Harðardóttir, HrönnAspelund, ThorZhu, JianweiFall, KatjaHauksdóttir, ArnaFang, FangLu, DonghaoJanson, ChristerJónsson, SteinnValdimarsdóttir, HeiðdísValdimarsdóttir, Unnur AnnaHardardottir, Hronn2025-11-202025-11-202022-01Harðardóttir, 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/s00520-021-06138-40941-4355366300025c1f3c36-b8cf-44bd-87d4-7ef6ca2a98a28511078727400067368820000134273032researchoutputwizard: hdl.handle.net/2336/621913unpaywall: 10.1007/s00520-021-06138-4https://hdl.handle.net/20.500.11815/6266Funding 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.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.11362159259-269eninfo:eu-repo/semantics/openAccessDoctor-patient communicationLung cancer diagnosisPost-diagnostic acute stressPosttraumatic stress disorder (PTSD)Prospective cohort studyLung NeoplasmsDiagnosisStress Disorders, Post-TraumaticPhysician-Patient RelationsDoctor-patient communicationLung cancer diagnosisPost-diagnostic acute stressPosttraumatic stress disorder (PTSD)Prospective cohort studyLung NeoplasmsDiagnosisStress Disorders, Post-TraumaticPhysician-Patient RelationsHumansRisk FactorsLung Neoplasms/diagnosisSurveys and QuestionnairesCommunicationOncologySDG 3 - Good Health and Well-being/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article10.1007/s00520-021-06138-4