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The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists

Objective: To examine how psychiatrists think about and modulate non-specific factors (e.g., hope, expectations) in clinical practice. Methods: U.S. psychiatrists were recruited for two studies assessing attitudes and behaviors related to non-specific factors. Study 1 entailed remote qualitative foc...

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Detalles Bibliográficos
Autores principales: Rosenfield, Maayan N., Bernstein, Michael H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678457/
https://www.ncbi.nlm.nih.gov/pubmed/34925105
http://dx.doi.org/10.3389/fpsyt.2021.781494
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author Rosenfield, Maayan N.
Bernstein, Michael H.
author_facet Rosenfield, Maayan N.
Bernstein, Michael H.
author_sort Rosenfield, Maayan N.
collection PubMed
description Objective: To examine how psychiatrists think about and modulate non-specific factors (e.g., hope, expectations) in clinical practice. Methods: U.S. psychiatrists were recruited for two studies assessing attitudes and behaviors related to non-specific factors. Study 1 entailed remote qualitative focus groups (k = 7) with n = 26 participants (36.0% female). Study 2 was a quantitative survey with n = 346 respondents (34.0% female) designed to assess the generalizability of focus group findings. Results: Four themes were identified in Study 1 that were used to inform the survey (Study 2): (1) Expectations (2) Hope, (3) Placebo Effect, and (4) Aesthetic Features. Nearly all surveyed psychiatrists (92.2%) considered patient expectations at least “most of the time” when interacting with a patient. Focus groups revealed that psychiatrists often attempt to balance optimism and realism to improve outcomes. A majority of survey respondents believed office design and physician attire could at least somewhat influence expectations (72.5 and 77.3%, respectively) and even outcomes (51.5 and 58.7%, respectively). Focus group psychiatrists described how physical features may be used as therapeutic tools. Conclusions: Psychiatrists are highly mindful of patient expectations. Although there is variability in the perceived importance of expectations, hope, the placebo effect, and aesthetic features, many utilize these factors in clinical practice.
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spelling pubmed-86784572021-12-18 The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists Rosenfield, Maayan N. Bernstein, Michael H. Front Psychiatry Psychiatry Objective: To examine how psychiatrists think about and modulate non-specific factors (e.g., hope, expectations) in clinical practice. Methods: U.S. psychiatrists were recruited for two studies assessing attitudes and behaviors related to non-specific factors. Study 1 entailed remote qualitative focus groups (k = 7) with n = 26 participants (36.0% female). Study 2 was a quantitative survey with n = 346 respondents (34.0% female) designed to assess the generalizability of focus group findings. Results: Four themes were identified in Study 1 that were used to inform the survey (Study 2): (1) Expectations (2) Hope, (3) Placebo Effect, and (4) Aesthetic Features. Nearly all surveyed psychiatrists (92.2%) considered patient expectations at least “most of the time” when interacting with a patient. Focus groups revealed that psychiatrists often attempt to balance optimism and realism to improve outcomes. A majority of survey respondents believed office design and physician attire could at least somewhat influence expectations (72.5 and 77.3%, respectively) and even outcomes (51.5 and 58.7%, respectively). Focus group psychiatrists described how physical features may be used as therapeutic tools. Conclusions: Psychiatrists are highly mindful of patient expectations. Although there is variability in the perceived importance of expectations, hope, the placebo effect, and aesthetic features, many utilize these factors in clinical practice. Frontiers Media S.A. 2021-12-03 /pmc/articles/PMC8678457/ /pubmed/34925105 http://dx.doi.org/10.3389/fpsyt.2021.781494 Text en Copyright © 2021 Rosenfield and Bernstein. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Rosenfield, Maayan N.
Bernstein, Michael H.
The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_full The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_fullStr The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_full_unstemmed The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_short The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_sort importance of patient expectations: a mixed-methods study of u.s. psychiatrists
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678457/
https://www.ncbi.nlm.nih.gov/pubmed/34925105
http://dx.doi.org/10.3389/fpsyt.2021.781494
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