Physicians' emotion regulation during communication with advanced cancer patients.

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Version: Author's accepted manuscript
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Serval ID
serval:BIB_B50965C1527F
Type
Article: article from journal or magazin.
Collection
Publications
Title
Physicians' emotion regulation during communication with advanced cancer patients.
Journal
Psycho-oncology
Author(s)
De Vries AMM, Gholamrezaee M.M., Verdonck-de Leeuw I.M., de Roten Y., Despland J.N., Stiefel F., Passchier J.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Publication state
Published
Issued date
03/2018
Peer-reviewed
Oui
Volume
27
Number
3
Pages
929-936
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
In cancer care, optimal communication between patients and their physicians is, among other things, dependent on physicians' emotion regulation, which might be related to physicians' as well as patients' characteristics. In this study, we investigated physicians' emotion regulation during communication with advanced cancer patients, in relation to physicians' (stress, training, and alexithymia) and patients' (sadness, anxiety, and alexithymia) characteristics.
In this study, 134 real-life consultations between 24 physicians and their patients were audio-recorded and transcribed. The consultations were coded with the "Defence Mechanisms Rating Scale-Clinician." Physicians completed questionnaires about stress, experience, training, and alexithymia, while patients completed questionnaires about sadness, anxiety, and alexithymia. Data were analysed using linear mixed effect models.
Physicians used several defence mechanisms when communicating with their patients. Overall defensive functioning was negatively related to physicians' alexithymia. The number of defence mechanisms used was positively related to physicians' stress and alexithymia as well as to patients' sadness and anxiety. Neither physicians' experience and training nor patients' alexithymia were related to the way physicians regulated their emotions.
This study showed that physicians' emotion regulation is related to both physician (stress and alexithymia) and patient characteristics (sadness and anxiety). The study also generated several hypotheses on how physicians' emotion regulation relates to contextual variables during health care communication in cancer care.
Keywords
Adult, Affective Symptoms/psychology, Aged, Aged, 80 and over, Anxiety/psychology, Communication, Emotions/physiology, Female, Humans, Male, Middle Aged, Neoplasms/psychology, Physician-Patient Relations, Physicians/psychology, Self-Control/psychology, Stress, Psychological/psychology, alexithymia, anxiety, cancer, context, defence mechanisms, emotion regulation, oncology, sadness, stress
Pubmed
Web of science
Create date
09/01/2018 17:52
Last modification date
20/08/2019 16:23
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