Journal of psychosomatic research
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Randomized Controlled Trial Comparative Study
A shared decision-making communication training program for physicians treating fibromyalgia patients: effects of a randomized controlled trial.
Fibromyalgia syndrome (FMS) is a condition of chronic widespread pain that is difficult to control and is associated with strains in physician-patient interaction. Shared decision making (SDM) can be a potential solution to improve interaction. We evaluated the effects of an SDM intervention, including an SDM communication training program for physicians, in a randomized controlled trial with FMS patients. The main objective was to assess whether SDM improves the quality of physician-patient interaction from patients' perspective. ⋯ SDM with FMS patients might be a possible means to achieve a positive quality of physician-patient interaction. A specific SDM communication training program teaches physicians to perform SDM and reduces frustration in patients.
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Psychometric properties of the DASS-Depression scale among a Brazilian population with chronic pain.
Depression is a common contributor to suffering and disability in people with chronic pain. However, the assessment of depression in this population has been hampered by the presence of a number of somatic symptoms that are shared between chronic pain, treatment side-effects and traditional concepts of depression. As a result, the use of depression measures that do not contain somatic items has been encouraged. ⋯ The DASS-Depression scale has adequate psychometric properties and its further use with Brazilian chronic pain populations can now be supported.