Physicians' emotion regulation during communication with advanced cancer patients.

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Etat: Public
Version: Author's accepted manuscript
Licence: Non spécifiée
ID Serval
serval:BIB_B50965C1527F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Physicians' emotion regulation during communication with advanced cancer patients.
Périodique
Psycho-oncology
Auteur(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
Statut éditorial
Publié
Date de publication
03/2018
Peer-reviewed
Oui
Volume
27
Numéro
3
Pages
929-936
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
09/01/2018 16:52
Dernière modification de la notice
20/08/2019 15:23
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