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

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

Hardardottir, Hronn (author): Karolinska Institutet,Landspitali Univ Hosp, Dept Resp Med, Reykjavik, Iceland.;Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland

Aspelund, Thor (author): Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland

Zhu, Jianwei (author): Centre 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

Fall, Katja, 1971- (author): 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

Hauksdottir, Arna (author): Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland

Fang, Fang (author): Karolinska Institutet,Karolinska Inst, Inst Environm Med, Stockholm, Sweden

Lu, Donghao (author): Centre 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

Janson, Christer (author): Uppsala universitet,Arbets- och miljömedicin,Lung- allergi- och sömnforskning,Klinisk fysiologi

Jonsson, Steinn (author): Department 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

Valdimarsdottir, Heiddis (author): Department 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

Valdimarsdottir, Unnur A. (author): 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

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Karolinska Institutet Landspitali Univ Hosp, Dept Resp Med, Reykjavik, Iceland;Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland (creator_code:org_t)

2021-07-17
2022
English.
In: Supportive Care in Cancer. - : Springer. - 0941-4355 .- 1433-7339. ; 30:1, s. 259-269

Related links:: https://opinvisindi....; show more...; https://link.springe...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

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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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By the author/editor: Hardardottir, Hr ...; Aspelund, Thor; Zhu, Jianwei; Fall, Katja, 197 ...; Hauksdottir, Arn ...; Fang, Fang; show more...; Lu, Donghao; Janson, Christer; Jonsson, Steinn; Valdimarsdottir, ...; Valdimarsdottir, ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

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By the university: Örebro University; Karolinska Institutet; Uppsala University

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

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