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

• Published in: The Law & Practice of International Courts and Tribunals
• Main Authors: Harðardóttir, Hrönn, Aspelund, Thor, Zhu, Jianwei, Fall, Katja, Hauksdóttir, Arna, Fang, Fang, Lu, Donghao, Janson, Christer, Jónsson, Steinn, Valdimarsdóttir, Heiðdís, Valdimarsdóttir, Unnur Anna, Hardardottir, Hronn
• Other Authors: Faculty of Medicine, Landspitali - The National University Hospital of Iceland
• Format: Article in Journal/Newspaper
• Language: English
• Published: 2021
• Subjects: Lungnakrabbamein; Áfallastreita; Sjúkdómsgreining; Samskipti; Doctor-patient communication; Lung cancer diagnosis; Post-diagnostic acute stress; Posttraumatic stress disorder (PTSD); Prospective cohort study; Lung Neoplasms; Diagnosis; Stress Disorders; Post-Traumatic; Physician-Patient Relations; Humans; Risk Factors; Lung Neoplasms/diagnosis; Surveys and Questionnaires; Communication; Oncology; Iceland
• Online Access: https://hdl.handle.net/20.500.11815/2908; https://doi.org/10.1007/s00520-021-06138-4

Funding 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 ...