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Article Dans Une Revue Patient Education and Counseling Année : 2014

How can we explain physician accuracy in assessing patient distress ? A multilevel analysis in patients with advanced cancer

Sophie Lelorain
Anne Bredart
  • Fonction : Auteur
Sylvie Dolbeault
  • Fonction : Auteur
Alejandra Cano
  • Fonction : Auteur
Angélique Bonneau-Antignac
  • Fonction : Auteur
Serge Sultan
  • Fonction : Auteur

Résumé

ObjectiveTo examine the determinants of the accuracy with which physicians assess metastatic cancer patient distress, also referred to as their empathic accuracy (EA). Hypothesized determinants were physician empathic attitude, self-efficacy in empathic skills, physician-perceived rapport with the patient, patient distress and patient expressive suppression.MethodsTwenty-eight physicians assessed their patients’ distress level on the distress thermometer, while patients (N = 201) independently rated their distress level on the same tool. EA was the difference between both scores in absolute value. Hypothesized determinants were assessed using self-reported questionnaires. Multilevel analyses were carried out.ResultsLittle of the variance in EA was explained by physician variables. EA was higher with higher levels of patient distress. Physician-perceived quality of rapport was positively associated with EA. However, for highly distressed patients, good rapport was associated with lower EA. Patient expressive suppression was also related to lower EA.ConclusionThis study adds to the understanding of EA in oncological settings, particularly in challenging the common assumption that EA depends largely on physician characteristics or that better rapport would always favor higher EA.Practice implicationsPhysicians should ask patients for feedback regarding their emotions. In parallel, patients should be prompted to express their concerns.

Domaines

Psychologie
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Dates et versions

hal-03063325 , version 1 (14-12-2020)

Licence

Paternité - Pas d'utilisation commerciale - Pas de modification

Identifiants

Citer

Sophie Lelorain, Anne Bredart, Sylvie Dolbeault, Alejandra Cano, Angélique Bonneau-Antignac, et al.. How can we explain physician accuracy in assessing patient distress ? A multilevel analysis in patients with advanced cancer. Patient Education and Counseling, 2014, 94 (3), pp.322-327. ⟨10.1016/j.pec.2013.10.029⟩. ⟨hal-03063325⟩
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