What really goes on behind closed doors: The need to understand communication about pain

What really goes on behind closed doors: The need to understand communication about pain The initial visit for a pain problem in primary care is of vast importance because it sets the basis for a continued working relationship between the health-care provider (HCP) and the patient. Therefore, the spotlight has been placed on how HCPs actually communicate with their patients such as during a primary care visit. Guidelines point to a number of essential aspects, but how HCPs’ handle them during a typical visit is still largely unknown. To date, we know relatively little about what goes on behind the closed door of the consultation room. The Valjakka et al. [1] study in this issue of the Scandinavian Journal of Pain provides aninteresting and significant dimension to this research.The HCP–patient interaction is important because there is now consensus that pain needs to be considered within a biopsychosocial framework since psychosocial factors exert powerful influence on the development of chronicity [2], and this should start at the first visit. Indeed, a host of guidelines underscore the importance of addressing psychosocial factors and providing reassurance [3]. The psychosocial component in secondary prevention programmes has progressively increased over the last two decades, but randomized-controlled-trial (RCT) outcomes have sometimes been disappointing, a consequence in part probably of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

What really goes on behind closed doors: The need to understand communication about pain

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Publisher
de Gruyter
Copyright
© 2012 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2012.11.005
Publisher site
See Article on Publisher Site

Abstract

The initial visit for a pain problem in primary care is of vast importance because it sets the basis for a continued working relationship between the health-care provider (HCP) and the patient. Therefore, the spotlight has been placed on how HCPs actually communicate with their patients such as during a primary care visit. Guidelines point to a number of essential aspects, but how HCPs’ handle them during a typical visit is still largely unknown. To date, we know relatively little about what goes on behind the closed door of the consultation room. The Valjakka et al. [1] study in this issue of the Scandinavian Journal of Pain provides aninteresting and significant dimension to this research.The HCP–patient interaction is important because there is now consensus that pain needs to be considered within a biopsychosocial framework since psychosocial factors exert powerful influence on the development of chronicity [2], and this should start at the first visit. Indeed, a host of guidelines underscore the importance of addressing psychosocial factors and providing reassurance [3]. The psychosocial component in secondary prevention programmes has progressively increased over the last two decades, but randomized-controlled-trial (RCT) outcomes have sometimes been disappointing, a consequence in part probably of

Journal

Scandinavian Journal of Painde Gruyter

Published: Jan 1, 2013

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