Reference : Factors that influence cancer patients' anxiety following a medical consultation: imp...
Scientific journals : Article
Human health sciences : Oncology
Factors that influence cancer patients' anxiety following a medical consultation: impact of a communication skills training programme for physicians
Lienard, Aurore [> > > >]
Merckaert, Isabelle [> > > >]
Libert, Yves [> > > >]
Delvaux, Nicole [> > > >]
Marchal, Serge [> > > >]
Boniver, Jacques mailto [Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Anatomie et cytologie pathologiques]
Etienne, Anne-Marie mailto [Université de Liège - ULiège > Département de personne et société > Psychologie de la santé >]
Klastersky, Jean [> > > >]
Reynaert, Christine [> > > >]
Scalliet, Pierre [> > > >]
Slachmuylder, Jean Louis [> > > >]
Razavi, Darius [> > > >]
Annals of Oncology
Oxford Univ Press
Yes (verified by ORBi)
[en] cancer ; anxiety ; medical consultation ; communication skills ; training
[en] Background: No study has yet assessed the impact of physicians' skills acquisition after a communication skills training programme on the evolution of patients' anxiety following a medical consultation. This study aimed to compare the impact, on patients' anxiety, of a basic communication skills training programme (BT) and the same programme consolidated by consolidation workshops (CW), and to investigate physicians' communication variables associated with patients' anxiety. Patients and methods: Physicians, after attending the BT, were randomly assigned to CW or to a waiting list. The control group was not a non-intervention group. Consultations with a cancer patient were recorded. Patients' anxiety was assessed with the State Trait Anxiety Inventory before and after a consultation. Communication skills were analysed according to the Cancer Research Campaign Workshop Evaluation Manual. Results: No statistically significant change over time and between groups was observed. Mixed-effects modelling showed that a decrease in patients' anxiety was linked with screening questions (P = 0.045), physicians' satisfaction about support given (P = 0.004) and with patients' distress (P < 0.001). An increase in anxiety was linked with breaking bad news (P = 0.050) and with supportive skills (P = 0.013). No impact of the training programme was observed. Conclusions: This study shows the influence of some communication skills on the evolution of patients' anxiety. Physicians should be aware of these influences.
Researchers ; Professionals ; Students

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