How successful are physicians in eliciting the truth from their patients? A large-scale internet survey from patients' perspectives

Norifusa Sawada, Hiroyuki Uchida, Koichiro Watanabe, Toshiaki Kikuchi, Takefumi Suzuki, Haruo Kashima, Masaru Mimura

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: How honestly patients report their symptoms and medication adherence to their physicians has not been adequately addressed in patients with depression. We therefore conducted a large-scale Internet survey in an effort to discover how successful physicians are in eliciting the truth from their patients and also to examine reasons for patients' truth-concealing behaviors. Method: 2,354 participants who had received treatment for depression within the past year and had been diagnosed with depression by Patient Health Questionaire were identified from 323,226 registrants at the Macromill database through screening procedures. Participants were asked to complete a questionnaire regarding their treatment for depression with a special focus on patientphysician relationship. This study was conducted from December 7 to 13, 2010, in Japan. Results: 2,020 participants successfully completed the questionnaire. Overall, 70.2% of responders reported that they had withheld the truth from their physicians. A logistic regression model found significant associations of such a behavior with female sex (95% CI, 1.15-1.74; P = .001), younger age (95% CI, 0.49-0.97; P = .030), and a lower degree of satisfaction in mutual communication (95% CI, 3.17-6.58; P < .001). 69.2% and 52.6% of the participants refrained from telling about their "daily activities" and "symptoms," respectively. Female participants were more likely to hide the facts concerning "adherence to prescribed medication" and "figures such as body temperature and weight." 31.9% of participants had discontinued the treatment without consulting their physician, which was again more frequent in females, younger persons, and those who were not satisfied with communication with their physician. Conclusions: While the findings obtained herein need to be replicated in other patient populations, a majority of patients with depression were reluctant to uncover the truth, which emphasizes the need for more finetuned suspicion among physicians about symptoms and medication adherence.

Original languageEnglish
Pages (from-to)311-317
Number of pages7
JournalJournal of Clinical Psychiatry
Volume73
Issue number3
DOIs
Publication statusPublished - 2012 Mar

Fingerprint

Internet
Physicians
Depression
Medication Adherence
Logistic Models
Communication
Surveys and Questionnaires
World Wide Web
Body Temperature
Japan
Therapeutics
Body Weight
Databases
Health
Population
Medication
Adherence

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Arts and Humanities (miscellaneous)

Cite this

How successful are physicians in eliciting the truth from their patients? A large-scale internet survey from patients' perspectives. / Sawada, Norifusa; Uchida, Hiroyuki; Watanabe, Koichiro; Kikuchi, Toshiaki; Suzuki, Takefumi; Kashima, Haruo; Mimura, Masaru.

In: Journal of Clinical Psychiatry, Vol. 73, No. 3, 03.2012, p. 311-317.

Research output: Contribution to journalArticle

@article{6af1cec0988c40e0ae88c3d3976758ad,
title = "How successful are physicians in eliciting the truth from their patients? A large-scale internet survey from patients' perspectives",
abstract = "Objective: How honestly patients report their symptoms and medication adherence to their physicians has not been adequately addressed in patients with depression. We therefore conducted a large-scale Internet survey in an effort to discover how successful physicians are in eliciting the truth from their patients and also to examine reasons for patients' truth-concealing behaviors. Method: 2,354 participants who had received treatment for depression within the past year and had been diagnosed with depression by Patient Health Questionaire were identified from 323,226 registrants at the Macromill database through screening procedures. Participants were asked to complete a questionnaire regarding their treatment for depression with a special focus on patientphysician relationship. This study was conducted from December 7 to 13, 2010, in Japan. Results: 2,020 participants successfully completed the questionnaire. Overall, 70.2{\%} of responders reported that they had withheld the truth from their physicians. A logistic regression model found significant associations of such a behavior with female sex (95{\%} CI, 1.15-1.74; P = .001), younger age (95{\%} CI, 0.49-0.97; P = .030), and a lower degree of satisfaction in mutual communication (95{\%} CI, 3.17-6.58; P < .001). 69.2{\%} and 52.6{\%} of the participants refrained from telling about their {"}daily activities{"} and {"}symptoms,{"} respectively. Female participants were more likely to hide the facts concerning {"}adherence to prescribed medication{"} and {"}figures such as body temperature and weight.{"} 31.9{\%} of participants had discontinued the treatment without consulting their physician, which was again more frequent in females, younger persons, and those who were not satisfied with communication with their physician. Conclusions: While the findings obtained herein need to be replicated in other patient populations, a majority of patients with depression were reluctant to uncover the truth, which emphasizes the need for more finetuned suspicion among physicians about symptoms and medication adherence.",
author = "Norifusa Sawada and Hiroyuki Uchida and Koichiro Watanabe and Toshiaki Kikuchi and Takefumi Suzuki and Haruo Kashima and Masaru Mimura",
year = "2012",
month = "3",
doi = "10.4088/JCP.11m07078",
language = "English",
volume = "73",
pages = "311--317",
journal = "Journal of Clinical Psychiatry",
issn = "0160-6689",
publisher = "Physicians Postgraduate Press Inc.",
number = "3",

}

TY - JOUR

T1 - How successful are physicians in eliciting the truth from their patients? A large-scale internet survey from patients' perspectives

AU - Sawada, Norifusa

AU - Uchida, Hiroyuki

AU - Watanabe, Koichiro

AU - Kikuchi, Toshiaki

AU - Suzuki, Takefumi

AU - Kashima, Haruo

AU - Mimura, Masaru

PY - 2012/3

Y1 - 2012/3

N2 - Objective: How honestly patients report their symptoms and medication adherence to their physicians has not been adequately addressed in patients with depression. We therefore conducted a large-scale Internet survey in an effort to discover how successful physicians are in eliciting the truth from their patients and also to examine reasons for patients' truth-concealing behaviors. Method: 2,354 participants who had received treatment for depression within the past year and had been diagnosed with depression by Patient Health Questionaire were identified from 323,226 registrants at the Macromill database through screening procedures. Participants were asked to complete a questionnaire regarding their treatment for depression with a special focus on patientphysician relationship. This study was conducted from December 7 to 13, 2010, in Japan. Results: 2,020 participants successfully completed the questionnaire. Overall, 70.2% of responders reported that they had withheld the truth from their physicians. A logistic regression model found significant associations of such a behavior with female sex (95% CI, 1.15-1.74; P = .001), younger age (95% CI, 0.49-0.97; P = .030), and a lower degree of satisfaction in mutual communication (95% CI, 3.17-6.58; P < .001). 69.2% and 52.6% of the participants refrained from telling about their "daily activities" and "symptoms," respectively. Female participants were more likely to hide the facts concerning "adherence to prescribed medication" and "figures such as body temperature and weight." 31.9% of participants had discontinued the treatment without consulting their physician, which was again more frequent in females, younger persons, and those who were not satisfied with communication with their physician. Conclusions: While the findings obtained herein need to be replicated in other patient populations, a majority of patients with depression were reluctant to uncover the truth, which emphasizes the need for more finetuned suspicion among physicians about symptoms and medication adherence.

AB - Objective: How honestly patients report their symptoms and medication adherence to their physicians has not been adequately addressed in patients with depression. We therefore conducted a large-scale Internet survey in an effort to discover how successful physicians are in eliciting the truth from their patients and also to examine reasons for patients' truth-concealing behaviors. Method: 2,354 participants who had received treatment for depression within the past year and had been diagnosed with depression by Patient Health Questionaire were identified from 323,226 registrants at the Macromill database through screening procedures. Participants were asked to complete a questionnaire regarding their treatment for depression with a special focus on patientphysician relationship. This study was conducted from December 7 to 13, 2010, in Japan. Results: 2,020 participants successfully completed the questionnaire. Overall, 70.2% of responders reported that they had withheld the truth from their physicians. A logistic regression model found significant associations of such a behavior with female sex (95% CI, 1.15-1.74; P = .001), younger age (95% CI, 0.49-0.97; P = .030), and a lower degree of satisfaction in mutual communication (95% CI, 3.17-6.58; P < .001). 69.2% and 52.6% of the participants refrained from telling about their "daily activities" and "symptoms," respectively. Female participants were more likely to hide the facts concerning "adherence to prescribed medication" and "figures such as body temperature and weight." 31.9% of participants had discontinued the treatment without consulting their physician, which was again more frequent in females, younger persons, and those who were not satisfied with communication with their physician. Conclusions: While the findings obtained herein need to be replicated in other patient populations, a majority of patients with depression were reluctant to uncover the truth, which emphasizes the need for more finetuned suspicion among physicians about symptoms and medication adherence.

UR - http://www.scopus.com/inward/record.url?scp=84859144823&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859144823&partnerID=8YFLogxK

U2 - 10.4088/JCP.11m07078

DO - 10.4088/JCP.11m07078

M3 - Article

VL - 73

SP - 311

EP - 317

JO - Journal of Clinical Psychiatry

JF - Journal of Clinical Psychiatry

SN - 0160-6689

IS - 3

ER -