Document Detail


Doctors' use of euphemisms and their impact on patients' beliefs about health: an experimental study of heart failure.
MedLine Citation:
PMID:  15893215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Doctors often use a range of euphemisms as a means to facilitate communication in the consultation. The present experimental study aimed to assess whether GPs use or avoid the term 'heart failure' and to evaluate the relative impact of the term 'heart failure' versus their preferred euphemism on patients' beliefs about the illness. This two part study involved a cross sectional survey of GPs and an experimental study of patients' beliefs and was based on one General Practice in a semi-rural area of the UK. For the first part, 42 GPs completed a questionnaire about their preferred terms to describe symptoms of heart failure. The results showed that GPs rated the majority of euphemisms as preferable to the term 'heart failure'. Their preferred euphemism was 'fluid on your lungs as your heart is not pumping hard enough'. For the second part, 447 patients completed ratings of their beliefs about a condition, which was described as either 'heart failure' or the GPs' preferred euphemism. Patients who received the condition described as 'heart failure' believed that the illness would have more serious consequences for their life, that the problem would be more variable over time and that it would last for longer and reported feeling more anxious and depressed than those who received the condition described using the euphemism. GPs are encouraged to be open with their patients and to respect their experience. The choice of language, therefore, presents a dilemma for doctors. The term 'heart failure' may be in line with the current climate of openness but may evoke a more negative response from the patient. In contrast, a euphemism may be less open but more protective of the patient's experience. This study suggests that the area of heart failure may be one where GPs may chose to compromise openness for the sake of the patient's experience and that this fear of upsetting the patient is well founded.
Authors:
Michael Tayler; Jane Ogden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Patient education and counseling     Volume:  57     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-16     Completed Date:  2005-08-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  321-6     Citation Subset:  N    
Affiliation:
Department of General Practice and Primary Care, Guys Kings and St. Thomas's School of Medicine, Kings College, London.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adolescent
Adult
Aged
Aged, 80 and over
Anxiety / etiology,  psychology
Attitude of Health Personnel
Attitude to Health*
Choice Behavior
Communication*
Cross-Sectional Studies
Depression / etiology,  psychology
Fear
Female
Great Britain
Health Knowledge, Attitudes, Practice
Heart Failure / diagnosis,  psychology*
Humans
Male
Middle Aged
Physician-Patient Relations*
Physicians, Family / psychology*
Primary Health Care
Questionnaires
Rural Population
Semantics*
Truth Disclosure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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