Effects of patient‐centered communication on anxiety, negative affect, and trust in the physician in delivering a cancer diagnosis: A randomized, experimental study
BACKGROUND When bad news about a cancer diagnosis is being delivered, patient‐centered communication (PCC) has been considered important for patients' adjustment and well‐being. However, few studies have explored how interpersonal skills might help cancer patients cope with anxiety and distress...
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| Vydané v: | Cancer Ročník 123; číslo 16; s. 3167 - 3175 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
Wiley Subscription Services, Inc
15.08.2017
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| Predmet: | |
| ISSN: | 0008-543X, 1097-0142, 1097-0142 |
| On-line prístup: | Získať plný text |
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| Shrnutí: | BACKGROUND
When bad news about a cancer diagnosis is being delivered, patient‐centered communication (PCC) has been considered important for patients' adjustment and well‐being. However, few studies have explored how interpersonal skills might help cancer patients cope with anxiety and distress during bad‐news encounters.
METHODS
A prospective, experimental design was used to investigate the impact of the physician communication style during a bad‐news encounter. Ninety‐eight cancer patients and 92 unaffected subjects of both sexes were randomly assigned to view a video of a clinician delivering a first cancer diagnosis with either an enhanced patient‐centered communication (E‐PCC) style or a low patient‐centered communication (L‐PCC) style. Participants rated state anxiety and negative affect before and immediately after the video exposure, whereas trust in the physician was rated after the video exposure only. Main and interaction effects were analyzed with generalized linear models.
RESULTS
Viewing the disclosure of a cancer diagnosis resulted in a substantial increase in state anxiety and negative affect among all participants. This emotional response was moderated by the physician's communication style: Participants viewing an oncologist displaying an E‐PCC style were significantly less anxious than those watching an oncologist displaying an L‐PCC style. They also reported significantly higher trust in the physician.
CONCLUSIONS
Under a threatening, anxiety‐provoking disclosure of bad news, a short sequence of empathic PCC influences subjects' psychological state, insofar that they report feeling less anxious and more trustful of the oncologist. Video exposure appears to be a valuable method for investigating the impact of a physician's communication style during critical encounters. Cancer 2017;123:3167–75. © 2017 American Cancer Society.
Patient‐centered communication makes a difference in patients' experience, insofar that they report feeling less anxious and more trustful of the oncologist. Video exposure appears to be a valuable method for investigating the impact of a physician's communication style during critical encounters. |
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| Bibliografia: | We sincerely thank all those patients who participated in the study (particularly the late Inge Bördlein‐Wahl from Mamazone and the young adults from the rehabilitation clinic Katharinenhöhe); Dr. Katja Krug and Lorenz Uhlmann (Institute of Medical Biometrics and Informatics, Heidelberg University Hospital) for their valuable statistical advice; and Professor Dr. Ursula Christmann, who supported the sampling of unaffected subjects at the Institute of Psychology of the University of Heidelberg. We also extend our gratitude to ProKID and Andrea Gaisser (German Cancer Research Center) for their financial support of the study. ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
| ISSN: | 0008-543X 1097-0142 1097-0142 |
| DOI: | 10.1002/cncr.30694 |