title: Nonverbal Communication as a Pain Reliever: The Impact of Physician Supportive Nonverbal Behavior on Experimentally Induced Pain.
abstract: 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.
authors.affiliation: a Center for Healthcare Organization and Implementation Research , U.S. Department of Veterans Affairs.|b School of Arts & Sciences , MCPHS University.
authors.forename: Mollie A
authors.initials: MA
authors.lastname: Ruben
authors.affiliation: c Department of Natural and Applied Sciences , Bentley University.
authors.forename: Danielle
authors.initials: D
authors.lastname: Blanch-Hartigan
authors.affiliation: d Psychology Department , Northeastern University.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Hall
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D009633:Nonverbal Communication / Q000523:psychology*; D010146:Pain / Q000517:prevention & control*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012737:Sex Factors; D055815:Young Adult