Breast cancer and problems with medical interactions: Relationships with traumatic stress, emotional self‐efficacy, and social support

This investigation examined relationships between breast cancer patients' psychosocial characteristics (impact of the illness, traumatic stress symptoms, emotional self‐efficacy, and social support) and problems they perceived in their medical interactions and their satisfaction with their physicians. Participants were 352 women enrolled in a multicenter trial of the effects of group therapy for women with recently diagnosed primary breast cancer. The findings reported here are from a cross‐sectional analysis of baseline data gathered prior to randomization. Problems interacting with physicians and nurses were associated with greater levels of cancer‐related traumatic stress (p<0.01), less emotional self‐efficacy for cancer (p<0.05), less satisfaction with informational support from family, friends, and spouse, and a tendency to perceive those sources of support as more aversive (p<0.05). Women who were less satisfied with emotional support from their family, friends and spouse were less likely to feel satisfied with their physicians (p<0.05). These patient characteristics identify women with primary breast cancer who are likely to experience difficulty in their interactions with nurses and physicians and to be less satisfied with their physicians. Copyright © 2004 John Wiley & Sons, Ltd.

[1]  Neeraj Arora,et al.  Patient preferences for medical decision making: who really wants to participate? , 2000, Medical care.

[2]  T. Hutchinson,et al.  The Emotional Impact of End-Stage Renal Disease: Importance of Patients' Perceptions of Intrusiveness and Control , 1984, International journal of psychiatry in medicine.

[3]  A. Beisecker,et al.  Aging and the desire for information and input in medical decisions: patient consumerism in medical encounters. , 1988, The Gerontologist.

[4]  S. Harris,et al.  Who's Listening? Experiences of Women with Breast Cancer in Communicating with Physicians , 2001, The breast journal.

[5]  P. Ganz,et al.  Assessing problems of cancer patients: psychometric properties of the cancer inventory of problem situations. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[6]  Jane Kidd,et al.  Promoting patient participation in consultations: a randomised controlled trial to evaluate the effectiveness of three patient-focused interventions. , 2004, Patient education and counseling.

[7]  F. Davidoff,et al.  Patient-Centered Medicine: A Professional Evolution , 1996 .

[8]  M. Robin DiMatteo,et al.  The significance of patients' perceptions of physician conduct , 1980, Journal of Community Health.

[9]  J. Goodwin,et al.  Patient Characteristics That Influence Physician Behavior , 1982, Medical care.

[10]  A. Beekman,et al.  Chronic diseases and depression: the modifying role of psychosocial resources. , 2004, Social science & medicine.

[11]  N. Powe,et al.  Race, gender, and partnership in the patient-physician relationship. , 1999, JAMA.

[12]  D. Healy,et al.  The meaning of patient satisfaction: an explanation of high reported levels. , 1998, Social science & medicine.

[13]  Heather Draper,et al.  Patients' Responsibilities in Medical Ethics , 2002, Bioethics.

[14]  K Kroenke,et al.  Concerns and expectations in patients presenting with physical complaints. Frequency, physician perceptions and actions, and 2-week outcome. , 1997, Archives of internal medicine.

[15]  D. Spiegel,et al.  The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer. , 1984, Social science & medicine.

[16]  T. Merluzzi,et al.  Assessment of self-efficacy and coping with cancer: development and validation of the cancer behavior inventory. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  W H Rogers,et al.  Physicians' characteristics influence patients' adherence to medical treatment: results from the Medical Outcomes Study. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[18]  A. Jensen,et al.  Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease , 2003, British Journal of Cancer.

[19]  Judith A. Hall,et al.  Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. , 1990, Social science & medicine.

[20]  J. Bitzer,et al.  Retrospective evaluation of the treatment for breast cancer: how does the patient's personal experience of the treatment affect later adjustment to the illness? , 2003, Archives of Women's Mental Health.

[21]  Stuart Hannabuss,et al.  Information and Decision Making , 1987 .

[22]  M. Horowitz,et al.  Impact of Event Scale: A Measure of Subjective Stress , 1979, Psychosomatic medicine.

[23]  L. Berkman,et al.  Structural characteristics of social networks and their relationship with social support in the elderly: who provides support. , 1988, Social science & medicine.

[24]  H. Kraemer,et al.  Supportive-expressive group therapy and distress in patients with metastatic breast cancer: a randomized clinical intervention trial. , 2001, Archives of general psychiatry.

[25]  M. Stewart,et al.  Breast cancer patients' experiences of patient-doctor communication: a working relationship. , 2000, Patient education and counseling.

[26]  Stevan E. Hobfoll,et al.  Conservation of Social Resources: Social Support Resource Theory , 1990 .

[27]  B. Williams.  Patient satisfaction: a valid concept? , 1994, Social science & medicine.

[28]  A. LaCroix,et al.  Intercommunity variations in the association between social ties and mortality in the elderly. A comparative analysis of three communities. , 1993, Annals of epidemiology.

[29]  M. Dimatteo.  Future directions in research on consumer-provider communication and adherence to cancer prevention and treatment. , 2003, Patient education and counseling.

[30]  R. Street,et al.  Increasing patient involvement in choosing treatment for early breast cancer , 1995, Cancer.

[31]  B. McNeil,et al.  Patient satisfaction as an indicator of quality care. , 1988, Inquiry : a journal of medical care organization, provision and financing.

[32]  N. Waxler-Morrison,et al.  Cross Cultural Caring: A Handbook for Health Professionals in Western Canada // Review , 1990 .

[33]  M. Dimatteo,et al.  The Role of Patient Participation in the Doctor Visit: Implications for adherence to diabetes care , 1996, Diabetes Care.

[34]  M. Palo.  Rating satisfaction research: is it poor, fair, good, very good, or excellent? , 1997 .

[35]  D. Bucquet,et al.  Socio-demographic variation in perceived illness and the use of primary care: the value of community survey data for primary care service planning. , 1986, Social science & medicine.

[36]  R Barker,et al.  The effects of physician communications skills on patient satisfaction; recall, and adherence. , 1984, Journal of chronic diseases.

[37]  L. Kasten,et al.  Patient assertiveness and physician decision-making among older breast cancer patients. , 1999, Social science & medicine.

[38]  J. Morris,et al.  Choice of surgery for early breast cancer: psychosocial considerations. , 1988, Social science & medicine.

[39]  P. Butow,et al.  When the diagnosis is cancer: Patient communication experiences and preferences , 1996, Cancer.

[40]  J. de Haes,et al.  Doctor-patient communication: a review of the literature. , 1995, Social science & medicine.

[41]  J. Sloan,et al.  Decision making during serious illness: what role do patients really want to play? , 1992, Journal of clinical epidemiology.

[42]  S. Ristvedt,et al.  Patient care in multidisciplinary cancer clinics: Does attention to psychosocial needs predict patient satisfaction? , 2003, Psycho-oncology.

[43]  Mike Bury.  Health and Illness in a Changing Society , 1997 .

[44]  D. Rothenbacher,et al.  Treatment decisions in palliative cancer care: patients' preferences for involvement and doctors' knowledge about it. , 1997, European journal of cancer.

[45]  Y. Hwang,et al.  Communication between physicians and older women with localized breast cancer: implications for treatment and patient satisfaction. , 2002, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[46]  A. Barsevick,et al.  Communication between patients with breast cancer and health care providers determinants and implications , 1993, Cancer.

[47]  A. Kraut,et al.  Healers and strangers. Immigrant attitudes toward the physician in America--a relationship in historical perspective. , 1990, JAMA.

[48]  E. Blanchard,et al.  Information and decision-making preferences of hospitalized adult cancer patients. , 1988, Social science & medicine.

[49]  S. Schraub,et al.  Patients' satisfaction ratings and their desire for care improvement across oncology settings from France, Italy, Poland and Sweden , 2003, Psycho-oncology.

[50]  M. Horowitz,et al.  Impact of Event Scale: psychometric properties. , 2002, The British journal of psychiatry : the journal of mental science.

[51]  P. Butow,et al.  Communication styles in the cancer consultation: preferences for a patient‐centred approach , 2000, Psycho-oncology.

[52]  S. Kaplan,et al.  Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease , 1989, Medical care.

[53]  V. Mor,et al.  The treatment decision-making process: age differences in a sample of women recently diagnosed with nonrecurrent, early-stage breast cancer. , 1997, The Gerontologist.

[54]  A. Bandura.  Self-efficacy mechanism in human agency , 2024, Psihologìâ ì suspìlʹstvo.

[55]  J. Cahill,et al.  Patient participation--a review of the literature. , 1998, Journal of clinical nursing.

[56]  K J Roghmann,et al.  Patient Satisfaction and the Use of Health Services: Explorations in Causality , 1989, Medical care.

[57]  S. Edworthy,et al.  Illness intrusiveness and depressive symptoms over the adult years: Is there a differential impact across chronic conditions? , 1993 .

[58]  M. Stewart,et al.  Doctor-patient communication: the Toronto consensus statement. , 1991, BMJ.

[59]  D. Spiegel,et al.  Enhancing Women's Lives: The Role of Support Groups among Breast Cancer Patients. , 1999 .

[60]  S. Flocke,et al.  Relationships between physician practice style, patient satisfaction, and attributes of primary care. , 2002, The Journal of family practice.

[61]  S. Hobfoll.  Conservation of resources. A new attempt at conceptualizing stress. , 1989, The American psychologist.

[62]  J. Holland,et al.  The effects of culture on illness behavior and medical care. Asian and American differences. , 1993, General hospital psychiatry.

[63]  D. Mechanic,et al.  The impact of managed care on patients' trust in medical care and their physicians. , 1996, JAMA.

[64]  B. Blackwell,et al.  The Consumer’s Role in Assessing Quality , 2000 .

[65]  B. Greenwood,et al.  Breast cancer: causes of patients' distress identified by qualitative analysis. , 1994, The British journal of general practice : the journal of the Royal College of General Practitioners.

[66]  K. Rost.  Influence of Patient Participation on Satisfaction and Compliance , 1989, The Diabetes educator.

[67]  J. Hiller,et al.  Information and support for women following the primary treatment of breast cancer , 2002, Health expectations : an international journal of public participation in health care and health policy.

[68]  Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy. , 2002 .

[69]  B. Given,et al.  Compliance among patients with cancer. , 1989, Oncology nursing forum.

[70]  S. Kaplan,et al.  Breast cancer care in older women , 1998, Cancer.

[71]  M. Stewart,et al.  What is a successful doctor-patient interview? A study of interactions and outcomes. , 1984, Social science & medicine.

[72]  R. Holloway,et al.  Patient Satisfaction And Selected Physician Behaviors: Does The Type Of Practice Make A Difference? , 1989, The Journal of the American Board of Family Medicine.

[73]  M. Horowitz,et al.  Horowitz’s Impact of Event Scale Evaluation of 20 Years of Use , 2003, Psychosomatic medicine.

[74]  W. Stiles,et al.  Interaction Exchange Structure and Patient Satisfaction with Medical Interviews , 1979, Medical care.

[75]  B. Gerber,et al.  The Patient-Physician Relationship in the Internet Age: Future Prospects and the Research Agenda , 2001, Journal of medical Internet research.

[76]  June Forkner-Dunn,et al.  Internet-based Patient Self-care: The Next Generation of Health Care Delivery , 2003, Journal of medical Internet research.

[77]  C. Classen,et al.  Traumatic Stress Symptoms Among Women with Recently Diagnosed Primary Breast Cancer , 2002, Journal of traumatic stress.

[78]  K C Carriere,et al.  Information needs and decisional preferences in women with breast cancer. , 1997, JAMA.

[79]  L. Berkman,et al.  Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. , 1979, American journal of epidemiology.

[80]  C. Batchelor,et al.  Patient satisfaction and the elderly. , 1996, Social science & medicine.

[81]  Richard L Street,et al.  Empowering communication: a community-based intervention for patients. , 2004, Patient education and counseling.

[82]  M. Sihvonen,et al.  Review: Factors Influencing the Patient-Provider Relationship , 1989 .

[83]  B. Husaini,et al.  Chronic Medical problems, coping resources, and depression: A longitudinal study of rural Tennesseans , 1985, American journal of community psychology.

[84]  J. Esdaile,et al.  The relationship between health status, social support and satisfaction with medical care among patients with systemic lupus erythematosus. , 1999, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[85]  N. Miller,et al.  Compliance with treatment regimens in chronic asymptomatic diseases. , 1997, The American journal of medicine.

[86]  P. Ganz,et al.  Cancer Inventory of Problem Situations , 1993 .

[87]  B. Cassileth,et al.  Information and participation preferences among cancer patients. , 1980, Annals of internal medicine.

[88]  F B Lammes,et al.  Doctor-patient communication and cancer patients' quality of life and satisfaction. , 2000, Patient education and counseling.