When the World Is Closing In: Effects of Perceived Room Brightness and Communicated Threat During Patient-Physician Interaction
When the World Is Closing In: Effects of Perceived Room Brightness and Communicated Threat During Patient-Physician Interaction
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当世界正在逼近时：患者与医生互动期间感知的房间亮度和传达的威胁的影响
DOI：
10.1177/193758671300700104
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
A. Pruyn
中科院分区：
文献类型：
--
作者：
V. Okken;T. V. van Rompay;A. Pruyn
目的：本研究提出，房间的亮度会给人一种更宽敞的环境印象，这种感觉会对人的感受和行为产生积极影响，尤其是在高威胁的谈话中。背景：在很大程度上，医疗服务提供者取决于他们的病人愿意透露信息。研究表明，除了与医生和谈话话题相关的特征外，环境因素还会影响患者的情感体验和自我表露。方法：采用双因素受试者间实验设计，其中参与者（n = 90）被呈现一个描述患者-医生遭遇不同沟通威胁的场景。随后，参与者被暴露在一张房间亮度被操纵的照片上。接下来，测量患者舒适度、体验空间度和自我表露意愿。结果：亮度对情感体验和自我表露意愿有影响。此外，还预测了亮度与通信威胁之间的交互作用。分析证实，感知空间在房间亮度和自我表露意图之间起中介作用。结论：本研究证实了亮度对自我表露意向的影响。此外，这种关系还受到心理环境的影响，当处于焦虑状态时，对空间的需求更加明显。结果表明，物理环境可以作为提高积极参与的工具。此外，研究结果还强调了关注患者心理状态在营造正确氛围中的重要性。
OBJECTIVE: The study proposes that room brightness creates impressions of a more spacious environment and that this perception positively impacts feelings and behaviors during high-threat conversations in particular. BACKGROUND: To a large extent healthcare providers depend on their patients' willingness to disclose information. In addition to characteristics related to the physician and topic of conversation, research indicates that environmental factors influence patients' affective experiences and self-disclosure. METHODS: A two-factor between-subjects experimental design was used in which participants (n = 90) were presented with a scenario describing a patient–physician encounter varying in communicated threat. Subsequently, participants were exposed to a picture in which room brightness was manipulated. Next, patient comfort, experienced spaciousness, and self-disclosure intentions were measured. RESULTS: An effect of brightness was found on affective experiences and self-disclosure intentions. In addition, the predicted interaction was obtained between brightness and communicated threat on these measures. Analyses confirmed that perceived spaciousness mediates the relationship between room brightness and self-disclosure intentions. CONCLUSIONS: The study confirms that brightness impacts self-disclosure intentions. Additionally, this relationship is influenced by psychological circumstances, with a more pronounced need for spaciousness when in an anxious state of mind. The results suggest that the physical environment can be used as a tool to improve active participation. In addition, the results stress the importance of attending to the patient's state of mind in creating the right atmosphere.