Alessandro Alberto Rossi1,2, Maria Marconi3, Federica Taccini1,2, Claudio Verusio3, Stefania Mannarini1,2. 1. Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, 35131 Padova, Italy. 2. Interdepartmental Center for Family Research, University of Padova, 35131 Padova, Italy. 3. Department of Medical Oncology, Presidio Ospedaliero di Saronno, ASST Valle Olona, 21047 Saronno, Italy.
Abstract
BACKGROUND: COVID-19 represents a threat both for the physical and psychological health of oncological patients experiencing heightened distress levels to which the fear of the virus is also added. Moreover, fear of COVID-19 could lead oncological patients to experience feelings of hopelessness related to their medical care. Patient-centered communication may act as a buffer against the aforementioned variables. This study aimed to test the role of doctor-patient communication in the relationship between fear of COVID-19 and hopelessness. METHODS: During the COVID-19 pandemic, a sample of 90 oncological outpatients was recruited (40 males (44.4%) and 50 females (55.6%), mean age = 66.08 (SD = 12.12)). A structured interview was developed and used during the pandemic to measure the patients' perceived (A) fear of COVID-19, and (B) feelings of hopelessness, and (C) physicians' use of empathetic and (D) clear language during the consultation. A multiple mediation model was tested, and the effects between males and females were also compared. RESULTS: Empathetic and clear doctor-patient communication buffered the adverse effect of the fear of COVID-19 on hopelessness through a full-mediation model. The effects did not differ between males and females in the overall model but its indirect effects. DISCUSSIONS: Patient-centered communication using empathy and clear language can buffer the adverse effect of the fear of COVID-19 and protect oncological patients from hopelessness during the pandemic. These findings might help to improve clinical oncological practice.
BACKGROUND:COVID-19 represents a threat both for the physical and psychological health of oncological patients experiencing heightened distress levels to which the fear of the virus is also added. Moreover, fear of COVID-19 could lead oncological patients to experience feelings of hopelessness related to their medical care. Patient-centered communication may act as a buffer against the aforementioned variables. This study aimed to test the role of doctor-patient communication in the relationship between fear of COVID-19 and hopelessness. METHODS: During the COVID-19 pandemic, a sample of 90 oncological outpatients was recruited (40 males (44.4%) and 50 females (55.6%), mean age = 66.08 (SD = 12.12)). A structured interview was developed and used during the pandemic to measure the patients' perceived (A) fear of COVID-19, and (B) feelings of hopelessness, and (C) physicians' use of empathetic and (D) clear language during the consultation. A multiple mediation model was tested, and the effects between males and females were also compared. RESULTS: Empathetic and clear doctor-patient communication buffered the adverse effect of the fear of COVID-19 on hopelessness through a full-mediation model. The effects did not differ between males and females in the overall model but its indirect effects. DISCUSSIONS: Patient-centered communication using empathy and clear language can buffer the adverse effect of the fear of COVID-19 and protect oncological patients from hopelessness during the pandemic. These findings might help to improve clinical oncological practice.
Entities:
Keywords:
COVID-19; communication; fear; hopelessness; oncology; patient-centered communication; psycho-oncology; quality of life
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