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Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis

Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis


Title: Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis
Author: Harðardóttir, Hrönn
Aspelund, Thor   orcid.org/0000-0002-7998-5433
Zhu, Jianwei
Fall, Katja
Hauksdóttir, Arna   orcid.org/0000-0002-4253-1059
Fang, Fang
Lu, Donghao
Janson, Christer   orcid.org/0000-0001-5093-6980
Jónsson, Steinn
Valdimarsdóttir, Heiðdís
... 1 more authors Show all authors
Date: 2022-01
Language: English
Scope: 11
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Faculty of Medicine
Series: Supportive Care in Cancer; 30(1)
ISSN: 0941-4355
DOI: https://doi.org/10.1007/s00520-021-06138-4
Subject: Lungnakrabbamein; Sjúkdómsgreining; Áfallastreita; Samskipti; Doctor-patient communication; Lung cancer diagnosis; Post-diagnostic acute stress; Posttraumatic stress disorder (PTSD); Prospective cohort study; Oncology
URI: https://hdl.handle.net/20.500.11815/2908

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Citation:

Harðardóttir , H , Aspelund , T , Zhu , J , Fall , K , Hauksdóttir , A , Fang , F , Lu , D , Janson , C , Jónsson , S , Valdimarsdóttir , H & Valdimarsdóttir , U A 2022 , ' Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis ' , Supportive Care in Cancer , vol. 30 , no. 1 , pp. 259-269 . https://doi.org/10.1007/s00520-021-06138-4

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.

Description:

Funding Information: This work was supported by the Rannis Research Fund (grant number: 141667-051), the Swedish Cancer Foundation (grant number: 16 0720), the Doctoral Grant from the University of Iceland Research Fund/Eimskip University Fund 2018, and the Landspitali University Hospital Research Fund 2015. Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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