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

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dc.contributor Landspitali - The National University Hospital of Iceland
dc.contributor.author Harðardóttir, Hrönn
dc.contributor.author Aspelund, Thor
dc.contributor.author Zhu, Jianwei
dc.contributor.author Fall, Katja
dc.contributor.author Hauksdóttir, Arna
dc.contributor.author Fang, Fang
dc.contributor.author Lu, Donghao
dc.contributor.author Janson, Christer
dc.contributor.author Jónsson, Steinn
dc.contributor.author Valdimarsdóttir, Heiðdís
dc.contributor.author Valdimarsdóttir, Unnur Anna
dc.date.accessioned 2022-02-23T01:01:09Z
dc.date.available 2022-02-23T01:01:09Z
dc.date.issued 2022-01
dc.identifier.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
dc.identifier.issn 0941-4355
dc.identifier.other PURE: 36630002
dc.identifier.other PURE UUID: 5c1f3c36-b8cf-44bd-87d4-7ef6ca2a98a2
dc.identifier.other Scopus: 85110787274
dc.identifier.other WOSLite: 000673688200001
dc.identifier.uri https://hdl.handle.net/20.500.11815/2908
dc.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.
dc.description.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.
dc.format.extent 11
dc.format.extent 259-269
dc.language.iso en
dc.relation.ispartofseries Supportive Care in Cancer; 30(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Lungnakrabbamein
dc.subject Sjúkdómsgreining
dc.subject Áfallastreita
dc.subject Samskipti
dc.subject Doctor-patient communication
dc.subject Lung cancer diagnosis
dc.subject Post-diagnostic acute stress
dc.subject Posttraumatic stress disorder (PTSD)
dc.subject Prospective cohort study
dc.subject Oncology
dc.title Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1007/s00520-021-06138-4
dc.relation.url http://www.scopus.com/inward/record.url?scp=85110787274&partnerID=8YFLogxK
dc.contributor.department Faculty of Medicine

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