Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis

Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic)...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Zimmaro, Lauren A. [verfasserIn] Sorice, Kristen A. [verfasserIn] Handorf, Elizabeth A. [verfasserIn] Daly, Mary B. [verfasserIn] Reese, Jennifer B. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Breast cancer Mood Distress Clinical communication

Übergeordnetes Werk:	Enthalten in: Patient education and counseling - Amsterdam [u.a.] : Elsevier Science, 1983, 105, Seite 2089-2095
Übergeordnetes Werk:	volume:105 ; pages:2089-2095

DOI / URN:	10.1016/j.pec.2022.02.004

Katalog-ID:	ELV008044945

Internformat


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245	1	0	\|a Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis
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520			\|a Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood.
650		4	\|a Breast cancer
650		4	\|a Mood
650		4	\|a Distress
650		4	\|a Clinical communication
700	1		\|a Sorice, Kristen A. \|e verfasserin \|4 aut
700	1		\|a Handorf, Elizabeth A. \|e verfasserin \|4 aut
700	1		\|a Daly, Mary B. \|e verfasserin \|4 aut
700	1		\|a Reese, Jennifer B. \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t Patient education and counseling \|d Amsterdam [u.a.] : Elsevier Science, 1983 \|g 105, Seite 2089-2095 \|h Online-Ressource \|w (DE-627)320596044 \|w (DE-600)2019572-2 \|w (DE-576)264423984 \|x 1873-5134 \|7 nnns
773	1	8	\|g volume:105 \|g pages:2089-2095
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936	b	k	\|a 44.07 \|j Medizinische Psychologie
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author_variant	l a z la laz k a s ka kas e a h ea eah m b d mb mbd j b r jb jbr
matchkey_str	article:18735134:2022----::nesadnciiacmuiainbumodsubneyposmnbescnep
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bklnumber	44.07
publishDate	2022
allfields	10.1016/j.pec.2022.02.004 doi (DE-627)ELV008044945 (ELSEVIER)S0738-3991(22)00052-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Zimmaro, Lauren A. verfasserin aut Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood. Breast cancer Mood Distress Clinical communication Sorice, Kristen A. verfasserin aut Handorf, Elizabeth A. verfasserin aut Daly, Mary B. verfasserin aut Reese, Jennifer B. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 105, Seite 2089-2095 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:105 pages:2089-2095 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 105 2089-2095
spelling	10.1016/j.pec.2022.02.004 doi (DE-627)ELV008044945 (ELSEVIER)S0738-3991(22)00052-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Zimmaro, Lauren A. verfasserin aut Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood. Breast cancer Mood Distress Clinical communication Sorice, Kristen A. verfasserin aut Handorf, Elizabeth A. verfasserin aut Daly, Mary B. verfasserin aut Reese, Jennifer B. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 105, Seite 2089-2095 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:105 pages:2089-2095 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 105 2089-2095
allfields_unstemmed	10.1016/j.pec.2022.02.004 doi (DE-627)ELV008044945 (ELSEVIER)S0738-3991(22)00052-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Zimmaro, Lauren A. verfasserin aut Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood. Breast cancer Mood Distress Clinical communication Sorice, Kristen A. verfasserin aut Handorf, Elizabeth A. verfasserin aut Daly, Mary B. verfasserin aut Reese, Jennifer B. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 105, Seite 2089-2095 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:105 pages:2089-2095 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 105 2089-2095
allfieldsGer	10.1016/j.pec.2022.02.004 doi (DE-627)ELV008044945 (ELSEVIER)S0738-3991(22)00052-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Zimmaro, Lauren A. verfasserin aut Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood. Breast cancer Mood Distress Clinical communication Sorice, Kristen A. verfasserin aut Handorf, Elizabeth A. verfasserin aut Daly, Mary B. verfasserin aut Reese, Jennifer B. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 105, Seite 2089-2095 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:105 pages:2089-2095 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 105 2089-2095
allfieldsSound	10.1016/j.pec.2022.02.004 doi (DE-627)ELV008044945 (ELSEVIER)S0738-3991(22)00052-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Zimmaro, Lauren A. verfasserin aut Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood. Breast cancer Mood Distress Clinical communication Sorice, Kristen A. verfasserin aut Handorf, Elizabeth A. verfasserin aut Daly, Mary B. verfasserin aut Reese, Jennifer B. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 105, Seite 2089-2095 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:105 pages:2089-2095 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 105 2089-2095
language	English
source	Enthalten in Patient education and counseling 105, Seite 2089-2095 volume:105 pages:2089-2095
sourceStr	Enthalten in Patient education and counseling 105, Seite 2089-2095 volume:105 pages:2089-2095
format_phy_str_mv	Article
bklname	Medizinische Psychologie
institution	findex.gbv.de
topic_facet	Breast cancer Mood Distress Clinical communication
dewey-raw	610
isfreeaccess_bool	false
container_title	Patient education and counseling
authorswithroles_txt_mv	Zimmaro, Lauren A. @@aut@@ Sorice, Kristen A. @@aut@@ Handorf, Elizabeth A. @@aut@@ Daly, Mary B. @@aut@@ Reese, Jennifer B. @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	320596044
dewey-sort	3610
id	ELV008044945
language_de	englisch
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Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. 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author	Zimmaro, Lauren A.
spellingShingle	Zimmaro, Lauren A. ddc 610 bkl 44.07 misc Breast cancer misc Mood misc Distress misc Clinical communication Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis
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topic_title	610 DE-600 44.07 bkl Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis Breast cancer Mood Distress Clinical communication
topic	ddc 610 bkl 44.07 misc Breast cancer misc Mood misc Distress misc Clinical communication
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title	Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis
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title_full	Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis
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author_browse	Zimmaro, Lauren A. Sorice, Kristen A. Handorf, Elizabeth A. Daly, Mary B. Reese, Jennifer B.
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title_sort	understanding clinical communication about mood disturbance symptoms among breast cancer patients: a mixed methods analysis
title_auth	Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis
abstract	Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood.
abstractGer	Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood.
abstract_unstemmed	Objectives: We aimed to characterize the relationships between breast cancer patient mood symptom severity and demographic/medical factors with clinical communication about mood, and to explore mood discussion content.Methods: 134 breast cancer patients (mean age=58.3; 14% minority; 13% metastatic) had oncology clinic visits audio-recorded, transcribed, and coded for mood communication. Patient Care Monitor assessed mood symptoms (anxiety/depression presence/severity). Logistic regressions measured associations between mood, demographic/medical factors, and communication. Thematic analysis characterized discussion topics.Results: Over half of patients (55%; n = 73) reported mood symptoms. Worse mood symptoms were associated with younger age and current treatment (p’s < 0.05). 19% of clinic visits (n = 26/134) contained mood discussions. Discussions were more common for younger women and those with non-metastatic disease (p’s < 0.05). Odds of discussing mood increased with symptom severity (OR=4.52, p = 0.018). Cancer-related anxiety and medication management were among the most common topics discussed.Conclusions: Communication about mood occurred infrequently, with women currently undergoing treatment, with metastatic disease, or with mild mood symptoms at potentially increased risk for inadequate discussion. Both patient-focused and provider-focused interventions to improve clinical communication about mood symptoms could be beneficial.Practice implications: Clinicians hold a key role in supporting cancer patients’ well-being by using and encouraging effective communication about patients’ mood.
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title_short	Understanding clinical communication about mood disturbance symptoms among breast cancer patients: A mixed methods analysis
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author2	Sorice, Kristen A. Handorf, Elizabeth A. Daly, Mary B. Reese, Jennifer B.
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doi_str	10.1016/j.pec.2022.02.004
up_date	2024-07-06T18:20:59.922Z
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