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Optimal communicati...
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Hardardottir, HronnKarolinska Institutet,Landspitali Univ Hosp, Dept Resp Med, Reykjavik, Iceland.;Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland
(author)
Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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2021-07-17
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Springer,2022
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:oru-93382
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-93382URI
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https://doi.org/10.1007/s00520-021-06138-4DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:147124030URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-470063URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding agencies:Rannis Research Fund 141667-051University of Iceland Research Fund/Eimskip University Fund 2018 Landspitali University Hospital Research Fund 2015
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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.
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Aspelund, ThorCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland
(author)
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Zhu, JianweiCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland; Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Orthopedic Surgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan Province, China,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Sichuan Univ, West China Med Sch, West China Hosp, Dept Orthoped Surg, Chengdu 610000, Sichuan, Peoples R China
(author)
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Fall, Katja,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Örebro Univ, Sch Med Sci, Clin Epidemiol & Biostat, Örebro, Sweden.;Karolinska Inst, Inst Environm Med, Stockholm, Sweden(Swepub:oru)kafl
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Hauksdottir, ArnaCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland
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Fang, FangKarolinska Institutet,Karolinska Inst, Inst Environm Med, Stockholm, Sweden
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Lu, DonghaoCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland; Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston MA, USA; Channing Division of Network Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston MA, USA,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.;Harvard Med Sch, Brigham & Womens Hosp, Channing Div Network Med, Boston, MA 02115 USA
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Janson, ChristerUppsala universitet,Arbets- och miljömedicin,Lung- allergi- och sömnforskning,Klinisk fysiologi(Swepub:uu)chrisjn
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Jonsson, SteinnDepartment of Respiratory Medicine, Landspitali University Hospital, Reykjavik, Iceland; Department of Medicine, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,Landspitali Univ Hosp, Dept Resp Med, Reykjavik, Iceland.;Univ Iceland, Fac Med, Dept Med, Reykjavik, Iceland
(author)
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Valdimarsdottir, HeiddisDepartment of Psychology, Reykjavík University, Reykjavik, Iceland; Mount Sinai School of Medicine, New York NY, USA,Reykjavik Univ, Dept Psychol, Reykjavik, Iceland.;Mt Sinai Sch Med, New York, NY USA
(author)
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Valdimarsdottir, Unnur A.Karolinska Institutet,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
(author)
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Karolinska InstitutetLandspitali Univ Hosp, Dept Resp Med, Reykjavik, Iceland.;Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland
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