ie, displayed emotion) and patient-physician rapport. Discussions about pain were associated with a .32 increase in patient unease (P < .001) and a .21 increase in patient positive engagement (P = .004; standardized coefficients) compared to discussions about other topics during the same visit. Discussions about pain were not significantly associated with patient-physician rapport, physician unease, or physician positive engagement. Patient pain severity was significantly associated with greater physician and patient unease (P = .01), but not with other variables. Findings suggest that primary care patients, but not their physicians, display significantly greater emotional intensity during discussions about pain compared to discussions about other topics. PERSPECTIVE: This study used direct observation of video-recorded primary care visits to show that discussions about pain are associated with heightened displays of both positive and negative patient emotions. These displays of emotion could potentially influence pain-related outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.