El efecto nocebo: implicaciones en la comunicación terapeuta-paciente

• Patricia Oliván Muro ^[1] ; Yago Garisoain Yoldi ^[1] ; Sara Sánchez Quintanilla ^[2] ; Inés Martín Nuez ^[2] ; Pablo Pineda Toledano. ^[3] ; Alberto Gracia Caballero ^[4]
  1. [1] Fisioterapeuta del Servicio Navarro de Salud – Osasunbidea.
  2. [2] Fisioterapeuta del Servicio Aragonés de Salud.
  3. [3] Senior SI, S.A.
  4. [4] AGC Fisioterapia

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• Localización: Revista Sanitaria de Investigación, ISSN-e 2660-7085, Vol. 3, Nº. 9, 2022
• Idioma: español
• Texto completo no disponible (Saber más ...)
• Resumen
  • español

    El efecto nocebo adquiere una enorme importancia en el contexto de la atención sanitaria, puesto que contribuye a la permanencia del dolor crónico, influye de forma negativa en los resultados de los tratamientos y tiene un fuerte impacto en la aparición de efectos secundarios. Durante la interacción terapeuta-paciente se proporciona constantemente información, incluida la necesaria para la obtención del consentimiento informado, y, puesto que la sugestión verbal es uno de los mecanismos a través de los cuales se induce el efecto nocebo, la forma en que se comunica esta información al paciente es vital. Existen propuestas sobre enfoques concretos para minimizar la aparición del efecto nocebo, como la utilización de un encuadre positivo o la inducción previa de un afecto positivo, así como recomendaciones generales para mejorar la comunicación con el paciente The nocebo effect takes on enormous importance in the context of health care, since it contributes to the permanence of chronic pain, negatively influences treatment outcomes, and has a strong impact on the occurrence of side effects. During the therapist-patient interaction, information is constantly provided, including that necessary for obtaining informed consent, and, since verbal suggestion is one of the mechanisms through which the nocebo effect is induced, the way in which this information is communicated to the patient is vital. There are proposals for specific approaches to minimize the occurrence of the nocebo effect, such as the use of positive framing or the prior induction of positive affect, as well as general recommendations for improving communication with the patient.

  • English

    The nocebo effect acquires enormous importance in the context of health care, since it contributes to the permanence of chronic pain, negatively influences treatment results, and has a strong impact on the appearance of side effects. During the therapist-patient interaction, information is constantly provided, including that necessary to obtain informed consent, and, since verbal suggestion is one of the mechanisms through which the nocebo effect is induced, the way in which it is communicated This information to the patient is vital. There are proposals on specific approaches to minimize the appearance of the nocebo effect, such as the use of a positive frame or the prior induction of positive affect, as well as general recommendations to improve communication with the patient The nocebo effect acquires enormous importance in the context of health care, since it contributes to the permanence of chronic pain, negatively influences the results of treatment, and has a strong impact on the appearance of side effects. During the therapist-patient interaction, information is constantly provided, including that necessary to obtain informed consent, and given that verbal suggestion is one of the mechanisms through which the nocebo effect is induced, the way in which this is communicated Patient information is vital. There are proposals for specific approaches to minimize the appearance of the nocebo effect, such as the use of positive framing or the prior induction of positive affect, as well as general recommendations to improve communication with the patient.