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See detailIs less really more? Involving or not involving tumor patients in medical decisions: A patients’ perspective.
Hoffmann, Martine; Recchia, Sophie UL; Ferring, Dieter UL

in Psychology and Health (2011), 26 (2)

Is less really more? Involving or not involving tumour patients in medical decisions: A patients’ perspective Martine Hoffmann, Sophie Recchia and Dieter Ferring Throughout the western industrialised ... [more ▼]

Is less really more? Involving or not involving tumour patients in medical decisions: A patients’ perspective Martine Hoffmann, Sophie Recchia and Dieter Ferring Throughout the western industrialised countries, shared decision-making is gaining increasing attention in the area of health policy as well as in the field of oncology. However, little is known about the current practice in Siberia and its impact on patient outcomes so far. This study thus aimed at (a) exploring patients’ level of satisfaction with information giving and treatment involvement and (b) identifying key psychosocial and disease-related determinants interrelated with the decision-making process. The sample comprised 172 in-patients treated for different types of cancer. Cross-tap analyses showed that in 70% of the reported cases, medical decision-making was in line with patients’ wishes: thereof 40% of the respondents preferred a paternalistic style and 30% opted for a shared-decision-making approach. Of those patients who were dissatisfied with medical decision-making, 80% wished a higher degree of involvement. Implications of these findings for the development and use of decision support tools are discussed. [less ▲]

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See detailWhen the reality of death strikes: Ways of dealing with existential fears in cancer patients.
Hoffmann, Martine UL; Ferring, Dieter UL

in Psychology and Health (2009), 24(1)

In the present study existential fears and concerns in cancer patients were explored with respect to coping behavior and measures of subjective well-being. Thereby, cancer-related existential fears were ... [more ▼]

In the present study existential fears and concerns in cancer patients were explored with respect to coping behavior and measures of subjective well-being. Thereby, cancer-related existential fears were assessed by means of a newly developed six-item scale. The study sample consisted of 126 patients undergoing ambulant treatment for different types of cancer. Data were collected at the University of Luxembourg, in cooperation with several medical centers and cancer foundations in Luxembourg, Germany and France. Results highlighted the importance of existential fears in cancer patients. Cluster analyses resulted in a two clustersolution, regrouping patients ‘‘high’’ and ‘‘low’’ levels of existential fears. Analyses of variance indicated that the cluster displaying high levels of existential fears showed significantly higher levels of ‘‘rumination’’ than the other cluster, associated with increased levels of ‘‘hopelessness’’ and lower ‘‘self-esteem’’. Results are discussed with respect to intervention programs focusing on the regulation of anxiety in cancer patients. [less ▲]

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