Cancer patients’ coping styles and doctor–patient communication

Monitoring and blunting styles have become relevant concepts regarding their potential impact on patients’ and doctors’ behaviors. The present study aimed at investigating the relation between cancer patients’ coping styles and doctor–patient communication and global affect. Coping styles were assessed by means of the Threatening Medical Situations Inventory (TMSI). Since a shortened version of the TMSI was used, the validity of this instrument was also evaluated. First, it was examined whether the two factor structure of the original TMSI could be confirmed in our version. Then, the relation between coping style and patients’ preferences for information and participation in decision‐making was evaluated. Second, the relation between monitoring and blunting and patients’ age, sex, education, quality of life and prognosis was investigated. Finally, the relation between patients’ coping styles and communicative behaviors and global affect of both patients and physicians during the initial oncological consultation was examined.

[1]  J. Bensing,et al.  The Roter Interaction Analysis System (RIAS) in oncological consultations:: psychometric properties , 1998, Psycho-oncology.

[2]  F. J. Zuuren,et al.  Coping with medical threat: An evaluation of the Threatening Medical Situations Inventory (TMSI) , 1996 .

[3]  J. Vinck,et al.  Health locus of control and quality of life in lung cancer patients. , 1996, Patient education and counseling.

[4]  L. Fallowfield,et al.  Doctor-patient interactions in oncology. , 1996, Social science & medicine.

[5]  S. Ford,et al.  The influence of audiotapes on patient participation in the cancer consultation. , 1995, European journal of cancer.

[6]  Lesley Fallowfield,et al.  No news is not good news: Information preferences of patients with cancer , 1995, Psycho-oncology.

[7]  J. Arraras,et al.  Truth‐telling to the patient in advanced cancer: Family information filtering and prospects for change , 1995 .

[8]  Suzanne M. Miller,et al.  Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management , 1995, Cancer.

[9]  P. Butow,et al.  Computer-based interaction analysis of the cancer consultation. , 1995, British Journal of Cancer.

[10]  M D Schwartz,et al.  Coping disposition, perceived risk, and psychological distress among women at increased risk for ovarian cancer. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  G. Caputo,et al.  Patterns of children's coping with an aversive dental treatment. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[12]  L. Fallowfield,et al.  The efficacy of audiotapes in promoting psychological well-being in cancer patients: a randomised, controlled trial. , 1995, British Journal of Cancer.

[13]  F. J. Zuuren Cognitive confrontation and avoidance during a naturalistic medical stressor , 1994 .

[14]  Judith A. Hall,et al.  Gender in medical encounters: an analysis of physician and patient communication in a primary care setting. , 1994, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[15]  L. Fallowfield,et al.  Giving sad and bad news , 1993, The Lancet.

[16]  M. Lipkin,et al.  Sex Differences in Patients' and Physicians' Communication During Primary Care Medical Visits , 1991, Medical care.

[17]  J. Bensing Doctor-patient communication and the quality of care : an observation study into affective and instrumental behavior in general practice , 1991 .

[18]  J. de Haes,et al.  Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist. , 1990, British Journal of Cancer.

[19]  A. Vingerhoets,et al.  Gender, coping and psychosomatic symptoms , 1990, Psychological Medicine.

[20]  D. Tritchler,et al.  Cancer Patients: Their Desire for Information and Participation in Treatment Decisions , 1989, Journal of the Royal Society of Medicine.

[21]  Judith A. Hall,et al.  Patient-physician communication: A descriptive summary of the literature , 1988 .

[22]  D Gard,et al.  Sensitizing effects of pretreatment measures on cancer chemotherapy nausea and vomiting. , 1988, Journal of consulting and clinical psychology.

[23]  S. M. Miller,et al.  Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. , 1987, Journal of personality and social psychology.

[24]  L. Watkins,et al.  Preparation for cardiac catheterization: tailoring the content of instruction to coping style. , 1986, Heart & lung : the journal of critical care.

[25]  H. Waitzkin Information giving in medical care. , 1985, Journal of health and social behavior.

[26]  H. Waitzkin Doctor-patient communication. Clinical implications of social scientific research. , 1984, JAMA.

[27]  Suzanne M. Miller,et al.  Interacting effects of information and coping style in adapting to gynecologic stress: should the doctor tell all? , 1983, Journal of personality and social psychology.

[28]  S. Folkman,et al.  [An analysis of coping in a middle-aged community sample]. , 1980, Kango kenkyu. The Japanese journal of nursing research.

[29]  K P Van de Woestijne,et al.  Communication problems on an oncology ward. , 1996, Patient education and counseling.

[30]  S Kreitler,et al.  Doctor-patient communication in a cancer ward. , 1992, Journal of cancer education : the official journal of the American Association for Cancer Education.

[31]  John E. Ware,et al.  Measuring Functioning and Well-Being , 1992 .

[32]  A. Stewart,et al.  Measuring Functioning and Well-Being: The Medical Outcomes Study Approach , 1992 .

[33]  L. Siminoff,et al.  Factors affecting treatment decisions for a life-threatening illness: the case of medical treatment of breast cancer. , 1991, Social science & medicine.

[34]  F. J. Zuuren,et al.  Styles of information seeking under threat: Personal and situational aspects of monitoring and blunting. , 1991 .

[35]  R. Street,et al.  Information-giving in medical consultations: the influence of patients' communicative styles and personal characteristics. , 1991, Social science & medicine.

[36]  A Steptoe,et al.  Satisfaction with communication, medical knowledge, and coping style in patients with metastatic cancer. , 1991, Social science & medicine.

[37]  H. Krohne,et al.  The concept of coping modes: relating cognitive person variables to actual coping behavior , 1989 .

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

[39]  Suzanne M. Miller,et al.  Styles of coping with threat: implications for health. , 1988, Journal of personality and social psychology.

[40]  R. Adelman,et al.  Ageism in the medical encounter: an exploratory study of the doctor-elderly patient relationship. , 1986, Language & communication.

[41]  Suzanne M. Miller,et al.  When is a Little Information a Dangerous Thing? Coping with Stressful Events by Monitoring Versus Blunting , 1980 .