Factors associated with counterintuitive aspects of illness.

Strooker, J. (Joost) (2013) Factors associated with counterintuitive aspects of illness. thesis, Medicine.

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Abstract

Purpose: Discrepancies between the patient’s assumptions and the doctor’s information are common. We were curious which factors are associated with patient astonishment. Methods: We enrolled 84 new patients presenting to a single hand surgeon. Patients reported demographics and completed the short version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH), the short version of the Patient Health Questionnaire (PHQ-2), the short version of the Pain Self-Efficacy Questionnaire (PSEQ-2), Short Health Anxiety Inventory (SHAI-5), rated their pain intensity, and rated their astonishment about the information given by the surgeon. The surgeon also rated the patient’s astonishment. Results: Patient astonishment correlated with disability and pain intensity, but only disability was retained in a multivariable model. Surgeon-rated astonishment correlated with patient astonishment and diagnostic groups (greater in non-specific diagnoses). Conclusions: Patients with greater disability are more surprised by the information provided by the surgeon. Since unexpected advice can be puzzling, unwelcome, or feel dismissive, surgeon-training in optimal communication strategies might be helpful.

Item Type:	Thesis (Thesis)
Supervisor name:	Karthaus, A.J.M. MD
Supervisor name:	Ring, D. MD and Massachusetts General Hospital, Boston
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:41
Last Modified:	25 Jun 2020 10:41
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/291

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