Title :

How does a physician's accurate understanding of a cancer patient's unmet needs contribute to patient perception of physician empathy?

Author(s) :

Lelorain, Sophie [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Brédart, Anne [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS - EA 4057]
Dolbeault, Sylvie [Auteur]
Troubles du comportement alimentaire de l'adolescent [UMR_S 669]
Cano, Alejandra [Auteur]
Bonnaud-Antignac, Angélique [Auteur]
MethodS in Patients-centered outcomes and HEalth ResEarch [SPHERE]
Cousson-Gélie, Florence [Auteur]
Dynamique des capacités humaines et des conduites de santé [EPSYLON]
Sultan, Serge [Auteur]

Journal title :

Patient Education and Counseling

Abbreviated title :

Patient Educ Couns

Volume number :

98

Pages :

734-741

Publication date :

2015-06

ISSN :

1873-5134

HAL domain(s) :

Sciences cognitives

English abstract : [en]

OBJECTIVE: Unmet supportive care needs of patients decrease patient perception of physician empathy (PE). We explored whether the accurate physician understanding of a given patient's unmet needs (AU), could buffer the ...
Show more >OBJECTIVE: Unmet supportive care needs of patients decrease patient perception of physician empathy (PE). We explored whether the accurate physician understanding of a given patient's unmet needs (AU), could buffer the adverse effect of these unmet needs on PE. METHODS: In a cross-sectional design, 28 physicians and 201 metastatic cancer patients independently assessed the unmet supportive care needs of patients. AU was calculated as the sum of items for which physicians correctly rated the level of patient needs. PE and covariates were assessed using self-reported questionnaires. Multilevel analyses were carried out. RESULTS: AU did not directly affect PE but acted as a moderator. When patients were highly expressive and when physicians perceived poor rapport with the patient, a high AU moderated the adverse effect of patient unmet needs on PE. CONCLUSION: Physician AU has the power to protect the doctor-patient relationship in spite of high patient unmet needs, but only in certain conditions. PRACTICE IMPLICATIONS: Physicians should be encouraged toward AU but warned that high rapport and patient low emotional expression may impede an accurate reading of patients. In this latter case, they should request a formal assessment of their patients' needs.Show less >

Language :

Anglais

Audience :

Non spécifiée

Administrative institution(s) :

Université de Lille
CNRS
CHU Lille

Collections :

• Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193

Research team(s) :

Équipe Dynamique Émotionnelle et Pathologies (DEEP)

Submission date :

2019-02-13T14:50:40Z
2020-02-18T15:58:06Z