How can we explain physician accuracy in assessing patient distress? A multilevel analysis in patients with advanced cancer

Details

Serval ID
serval:BIB_BEAD0F702FEE
Type
Article: article from journal or magazin.
Collection
Publications
Title
How can we explain physician accuracy in assessing patient distress? A multilevel analysis in patients with advanced cancer
Journal
Patient Education & Counseling
Author(s)
Lelorain Sophie, Brédart Anne, Dolbeault Sylvie, Cano Alejandra, Bonnaud-Antignac Angélique, Cousson-Gélie Florence, Sultan Serge
Publication state
Published
Issued date
03/2014
Volume
94
Number
3
Pages
322-327
Language
english
Abstract
Abstract: Objective: To examine the determinants of the accuracy with which physicians assess metastatic cancer patient distress, also referred to as their empathic accuracy (EA). Hypothesized determinants were physician empathic attitude, self-efficacy in empathic skills, physician-perceived rapport with the patient, patient distress and patient expressive suppression. Methods: Twenty-eight physicians assessed their patients’ distress level on the distress thermometer, while patients (N =201) independently rated their distress level on the same tool. EA was the difference between both scores in absolute value. Hypothesized determinants were assessed using self-reported questionnaires. Multilevel analyses were carried out. Results: Little of the variance in EA was explained by physician variables. EA was higher with higher levels of patient distress. Physician-perceived quality of rapport was positively associated with EA. However, for highly distressed patients, good rapport was associated with lower EA. Patient expressive suppression was also related to lower EA. Conclusion: This study adds to the understanding of EA in oncological settings, particularly in challenging the common assumption that EA depends largely on physician characteristics or that better rapport would always favor higher EA. Practice implications: Physicians should ask patients for feedback regarding their emotions. In parallel, patients should be prompted to express their concerns.
Keywords
CANCER – Patients, DISTRESS (Psychology), empathy, MEDICAL referral, PHYSICIANS (General practice), QUESTIONNAIRES, SELF-evaluation
Create date
21/10/2021 11:54
Last modification date
25/10/2021 22:41
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