Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis
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 Universi...
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| Published in | Supportive care in cancer Vol. 30; no. 1; pp. 259 - 269 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.01.2022
Springer Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| 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. |
|---|---|
| AbstractList | 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 (beta = 6.7, 95% CI: 0.1 to 13.3) and pre-diagnostic distress were associated with higher levels of post-diagnostic acute stress (beta = 8.8, 95% CI: 2.7 to 14.9), while high educational level (beta = - 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 (beta = - 9.1, 95% CI: - 14.9 to - 3.3) and family communication (beta = - 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. 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. 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. 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. 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. 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. 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. 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. 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.PURPOSEThe 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.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.METHODSThe 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.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.RESULTSPatients 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.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.CONCLUSIONSA 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. 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. PurposeThe 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.MethodsThe 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.ResultsPatients 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.ConclusionsA 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. 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 ([beta] = 6.7, 95% CI: 0.1 to 13.3) and pre-diagnostic distress were associated with higher levels of post-diagnostic acute stress ([beta] = 8.8, 95% CI: 2.7 to 14.9), while high educational level ([beta] = - 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 ([beta] = - 9.1, 95% CI: - 14.9 to - 3.3) and family communication ([beta] = - 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. |
| Audience | Academic |
| Author | Aspelund, Thor Fall, Katja Valdimarsdottir, Heiddis Janson, Christer Hauksdottir, Arna Fang, Fang Valdimarsdottir, Unnur A. Hardardottir, Hronn Lu, Donghao Jonsson, Steinn Zhu, Jianwei |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34273032$$D View this record in MEDLINE/PubMed https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-93382$$DView record from Swedish Publication Index https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-470063$$DView record from Swedish Publication Index http://kipublications.ki.se/Default.aspx?queryparsed=id:147124030$$DView record from Swedish Publication Index |
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| CitedBy_id | crossref_primary_10_3389_fsurg_2022_899033 crossref_primary_10_1080_0284186X_2023_2258445 crossref_primary_10_1111_ecc_13726 |
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| ContentType | Journal Article |
| Copyright | The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. COPYRIGHT 2022 Springer The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021. |
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| DOI | 10.1007/s00520-021-06138-4 |
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| Keywords | Lung cancer diagnosis Post-diagnostic acute stress Doctor-patient communication Posttraumatic stress disorder (PTSD) Prospective cohort study |
| Language | English |
| License | 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. |
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| PublicationTitle | Supportive care in cancer |
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J Appl Biobehav Res 22(3). https://doi.org/10.1111/jabr.12065 ZhuJFangFSjölanderAFallKAdamiHOValdimarsdóttirUFirst-onset mental disorders after cancer diagnosis and cancer-specific mortality: a nationwide cohort studyAnn Oncol2017288196419691:STN:280:DC%2BC1crpsVSgsw%3D%3D10.1093/annonc/mdx26528525559 MatzkaMMayerHKöck-HódiSMoses-PassiniCDubeyCJahnPSchneeweissSEicherMRelationship between resilience, psychological distress and physical activity in cancer patients: a cross-sectional observation studyPLoS One20161141:CAS:528:DC%2BC28Xhs12itrjE10.1371/journal.pone.0154496271244664849643 AndrykowskiMACordovaMJFactors associated with PTSD symptoms following treatment for breast cancer: test of the Andersen modelJ Trauma Stress19981121892031:STN:280:DyaK1c3islSgsQ%3D%3D10.1023/a:10244907180439565911 AkechiTOkamuraHNishiwakiYUchitomiYPsychiatric disorders and associated and predictive factors in patients with unresectable nonsmall cell lung carcinoma: a longitudinal studyCancer20019210260926221:STN:280:DC%2BD3Mnps1aqsQ%3D%3D10.1002/1097-0142(20011115)92:10<2609::aid-cncr1614>3.0.co;2-k11745196 CordovaMJRibaMBSpiegelDPost-traumatic stress disorder and cancerLancet Psychiatry20174433033810.1016/s2215-0366(17)30014-7281096475676567 HackTFRuetherJDPicklesTBultzBDChateauDDegnerLFBehind closed doors II: systematic analysis of prostate cancer patients’ primary treatment consultations with radiation oncologists and predictors of satisfaction with communicationPsychooncology201221880981710.1002/pon.198421557385 BerkmanLFSymeSLSocial networ MA Andrykowski (6138_CR20) 1998; 11 C Gebhardt (6138_CR44) 2017; 67 MK Yee (6138_CR11) 2017; 123 T Akechi (6138_CR40) 2001; 92 MJ Cordova (6138_CR41) 2017; 4 P Brocken (6138_CR4) 2015; 24 S van Buuren (6138_CR36) 2011; 45 JM Prieto (6138_CR12) 2002; 20 TF Hack (6138_CR25) 2012; 21 PB Jacobsen (6138_CR39) 2019; 9 T Gilligan (6138_CR23) 2017; 35 F Fang (6138_CR7) 2012; 366 G Abbey (6138_CR38) 2015; 24 B Mallinckrodt (6138_CR19) 2012; 59 V Penalba (6138_CR46) 2019; 27 EJ Morrison (6138_CR3) 2017; 18 6138_CR9 S Singer (6138_CR29) 2009; 100 D Lu (6138_CR14) 2019; 79 EB Loucks (6138_CR31) 2006; 38 S Swartzman (6138_CR43) 2017; 26 JS Wachen (6138_CR16) 2014; 23 DS Weiss (6138_CR33) 1997 KD Graves (6138_CR8) 2007; 55 M Matzka (6138_CR18) 2016; 11 ME Wood (6138_CR42) 2012; 30 J Zabora (6138_CR1) 2001; 10 M Fujimori (6138_CR47) 2014; 32 LM Ong (6138_CR13) 2000; 41 PH Thaker (6138_CR5) 2006; 12 P Arnaboldi (6138_CR21) 2014; 3 EA Lobb (6138_CR24) 1999; 171 D Lu (6138_CR6) 2016; 2 MT Hegel (6138_CR10) 2006; 107 AS Zigmond (6138_CR28) 1983; 67 R Core Team (6138_CR37) 2014 J Zhu (6138_CR15) 2017; 28 A Montazeri (6138_CR17) 1998; 52 PE Schofield (6138_CR22) 2003; 14 M Creamer (6138_CR35) 2003; 41 SE Thorne (6138_CR26) 2005; 14 LF Berkman (6138_CR30) 1979; 109 L Campbell-Sills (6138_CR32) 2007; 20 GD Batty (6138_CR2) 2017; 356 E Vallieres (6138_CR27) 2009; 4 N Asukai (6138_CR34) 2002; 190 6138_CR45 |
| References_xml | – reference: LoucksEBSocial networks and inflammatory markers in the Framingham Heart StudyJ Biosoc Sci200638683584210.1017/s002193200500120316441967 – reference: BerkmanLFSymeSLSocial networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residentsAm J Epidemiol197910921862041:STN:280:DyaE1M7kt1CisQ%3D%3D10.1093/oxfordjournals.aje.a112674425958 – reference: BattyGDRussTCStamatakisEKivimäkiMPsychological distress in relation to site specific cancer mortality: pooling of unpublished data from 16 prospective cohort studiesBmj2017356j10810.1136/bmj.j108281228125266623 – reference: JacobsenPBNortonWEThe role of implementation science in improving distress assessment and management in oncology: a commentary on “Screening for psychosocial distress among patients with cancer: implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship”Transl Behav Med20199229229510.1093/tbm/ibz022308705696610164 – reference: WoodMEVogelVNgAFoxhallLGoodwinPTravisLBSecond malignant neoplasms: assessment and strategies for risk reductionJ Clin Oncol201230303734374510.1200/jco.2012.41.868123008293 – reference: YeeMKSereikaSMBenderCMBrufskyAMConnollyMCRosenzweigMQSymptom incidence, distress, cancer-related distress, and adherence to chemotherapy among African American women with breast cancerCancer201712311206120691:CAS:528:DC%2BC2sXotVGqtLg%3D10.1002/cncr.3057528199006 – reference: GilliganTCoyleNFrankelRMBerryDLBohlkeKEpsteinRMFinlayEJacksonVALathanCSLoprinziCLNguyenLHSeigelCBaileWFPatient-clinician communication: American Society of Clinical Oncology Consensus GuidelineJ Clin Oncol201735313618363210.1200/jco.2017.75.231128892432 – reference: FangFFallKMittlemanMASparénPYeWAdamiHOValdimarsdóttirUSuicide and cardiovascular death after a cancer diagnosisN Engl J Med2012366141310131810.1056/NEJMoa111030722475594 – reference: LobbEACommunicating prognosis in early breast cancer: do women understand the language used?Med J Aust199917162902941:STN:280:DC%2BD3c%2FisVagsA%3D%3D10.5694/j.1326-5377.2000.tb123923.x10560442 – reference: CordovaMJRibaMBSpiegelDPost-traumatic stress disorder and cancerLancet Psychiatry20174433033810.1016/s2215-0366(17)30014-7281096475676567 – reference: VallieresEThe IASLC Lung Cancer Staging Project: proposals regarding the relevance of TNM in the pathologic staging of small cell lung cancer in the forthcoming (seventh) edition of the TNM classification for lung cancerJ Thorac Oncol2009491049105910.1097/JTO.0b013e3181b2779919652623 – reference: ZigmondASSnaithRPThe hospital anxiety and depression scaleActa Psychiatr Scand19836763613701:STN:280:DyaL3s3nvFWjug%3D%3D10.1111/j.1600-0447.1983.tb09716.x – reference: ThakerPHHanLYKamatAAArevaloJMTakahashiRLuCJenningsNBArmaiz-PenaGBanksonJARavooriMMerrittWMLinYGMangalaLSKimTJColemanRLLandenCNLiYFelixESanguinoAMNewmanRALloydMGershensonDMKundraVLopez-BeresteinGLutgendorfSKColeSWSoodAKChronic stress promotes tumor growth and angiogenesis in a mouse model of ovarian carcinomaNat Med20061289399441:CAS:528:DC%2BD28Xnsl2iurg%3D10.1038/nm144716862152 – reference: WeissDSMarmarCRWilsonJPKeaneTMThe Impact of Event Scale-RevisedAssessing psychological trauma and PTSD1997New YorkThe Guilford Press – reference: AbbeyGThompsonSBNHickishTHeathcoteDA meta-analysis of prevalence rates and moderating factors for cancer-related post-traumatic stress disorderPsychooncology201524437138110.1002/pon.365425146298 – reference: MatzkaMMayerHKöck-HódiSMoses-PassiniCDubeyCJahnPSchneeweissSEicherMRelationship between resilience, psychological distress and physical activity in cancer patients: a cross-sectional observation studyPLoS One20161141:CAS:528:DC%2BC28Xhs12itrjE10.1371/journal.pone.0154496271244664849643 – reference: Campbell-SillsLSteinMBPsychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): validation of a 10-item measure of resilienceJ Trauma 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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... 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... 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... PurposeThe 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... 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... |
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| SubjectTerms | Cancer Clinical significance Cohort analysis Communication Diagnosis Doctor-patient communication Health aspects Health psychology Humans Lung cancer Lung cancer diagnosis Lung Neoplasms - diagnosis Medical colleges Medical diagnosis Medical personnel Medicine Medicine & Public Health Nursing Nursing Research Oncology Oncology, Experimental Original Article Pain Medicine Patients Post traumatic stress disorder Post-diagnostic acute stress Posttraumatic stress disorder (PTSD) Prospective cohort study Rehabilitation Medicine Risk Factors Stress Disorders, Post-Traumatic Surveys and Questionnaires |
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| Title | Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis |
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