Disclosure of Diagnostic Information to Cancer Patients in Greece

Mystakidou, Kyriaki; Liossi, Christina; Vlachos, L.; Papadimitriou, J

doi:10.1177/026921639601000303

Cited by 91 publications

(74 citation statements)

References 18 publications

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“…All the patients were of Saudi Arabian nationality and from different regions of the country. The study was designed to explore whether cancer patients in Saudi Arabia might have different attitudes compared with patients in developed countries, where there is a more individualistic philosophy and where most cancer patients want detailed information about their cancer [10,[14][15][16][17][18][19]. However, we found that Saudi cancer patients were not different from those in other parts of the world.…”

Section: Discussionmentioning

confidence: 87%

Cancer patients' desire for information: a study in a teaching hospital in Saudi Arabia

Alamri¹

2009

East Mediterr Health J

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Section: Discussionmentioning

confidence: 87%

Cancer patients' desire for information: a study in a teaching hospital in Saudi Arabia

Alamri¹

2009

East Mediterr Health J

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“…In Southern European countries, the area of physician-patient communication has been examined in terms of physicians' attitudes toward truthtelling with cancer patients (Arraras et al, 1995;Ferraz Gonc¸alves and Castro, 2001;Gil et al, 2000;, patients' awareness of their disease (Morasso et al, 1997;Mystadikou et al, 1996) and patients' desire for information during communication with their doctors (De Lorenzo et al, 2004;Pimentel et al, 1999). In contrast, no study in these countries has assessed the area of cancer physicians' communications skills, physicians' psychosocial orientation and the relationship between these two variables.…”

Section: Introductionmentioning

confidence: 99%

Physician-patient communication among Southern European cancer physicians: The influence of psychosocial orientation and burnout

et al. 2005

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SUMMARYPhysician-patient communication is a critical factor for comprehensive care in oncology. Although a number of studies have been carried out in Northern Europe and the US on this subject, no data are available in Southern European countries. As a part of a multicenter Southern European Psycho-Oncology study (SEPOS), the present investigation was conducted to examine communication skills and related variables (i.e. psychosocial orientation, and burnout) among 125 physicians from Italy, Portugal, and Spain. The Self-Confidence in Communication Skills (SCCS) scale was given to assess physicians' perception of their communication skills and the Expected Outcome of Communication (EOC) scale was administered to examine the physicians' expectations about the effects of communicating with their patients. Doctors' psychosocial orientation was measured by using the Physician Belief Scale (PBS) and burnout was measured by using the Maslach Burnout Inventory (MBI). Although the physicians reported receiving minimal training in communication during their education, they tended to perceive themselves as skilled in patient communication, apart from some areas (e.g. dealing with denial, managing uncertainty, assessing anxiety and depression, and promoting patient-family openness). Low psychosocial orientation and burnout symptoms (i.e. emotional exhaustion, depersonalization, and poor personal accomplishment in their job) were associated with lower confidence in communication skills and higher expectations of a negative outcome, following physician-patient communication. The results suggest that there is a need for training cancer physicians in communication and for increasing a more definite psychosocially oriented approach in cancer care in Mediterranean countries.

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“…While cultural issues have been indicated as important variables to be considered when evaluating psychosocial aspects of cancer (Chambers, 2000;Holland, 2004), a few data are available in the Mediterranean area, where problems in doctor-patient communication and paternalistic attitudes represent major obstacles in eliciting psychosocial problems secondary to cancer (Arraras et al, 1995;Mystadikou et al, 1996;Grassi et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: findings from the Southern European Psycho-Oncology Study

Grassi

Travado

Moncayo

et al. 2004

Journal of Affective Disorders

100

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Background: A few and partial data are available on psychosocial morbidity among cancer patients in Mediterranean countries. As a part of a more general investigation (Southern European Psycho-Oncology Study-SEPOS), the rate of psychosocial morbidity and its correlation with clinical and cultural variables were examined in cancer patients in Italy, Portugal and Spain. Methods: A convenience sample of cancer outpatients with good performance status and no cognitive impairment were approached. The Hospital Anxiety-Depression scale (HAD-S), the Mini-Mental Adjustment to Cancer scale (Mini-MAC), and the Cancer Worries Inventory (CWI) were used to measure psychological morbidity, coping strategies and concerns about illness. Results: Of 277 patients, 34% had pathological scores (bborderline casesQ plus btrue casesQ) on HAD-S Anxiety and 24.9% on HAD-S Depression. Total psychiatric bcasenessQ was 28.5% and 16.6%, according to different HAD cut-offs (14 and 19, respectively). Significant relationships of HAD-S Anxiety, HAD-S Depression, HAD-S Total score, with Mini-MAC Hopeless and Anxious Preoccupation, and CWI score were found. No differences emerged between countries on psychosocial morbidity, while some differences emerged between the countries on coping mechanisms. Furthermore, Fatalism, Avoidance and marginally Hopeless were higher compared to studies carried out in English-speaking countries. Limitations: The relatively small sample size and the good performance status prevent us to generalize data on patients with different cancer sites and advanced phase of illness. Conclusions: One-third of the patients presented anxiety and depressive morbidity, with significant differences in characteristics of coping in Mediterranean countries in comparison with English-speaking countries. D

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Disclosure of Diagnostic Information to Cancer Patients in Greece

Cited by 91 publications

References 18 publications

Cancer patients' desire for information: a study in a teaching hospital in Saudi Arabia

Cancer patients' desire for information: a study in a teaching hospital in Saudi Arabia

Physician-patient communication among Southern European cancer physicians: The influence of psychosocial orientation and burnout

Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: findings from the Southern European Psycho-Oncology Study

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