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- Title
Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis.
- Authors
Hardardottir, Hronn; Aspelund, Thor; Zhu, Jianwei; Fall, Katja; Hauksdottir, Arna; Fang, Fang; Lu, Donghao; Janson, Christer; Jonsson, Steinn; Valdimarsdottir, Heiddis; Valdimarsdottir, Unnur A.
- Abstract
Purpose: The aim of this study was to assess the role of the patient's background and perceived healthcare-related factors in symptoms of acute stress after lung cancer diagnosis. Methods: The study population consisted of 89 individuals referred for diagnostic work-up at Landspitali National University Hospital in Iceland and subsequently diagnosed with lung cancer. Before diagnosis, the patients completed questionnaires on sociodemographic characteristics, pre-diagnostic distress (Hospital Anxiety and Depression Scale), social support, and resilience. At a median of 16 days after diagnosis, the patients reported symptoms of acute stress on the Impact of Event Scale-Revised (IES-R) and experience of communication and support from healthcare professionals and family during the diagnostic period. Results: Patients were on average 68 years and 52% reported high levels of post-diagnostic acute stress (IES-R > 23) while 24% reported symptoms suggestive of clinical significance (IES-R > 32). Prior history of cancer (β = 6.7, 95% CI: 0.1 to 13.3) and pre-diagnostic distress were associated with higher levels of post-diagnostic acute stress (β = 8.8, 95% CI: 2.7 to 14.9), while high educational level (β = − 7.9, 95% CI: − 14.8 to − 1.1) was associated with lower levels. Controlling for the abovementioned factors, the patients' perception of optimal doctor-patient (β = − 9.1, 95% CI: − 14.9 to − 3.3) and family communication (β = − 8.6, 95% CI: − 14.3 to − 2.9) was inversely associated with levels of post-diagnostic acute stress after lung cancer diagnosis. Conclusions: A high proportion of patients with newly diagnosed lung cancer experience high levels of acute traumatic stress of potential clinical significance. Efforts to improve doctor-patient and family communication may mitigate the risk of these adverse symptoms.
- Subjects
ICELAND; PATIENTS' attitudes; LUNG cancer; CANCER diagnosis; MEDICAL personnel; FAMILY communication; COMMUNICATIVE disorders
- Publication
Supportive Care in Cancer, 2022, Vol 30, Issue 1, p259
- ISSN
0941-4355
- Publication type
Article
- DOI
10.1007/s00520-021-06138-4