title: [The placebo effects of good communication].
abstract: - Good communication is important for patients and can elicit placebo effects: true psychobiological effects not attributable to the medical-technical intervention.- It is, however, often unclear which communication behaviours influence specific patient outcomes.- In this article we present insights into the potential effect of specific communication, via specific mechanisms, on specific patient outcomes, including patients' perception of pain.- A recent systematic review and additional literature demonstrate that (a) manipulating patients' expectations, (b) demonstrating empathy, and (c) providing procedural information, might influence patient outcomes.- These placebo effects probably occur via (a) neurobiological responses comparable to the effects of pain medication, (b) reduction of anxiety and stress, and
authors.affiliation: NIVEL, afd. Communicatie in de Gezondheidszorg, Utrecht.
authors.forename: L M
authors.initials: LM
authors.lastname: van Vliet
authors.forename: S
authors.initials: S
authors.lastname: van Dulmen
authors.forename: P
authors.initials: P
authors.lastname: Mistiaen
authors.forename: J M
authors.initials: JM
authors.lastname: Bensing
mesh_terms: D001007:Anxiety; D003142:Communication; D004645:Empathy; D006801:Humans; D010146:Pain / Q000188:drug therapy* / Q000523:psychology*; D058748:Pain Perception; D015990:Placebo Effect