Cancer by another name: a randomized trial of the effects of euphemism and uncertainty in communicating with cancer patients.

作者: S M Dunn , P U Patterson , P N Butow , H H Smartt , W H McCarthy

DOI: 10.1200/JCO.1993.11.5.989

关键词:

摘要: PURPOSEIn this study we tested some assumptions about the use of euphemism in communicating with cancer patients. Does an explicit statement diagnosis cause patients to respond greater anxiety than when uncertainty or ambiguity is allowed persist? Do believe they cope better explicit?METHODSA heterogeneous sample 165 completed a new measure emotional adjustment using random assignment among four testing variables: agent (self-report v interview), terminology (the words illness), identification (patient identified anonymous), and supervision (clinic home). Internal consistency (Cronbach's alpha) for 39-item set was 0.74 face content validity were determined focus-group technique preliminary factor analysis. After answering measures, subjects Spielberger State-Trait Anxiety Inventory (STAI).RESULTSOverall levels significantly ...

参考文章(14)
Charles D. Spielberger, Richard L. Gorsuch, R. E. Lushene, Manual for the State-Trait Anxiety Inventory Consulting Psychologist. ,(1970)
H J Sutherland, H A Llewellyn-Thomas, G A Lockwood, D L Tritchler, J E Till, Cancer patients: their desire for information and participation in treatment decisions. Journal of the Royal Society of Medicine. ,vol. 82, pp. 260- 263 ,(1989) , 10.1177/014107688908200506
LP Liang, SM Dunn, A Gorman, R Stuart-Harris, Identifying priorities of psychosocial need in cancer patients British Journal of Cancer. ,vol. 62, pp. 1000- 1003 ,(1990) , 10.1038/BJC.1990.425
S. M. Dunn, H. H. Smartt, L. J. Beeney, J. R. Turtle, Measurement of emotional adjustment in diabetic patients: validity and reliability of ATT39 Diabetes Care. ,vol. 9, pp. 480- 489 ,(1986) , 10.2337/DIACARE.9.5.480
J. Bennett, P. Bridger, Communicating with patients. BMJ. ,vol. 305, pp. 1294- 1294 ,(1992) , 10.1136/BMJ.305.6864.1294-A
BARRIE R. CASSILETH, Information and Participation Preferences Among Cancer Patients Annals of Internal Medicine. ,vol. 92, pp. 832- 836 ,(1980) , 10.7326/0003-4819-92-6-832
WJ Mackillop, WE Stewart, AD Ginsburg, SS Stewart, Cancer patients' perceptions of their disease and its treatment. British Journal of Cancer. ,vol. 58, pp. 355- 358 ,(1988) , 10.1038/BJC.1988.218
S. Greer, Peter M. Silberfarb, Psychological concomitants of cancer: current state of research. Psychological Medicine. ,vol. 12, pp. 563- 573 ,(1982) , 10.1017/S0033291700055665
H.J. Eysenck, Personality, cancer and cardiovascular disease: A causal analysis Personality and Individual Differences. ,vol. 6, pp. 535- 556 ,(1985) , 10.1016/0191-8869(85)90003-0