Psychosocial correlates of patient-physician discordance in inflammatory bowel disease

Abstract

Increased physician awareness that psychologically distressed patients have difficulty processing of clinically relevant information may lead to improved doctor-patient communication during an office visit.

Perceptions of illness stigma in patients with inflammatory bowel disease and irritable bowel syndrome

“…Female IBD patients tend to be more likely to report poorer HRQOL [32] and greater disease-specific concerns than males [32,33], which may add strain to the physician-patient relationship [34]. However, gender has not been found to be a significant predictor of discordance between IBD patients and their gastroenterologists [35]. Stigma perception declined with age for both groups.…”

Patient-Physiotherapist Agreement in Low Back Pain

“…The identification of factors associated with agreement may also help physiotherapists recognize situations or encounters in which lower agreement is more probable, allowing to target areas that would benefit from improved communication. 65 …”

“…The cross-sectional design does not permit to determine the direction of cause and effect. 65 Using differences in scores and ICCs to describe agreement also presents some disadvantages. 7,33 The results of this study do not allow us to verify the utility and psychometric qualities of the NRS and the RMDQ when administered to physiotherapists or the effect of rewording the questions destined to the physiotherapists.…”

“…13 The literature was reviewed to identify factors that could potentially be associated with patient-physiotherapist agreement. The following variables were considered relevant in our study and were included in the analyses: 1) patient-related 6,8,20,21,38,43,49,53,61,64,65,78,87 : age, gender, marital status, living arrangements (alone or not), education, occupation (off work for health-related reason, working full-or part-time, not working or retired, student/other), financial compensation, location and duration of pain, psychological distress, ratings of pain intensity and functional limitations, past experience of low back pain and number of episodes, past treatment at the participating clinics and number of visits, past treatment with the same physiotherapist and recommendation of physiotherapist to the patient by a third party; 2) physiotherapist-related 2,30,41,49,53,60,61,69,87 : age, gender, professional experience, personal experience of low back pain, living experience with someone in chronic pain, physiotherapists' ratings of pain intensity, and functional limitations after the initial assessment, as well as the fact that the physiotherapists evaluated (or not) the patient's pain intensity and functional limitations during the physiotherapy assessment.…”

“Under Erasure”

“…Although studies have examined negative perceptions of self (Sewitch et al, 2002), the quality of life in children with IBD (Shepanski et al, 2005), the role of lay counseling (Godber & Mayberry, 1988), disease-related concerns (Levenstein et al, 2001), and proper patient education and treatment of psychosocial issues (Husain & Triadafilopoulos, 2004), the language in these studies remains fortified with objectivity and cognitive elitism. Sewitch et al (2002) stated the rationale for their study on psychosocial correlates of patient-physician discordance.…”