Highlights
- •The clinician-patient relationship may influence pain experienced in medical care.
- •Simulated clinical interactions were used to investigate this effect.
- •Patient feelings of similarity and trust toward clinicians influenced pain ratings.
- •Findings suggest that increasing patient feelings of similarity/trust may reduce pain report.
Abstract
Perspective
Graphical abstract

Key words
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- Association of American Medical Colleges: Diversity in the Physician Workforce: Facts & Figures 2014.Association of American Medical Colleges, Washington, DC2014
- Using the linear mixed model to analyze nonnormal data distributions in longitudinal designs.Behav Res Methods. 2012; 44: 1224-1238
- The effect of experimenter gender on autonomic and subjective responses to pain stimuli.Pain. 2007; 129: 260-268
World Values Survey Association: World Values Survey wave 5 (2005-2008) Official Aggregate v.20140429. Available at: http://www.worldvaluessurvey.org/WVSDocumentationWV5.jsp. Accessed April 8, 2017
- A meta-analysis of brain mechanisms of placebo analgesia: Consistent findings and unanswered questions.Handb Exp Pharmacol. 2014; 225: 37-69
Barratt W. The Barratt Simplified Measure of Social Status (BSMSS). Available at: http://socialclassoncampus.blogspot.com/2012/06/barratt-simplified-measure-of-social.html. Published June 14, 2012. Accessed April 7, 2017
- Differences in Our Sensory Worlds: Invalid Comparisons With Labeled Scales.Curr Dir Psychol Sci. 2005; 14: 122-125
Bates D, Maechler M, Bolker B, Walker S: Fitting Linear Mixed-Effects Models Using lme4. Journal of Statistical Software 67:1-48, 2015
- Placebo and the new physiology of the doctor-patient relationship.Physiol Rev. 2013; 93: 1207-1246
- Neurobiological mechanisms of the placebo effect.J Neurosci. 2005; 25: 10390-10402
- Regression diagnostics an expository treatment of outliers and influential cases.Sociol Methods Res. 1985; 13: 510-542
- Social support and experimental pain.Psychosom Med. 2003; 65: 276-283
- Cognitive and emotional control of pain and its disruption in chronic pain.Nat Rev Neurosci. 2013; 14: 502-511
- Ethnic differences in pain and pain management.Pain Manag. 2012; 2: 219-230
- Effects of training on general practitioners’ management of pain in osteoarthritis: A randomized multicenter study.J Rheumatol. 2006; 33: 1827-1834
- The neuroscience of intergroup relations: An integrative review.Perspect Psychol Sci. 2014; 9: 245-274
- Patient-centered communication, ratings of care, and concordance of patient and physician race.Ann Intern Med. 2003; 139: 907-915
- The social communication model of pain.Can Psychol. 2009; 50: 22-32
- Fear of pain and the frequency with which healthy individuals engage in physical activity.Int J Sport Exerc Psychol. 2016 Sept 16; ([Epub ahead of print])
- The impact of language as a barrier to effective health care in an underserved urban Hispanic community.Mt Sinai J Med. 1998; 65: 393-397
- Treatise of Man [1664].Harvard University Press, Cambridge, MA1972
- Influence of context effects on health outcomes: A systematic review.Lancet. 2001; 357: 757-762
- Racial and ethnic disparities in perceptions of physician style and trust.Arch Fam Med. 2000; 9: 1156-1163
- The association of perceived discrimination with low back pain.J Behav Med. 2008; 31: 379-389
- Ethnic differences in thermal pain responses.Psychosom Med. 1999; 61: 346-354
- New insights into the placebo and nocebo responses.Neuron. 2008; 59: 195-206
- Peripheral and central components of habituation of heat pain perception and evoked potentials in humans.Pain. 2007; 132: 301-311
- Extending the Box–Cox transformation to the linear mixed model.J R Stat Soc Ser A Stat Soc. 2006; 169: 273-288
- Measuring patients trust in their primary care providers.Med Care Res Rev. 2002; 59: 293
- The dynamics of pain: Evidence for simultaneous site-specific habituation and site-nonspecific sensitization in thermal pain.J Pain. 2014; 15: 734-746
- Patient race/ethnicity and quality of patient-physician communication during medical visits.Am J Public Health. 2004; 94: 2084
- Components of placebo effect: Randomised controlled trial in patients with irritable bowel syndrome.BMJ. 2008; 336: 999-1003
- Placebo effects in medicine.N Engl J Med. 2015; 373: 8-9
- The influence of the patient-clinician relationship on healthcare outcomes: A systematic review and meta-analysis of randomized controlled trials.PLoS One. 2014; 9: e94207
- Some norms and reliability data for the State-Trait Anxiety Inventory and the Zung Self-Rating Depression scale.Br J Clin Psychol. 1983; 22: 245-249
- Beyond conformity: Social influences on pain reports and physiology.Emotion. 2016; 16: 24-32
- The Duke University Religion Index (DUREL): A five-item measure for use in epidemological studies.Religions. 2010; 1: 78-85
- An exploratory study of orthodontic resident communication by patient race and ethnicity.J Dent Educ. 2004; 68: 553-562
Kuznetsova A, Brockhoff PB, Christensen RHB: Package ‘ImerTest’: Tests in Linear Mixed Effects Models. Version 2.0-33. Available at: http://cran.uib.no/web/packages/lmerTest/lmerTest.pdf. Published December 3, 2016. Accessed April 8, 2017
- Is doctor-patient race concordance associated with greater satisfaction with care?.J Health Soc Behav. 2002; 43: 296-306
- Effect of Spanish interpretation method on patient satisfaction in an urban walk-in clinic.J Gen Intern Med. 2002; 17: 640-645
- The effects of experimenter gender on pain report in male and female subjects.Pain. 1991; 44: 69-72
- Pain: An overview.Lancet. 1999; 353: 1607-1609
- Neural processing of race during imitation: Self-similarity versus social status.Hum Brain Mapp. 2014; 35: 1723-1739
- Is fear of pain related to placebo analgesia?.J Psychosom Res. 2010; 68: 369-377
- Variability in placebo analgesia and the role of fear of pain–an ERP study.Pain. 2011; 152: 2405-2412
- Introduction to Statistical Mediation Analysis.Routledge, New York2008
- Development of the Fear of Pain Questionnaire–III.J Behav Med. 1998; 21: 389-410
- Pain terms: A list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy.Pain. 1979; 6: 249
- Reliability and validity study of the State-Trait Anxiety Inventory.J Clin Psychol. 1976; 32: 276-278
- The effect of patient–practitioner communication on pain: A systematic review.Eur J Pain. 2016; 20: 675-688
- influence.ME: Tools for detecting influential data in mixed effects models.R Journal. 2012; 4: 38-47
- The Fear of Pain Questionnaire-III: Further reliability and validity with nonclinical samples.J Behav Med. 2002; 25: 155-173
- Placebo response in anxiety disorders.Ann Pharmacother. 1996; 30: 1013-1019
- Does physician gender affect satisfaction of men and women visiting the emergency department?.J Gen Intern Med. 2001; 16: 218-226
- R: A language and Environment for Statistical Computing.R Foundation for Statistical Computing, Vienna, Austria2014
- Social support attenuates physiological stress responses and experimental pain sensitivity to cold pressor pain.Ann Behav Med. 2015; 49: 557-569
- The Fear of Pain Questionnaire (FPQ): Further psychometric examination in a non-clinical sample.Pain. 2005; 116: 339-346
- Study of the placebo effect with a self-administered placebo test.Compr Psychiatry. 1973; 14: 535-548
- Patient-provider relationship than the placebo effect.in: Matrazzo J. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention. Wiley-Interscience, New York1984: 371-383
- Cancer communication patterns and the influence of patient characteristics: Disparities in information-giving and affective behaviors.Patient Educ Couns. 2006; 62: 355-360
- How valid and reliable are patient satisfaction data? An analysis of 195 studies.Int J Qual Health Care. 1999; 11: 319-328
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA: Manual for the State-Trait Anxiety Inventory. Palo Alto, CA, Consulting Psychologists Press,1983
- Effective physician-patient communication and health outcomes: A review.CMAJ. 1995; 152: 1423-1433
- Understanding concordance in patient-physician relationships: Personal and ethnic dimensions of shared identity.Ann Fam Med. 2008; 6: 198-205
- Theoretical perspectives on the relation between catastrophizing and pain.Clin J Pain. 2001; 17: 52-64
- Experiments in intergroup discrimination.Sci Am. 1970; 223: 96-102
- The social psychology of intergroup relations.Annu Rev Psychol. 1982; 33: 1-39
Tajfel H, Turner JC: An integrative theory of intergroup conflict. In: Austin WG and Worchel S (eds). The social psychology of intergroup relations. Monterey, CA, Brooks/Cole Publishing Co., 1979, pp 33-47
- Physician trust in the patient: Development and validation of a new measure.Ann Fam Med. 2011; 9: 148-154
- A social identity approach to person memory: Group membership, collective identification, and social role shape attention and memory.Pers Soc Psychol Bull. 2012; 38: 1566-1578
- Patient satisfaction: A valid concept?.Soc Sci Med. 1994; 38: 509-516
- A protocol for data exploration to avoid common statistical problems.Methods Ecol Evol. 2010; 1: 3-14
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Footnotes
This work was supported by the National Institutes of Health grants 2R01MH076136 and R01DA035484 (T.D.W., PI).
The authors have no conflicts of interest to declare.