a Center for Healthcare Organization and Implementation Research , U.S. Department of Veterans Affairs.
b School of Arts & Sciences , MCPHS University.
Health Commun. 2017 Aug;32(8):970-976. doi: 10.1080/10410236.2016.1196418. Epub 2016 Jul 27.
Despite the evidence for the potential of supportive communication to alleviate physical pain, no study to date has assessed the impact of supportive nonverbal behavior on the objective and subjective experience of pain. This analogue study examined the impact of an actor-physician's supportive nonverbal behavior on experimentally induced pain. Participants (N = 205) were randomly assigned to interact with a videotaped physician conveying high or low supportive nonverbal behaviors. Participant pain was assessed with subjective and objective measures. Participants interacting with the high nonverbal support physicians showed increased pain tolerance and a reduction in the amount of pain expressed compared to those interacting with the low nonverbal support physicians. For subjectively rated pain, a gender difference existed such that for men, high physician nonverbal support decreased pain ratings and memory of pain, but for women, high physician nonverbal support increased pain ratings and memory of pain. These results highlight the importance of nonverbal communication in altering pain with broad implications for clinical care.
尽管有证据表明支持性沟通有可能减轻身体疼痛,但迄今为止尚无研究评估支持性非言语行为对疼痛的客观和主观体验的影响。本模拟研究考察了演员-医生的支持性非言语行为对实验性诱导疼痛的影响。参与者(N=205)被随机分配与录像中的医生进行互动,传达高度或低度的支持性非言语行为。参与者的疼痛通过主观和客观的测量来评估。与低度非言语支持医生互动的参与者表现出更高的疼痛耐受性和表达的疼痛量减少,而与高度非言语支持医生互动的参与者则表现出更高的疼痛耐受性和表达的疼痛量减少。对于主观评定的疼痛,存在性别差异,即对于男性,医生的高度非言语支持会降低疼痛评分和疼痛记忆,但对于女性,医生的高度非言语支持会增加疼痛评分和疼痛记忆。这些结果强调了非言语沟通在改变疼痛方面的重要性,这对临床护理具有广泛的意义。