[en] BACKGROUND AND PURPOSE: Patients may experience clinically relevant anxiety at their first radiotherapy (RT) sessions. To date, studies have not investigated during/around the RT simulation the key communication and communication-related predictors of this clinically relevant anxiety. MATERIAL AND METHODS: Breast cancer patients (n=227) completed visual analog scale (VAS) assessments of anxiety before and after their first RT sessions. Clinically relevant anxiety was defined as having pre- and post-first RT session VAS scores 4cm. Communication during RT simulation was assessed with content analysis software (LaComm), and communication-related variables around the RT simulation were assessed with questionnaires. RESULTS: Clinically relevant anxiety at the first RT session was predicted by lower self-efficacy to communicate with the RT team (OR=0.65; p=0.020), the perception of lower support received from the RT team (OR=0.70; p=0.020), lower knowledge of RT-associated side effects (OR=0.95; p=0.057), and higher use of emotion-focused coping (OR=1.09; p=0.013). CONCLUSIONS: This study provides RT team members with information about potential communication strategies, which may be used to reduce patient anxiety at the first RT session.
Disciplines :
Life sciences: Multidisciplinary, general & others
Author, co-author :
Lewis, Florence
Merckaert, Isabelle
Lienard, Aurore
Libert, Yves
Etienne, Anne-Marie ; Université de Liège - ULiège > Départ. de Psychologies et Cliniques des Systèmes humains > Psychologie de la santé
Reynaert, Christine
Slachmuylder, Jean-Louis
Scalliet, Pierre
Van Houtte, Paul
Coucke, Philippe ; Université de Liège - ULiège > Département des sciences cliniques > Radiothérapie
Salamon, Emile
Razavi, Darius
Language :
English
Title :
Anxiety at the first radiotherapy session for non-metastatic breast cancer: Key communication and communication-related predictors.
Publication date :
2015
Journal title :
Radiotherapy and Oncology
ISSN :
0167-8140
eISSN :
1879-0887
Publisher :
Elsevier, Netherlands
Volume :
114
Issue :
1
Pages :
35-41
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved.
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