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.contributor.author |
Hardardottir, Hronn |
dc.date.accessioned |
2023-03-31T01:03:54Z |
dc.date.available |
2023-03-31T01:03:54Z |
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 & Hardardottir , H 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 |
36630002 |
dc.identifier.other |
5c1f3c36-b8cf-44bd-87d4-7ef6ca2a98a2 |
dc.identifier.other |
85110787274 |
dc.identifier.other |
000673688200001 |
dc.identifier.other |
34273032 |
dc.identifier.other |
researchoutputwizard: hdl.handle.net/2336/621913 |
dc.identifier.other |
unpaywall: 10.1007/s00520-021-06138-4 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/4116 |
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 |
362159 |
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 |
Áfallastreita |
dc.subject |
Sjúkdómsgreining |
dc.subject |
Samskipti |
dc.subject |
Lungnalæknisfræði |
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 |
Lung Neoplasms |
dc.subject |
Diagnosis |
dc.subject |
Stress Disorders, Post-Traumatic |
dc.subject |
Physician-Patient Relations |
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 |
Lung Neoplasms |
dc.subject |
Diagnosis |
dc.subject |
Stress Disorders, Post-Traumatic |
dc.subject |
Physician-Patient Relations |
dc.subject |
Humans |
dc.subject |
Risk Factors |
dc.subject |
Lung Neoplasms/diagnosis |
dc.subject |
Surveys and Questionnaires |
dc.subject |
Communication |
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 |
10.1007/s00520-021-06138-4 |
dc.relation.url |
http://www.scopus.com/inward/record.url?scp=85110787274&partnerID=8YFLogxK |
dc.relation.url |
https://link.springer.com/article/10.1007%2Fs00520-021-06138-4 |
dc.contributor.department |
Faculty of Medicine |