{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T23:01:52Z","timestamp":1781478112974,"version":"3.54.1"},"reference-count":26,"publisher":"Walter de Gruyter GmbH","issue":"8","license":[{"start":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T00:00:00Z","timestamp":1563148800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jaoa.2019.092_s_001\">\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Comparisons of osteopathic physicians (ie, DOs) and allopathic physicians (ie, MDs) on interpersonal manner, including empathy and communication style, have been limited by such methodologic issues as self-assessment and a focus on medical students rather than practicing physicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2019.092_s_002\">\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To compare perceptions of the interpersonal manner, empathy, and communication style of DOs and MDs and corresponding clinical measures reported by their patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2019.092_s_003\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study of adults with subacute or chronic low back pain was conducted within the PRECISION Pain Research Registry from April 2016 through December 2018. A total of 313 patients having their physician for 1 year or longer reported sociodemographic and clinical characteristics, including use of nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids for low back pain. Using validated research instruments, they also reported perceptions of their physician's interpersonal manner, empathy, and communication style and clinical measures of pain catastrophizing, pain self-efficacy, low back pain intensity, back-related disability, and deficits in quality of life relating to sleep disturbance, pain interference with activities, anxiety, depression, and low energy\/fatigue.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2019.092_s_004\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Patients treated by DOs were less likely to be using NSAIDs (odds ratio [OR], 0.60; 95% CI, 0.36-0.997) or opioids (OR, 0.57; 95% CI, 0.32-0.998) than patients treated by MDs. Patients treated by DOs reported lesser pain catastrophizing (mean, 12.5; 95% CI, 10.1-15.0 for DOs vs 18.1; 95% CI, 16.3-19.9 for MDs; <jats:italic>P<\/jats:italic>&lt;.001) and greater pain self-efficacy (mean, 39.5; 95% CI, 36.3-42.8 for DOs vs 35.3; 95% CI, 33.4-37.3 for MDs; <jats:italic>P<\/jats:italic>=.03). Correspondingly, patients treated by DOs reported lesser back-related disability (mean, 11.2; 95% CI, 9.9-12.5 for DOs vs 13.5; 95% CI, 12.8-14.3 for MDs; <jats:italic>P<\/jats:italic>=.002) and a trend toward lesser deficits in quality of life. Patients reported more favorable perceptions of DOs on interpersonal manner (mean, 4.3; 95% CI, 4.2-4.5 for DOs vs 4.0; 95% CI, 3.9-4.2 for MDs; <jats:italic>P<\/jats:italic>=.01) and empathy (mean, 41.2; 95% CI, 39.1-43.3 for DOs vs 38.0; 95% CI, 36.5-39.5 for MDs; <jats:italic>P<\/jats:italic>=.02).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2019.092_s_005\">\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The mechanisms underlying lesser use of NSAIDs and opioids, superior clinical status measures, and more favorable perceptions of physician interpersonal manner and empathy reported by patients treated by DOs warrant further investigation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.7556\/jaoa.2019.092","type":"journal-article","created":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T15:02:25Z","timestamp":1563202945000},"page":"499-510","source":"Crossref","is-referenced-by-count":15,"title":["<b>Empathy in Medicine<\/b> Osteopathic and Allopathic Physician Interpersonal Manner, Empathy, and Communication Style and Clinical Status of Their Patients: A Pain Registry\u2013Based Study"],"prefix":"10.1515","volume":"119","author":[{"given":"John C.","family":"Licciardone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika E.","family":"Schmitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhash","family":"Aryal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2019,7,15]]},"reference":[{"key":"2022022616561254136_j_jaoa.2019.092_ref_001","first-page":"2","article-title":"Philosophy of Osteopathic Medicine","volume-title":"Foundations of Osteopathic Medicine","author":"Seffinger","year":"2019","edition":"4th ed"},{"issue":"12","key":"2022022616561254136_j_jaoa.2019.092_ref_002","doi-asserted-by":"publisher","first-page":"704","DOI":"10.7556\/jaoa.2015.145","article-title":"A national study of primary care provided by osteopathic physicians","volume":"115","author":"Licciardone","year":"2015","journal-title":"J Am Osteopath Assoc"},{"issue":"6","key":"2022022616561254136_j_jaoa.2019.092_ref_003","first-page":"347","article-title":"Empathy in osteopathic medical students: a cross-sectional analysis","volume":"112","author":"Kimmelman","year":"2012","journal-title":"J Am Osteopath Assoc"},{"issue":"12","key":"2022022616561254136_j_jaoa.2019.092_ref_004","doi-asserted-by":"publisher","first-page":"898","DOI":"10.7556\/jaoa.2013.068","article-title":"Correlates and changes in empathy and attitudes toward interprofessional collaboration in osteopathic medical students","volume":"113","author":"Calabrese","year":"2013","journal-title":"J Am Osteopath Assoc"},{"issue":"10","key":"2022022616561254136_j_jaoa.2019.092_ref_005","doi-asserted-by":"publisher","first-page":"1434","DOI":"10.1007\/s11606-007-0298-x","article-title":"A cross-sectional measurement of medical student empathy","volume":"22","author":"Chen","year":"2007","journal-title":"J Gen Intern Med"},{"issue":"2","key":"2022022616561254136_j_jaoa.2019.092_ref_006","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.ejpain.2011.07.009","article-title":"The effect of validating and invalidating communication on satisfaction, pain and affect in nurses suffering from low back pain during a semi-structured interview","volume":"16","author":"Vangronsveld","year":"2012","journal-title":"Eur J Pain"},{"issue":"7","key":"2022022616561254136_j_jaoa.2019.092_ref_007","first-page":"313","article-title":"Do osteopathic physicians differ in patient interaction from allopathic physicians? 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