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Optimal communicati...
Optimal communication associated with lower risk of acute traumatic stress after lung cancer diagnosis
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- Hardardottir, Hronn (author)
- Karolinska Institutet,Landspitali Univ Hosp, Dept Resp Med, Reykjavik, Iceland.;Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland
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- 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
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- 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
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- 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
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- 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
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- Fang, Fang (author)
- Karolinska Institutet,Karolinska Inst, Inst Environm Med, Stockholm, Sweden
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- 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
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- Janson, Christer (author)
- Uppsala universitet,Arbets- och miljömedicin,Lung- allergi- och sömnforskning,Klinisk fysiologi
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- 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
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- 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
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- 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.
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In: Supportive Care in Cancer. - : Springer. - 0941-4355 .- 1433-7339. ; 30:1, s. 259-269
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Abstract
Subject headings
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- Post-diagnostic acute stress
- Doctor-patient communication
- Lung cancer diagnosis
- Posttraumatic stress disorder (PTSD)
- Prospective cohort study
Publication and Content Type
- ref (subject category)
- art (subject category)
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Hardardottir, Hr ...
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Aspelund, Thor
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Zhu, Jianwei
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Fall, Katja, 197 ...
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Hauksdottir, Arn ...
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Fang, Fang
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Lu, Donghao
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Janson, Christer
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Jonsson, Steinn
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Valdimarsdottir, ...
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Valdimarsdottir, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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Supportive Care ...
- By the university
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Örebro University
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Karolinska Institutet
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Uppsala University