Psychother Psychosom Med Psychol 2009; 59(7): e3-e27
DOI: 10.1055/s-2008-1067443
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Die Bedeutung der Arzt-Patient-Kommunikation für die psychische Belastung und die Inanspruchnahme von Unterstützungsangeboten bei Krebspatienten

Ein Literaturüberblick über den gegenwärtigen Forschungsstand unter besonderer Berücksichtigung patientenseitiger PräferenzenImpact of the Doctor-Patient-Communication on Distress and Utilization of Psychosocial Services Among Cancer PatientsA Review of the Current LiteratureClaudia  Lehmann1 , Uwe  Koch1 , Anja  Mehnert1
  • 1Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
Further Information

Publication History

eingereicht 3. Mai 2007

akzeptiert 2. Mai 2008

Publication Date:
29 July 2008 (online)

Zusammenfassung

Eine schlechte Arzt-Patient-Kommunikation hat in der Behandlung von Krebspatienten negative Auswirkungen auf das psychische Befinden der Patienten und verursacht hohe gesundheitsökonomische Kosten. In diesem Review wird der aktuelle Forschungsstand zur Bedeutung der Kommunikation für die psychische Belastung und die Zufriedenheit onkologischer Patienten sowie für die Inanspruchnahme psychosozialer Dienste dargestellt. Besondere Berücksichtigung finden dabei die kommunikativen Präferenzen und Bedürfnisse der Patienten. Für eine gelungene Kommunikation scheint die Passung von patientenseitigen Präferenzen und ärztlichem Verhalten maßgeblich zu sein. Allerdings sind diese von verschiedenen Faktoren abhängig, verändern sich im Krankheitsverlauf und werden im Praxisalltag nur unzureichend berücksichtigt. Deshalb ist es wichtig, die patientenseitigen Präferenzen wiederholt zu erfassen und im Gespräch zu berücksichtigen. Aufgrund einer häufig fehlenden theoretischen Basis sollte die künftige Forschung stärker theoriegeleitet sein. Diesbezüglich wird ein Modell zum Einfluss patientenbezogener Präferenzen auf die Arzt-Patient-Kommunikation, das Wissen über und die Inanspruchnahme von psychosozialen Angeboten unter Berücksichtigung der psychischen Belastung der Patienten entwickelt und vorgeschlagen.

Abstract

A poor doctor-patient-communication in cancer care has negative effects on psychological well being and causes high economic costs. This review analyses the current literature on the impact of communication on distress, satisfaction and utilization of psychosocial services among cancer patients with regard to patients' communication preferences. Crucial to a successful communication seems to be the match of patients' preferences and actual physician's behaviour. However, preferences depend on various factors and can change during the illness trajectory. As preferences often remain unconsidered in everyday practice, they should be assessed repeatedly. For the lack of theoretical foundation, future research should be designed according to theoretical assumptions. In this respect we developed and suggest a model on the impact of patients' preferences on physician-patient-communication, knowledge and use of psychosocial treatment offers that particularly considers psychosocial distress of cancer patients.

Literatur

  • 1 Thorne S E, Bultz B D, Baile W F. SCRN Communication Team . Is there a cost to poor communication in cancer care? A critical review of the literature.  Psychooncology. 2005;  14 (10) 875-884
  • 2 Fallowfield L, Jenkins V. Communicating sad, bad and difficult news in medicine.  Lancet. 2004;  363 (9405) 312-319
  • 3 Arora N K. Interacting with cancer patients: the significance of physicians' communication behaviour.  Soc Sci Med. 2003;  57 (5) 791-806
  • 4 Mager W M, Andrykowski M A. Communication in the cancer „bad news” consultation: Patient perceptions and psychological adjustment.  Psychooncology. 2002;  11 (1) 35-46
  • 5 Girgis A, Sanson-Fisher R W. Breaking bad news: Consensus guidelines for medical practitioners.  J Clin Psychol. 1995;  13 (9) 2449-2450
  • 6 Baile W F, Buckman R, Lenzi R. et al . SPIKES-A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer.  Oncologist. 2000;  5 (4) 302-311
  • 7 Back A L, Arnold R M, Baile W F. et al . Approaching difficult communication tasks in oncology.  CA Cancer J Clin. 2005;  55 (3) 164-177
  • 8 Schröder C. Ärztliche Aufklärung bei infauster Prognose und schlechten Nachrichten. In: Rockenbauch K, Decker O, Stöbel-Richter Y (Hrsg) Kompetent kommunizieren in Klinik und Praxis. Lengerich 2006: 205-211
  • 9 Okamura H, Uchitomi Y, Sasako M. et al . Guidelines for telling the truth to cancer patients. Japanese National Cancer Center.  Jpn J Clin Oncol. 1998;  28 (1) 1-4
  • 10 Lee A, Wu H Y. Diagnosis disclosure in cancer patients – when the family says „no!”.  Singapore Med J. 2002;  43 (10) 533-538
  • 11 Butler L, Degner L, Baile W, Landry M. SCRN Communication Team . Developing communication competency in the context of cancer: a critical interpretive analysis of provider training programs.  Psychooncology. 2005;  14 (10) 861-872
  • 12 Cegala D J, Lenzmeier Broz S. Physician communication skills training: a review of theoretical backgrounds, objectives and skills, Review.  Med Educ. 2002;  36 (11) 1004-1016
  • 13 Gysels M, Richardson A, Higginson I J. Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness, Review.  Support Care Cancer. 2004;  12 (10) 692-700
  • 14 Gysels M, Richardson A, Higginson I J. Communication training for health professionals who care for patients with cancer: a systematic review of training methods, Review.  Support Care Cancer. 2005;  13 (6) 356-366
  • 15 Delvaux N, Merckaert I, Marchal S. et al . Physicians' communication with a cancer patient and a relative: a randomized study assessing the efficacy of consolidation workshops.  Cancer. 2005;  103 (11) 2397-2411
  • 16 Liénard A, Merckaert I, Libert Y. et al . Factors that influence cancer patients' anxiety following a medical consultation: impact of a communication skills training programme for physicians.  Ann Oncol. 2006;  17 (9) 1450-1458
  • 17 Hulsman R L, Ros W J, Winnubst J A, Bensing J M. Teaching clinically experienced physicians communication skills. A review of evaluation studies.  Med Educ. 1999;  33 (9) 655-668
  • 18 Merckaert I, Libert Y, Delvaux N. et al . Factors that influence physicians' detection of distress in patients with cancer: can a communication skills training program improve physicians' detection?.  Cancer. 2005;  104 (2) 411-421
  • 19 Merckaert I, Libert Y, Razavi D. Communication skills training in cancer care: where are we and where are we going?.  Curr Opin Oncol. 2005;  17 (4) 319-330
  • 20 Girgis A, Sanson-Fisher R W, Schofield M J. Is there consensus between breast cancer patients and providers on guidelines for breaking bad news?.  Behav Med. 1999;  25 69-77
  • 21 Echlin K N, Rees C E. Information needs and information-seeking behaviour of men with prostate cancer and their partners: a review of the literature.  Cancer Nurs. 2002;  25 35-41
  • 22 Dale J, Jatsch W, Hughes N. et al . Information needs and prostate cancer: the development of a systematic means of identification.  BJU International. 2004;  94 (1) 63-69
  • 23 Mallinger J B, Shields C G, Griggs J J. et al . Stability of decisional role preference over the course of cancer therapy.  Psychooncology. 2006;  15 (4) 297-305
  • 24 Kiesler D J, Auerbach S M. Optimal matches of patient preferences for information, decision-making and interpersonal behavior: Evidence, models and interventions.  Patient Educ Couns. 2006;  61 319-341
  • 25 Carlson L E, Angen M, Cullum J. et al . High levels of untreated distress and fatigue in cancer patients.  Br J Cancer. 2004;  90 (12) 2297-2304
  • 26 Eakin E G, Strycker L A. Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives.  Psychooncology. 2001;  10 (2) 103-113
  • 27 Engelman K K, Perpich D L, Peterson S L. et al . Cancer information needs in rural areas.  J Health Commun. 2005;  10 (3) 199-208
  • 28 Girgis A, Boyes A, Sanson-Fisher R W, Burrows S. Perceived needs of women diagnosed with breast cancer: rural versus urban location.  Aust N Z J Public Health. 2000;  24 (2) 166-173
  • 29 Plass A, Koch U. Participation of oncological outpatients in psychosocial support.  Psychooncology. 2001;  10 (6) 511-520
  • 30 Maguire P. Improving communication with cancer patients.  Eur J Cancer. 2000;  5 (14) 2058-2065
  • 31 Hack T F, Degner L F, Parker P A. and the SCRN Communication Team . The communication goals and needs of cancer patients: a review.  Psychooncology. 2005;  14 (10) 831-845
  • 32 Benbassat J, Pilpel D, Tidhar M. Patients' preferences for participation in clinical decision making: a review of published surveys.  Behav Med. 1998;  24 (2) 81-88
  • 33 Bruera E, Sweeney C, Calder K. et al . Patient preferences versus physician perceptions of treatment decisions in cancer care.  J Clin Oncol. 2001;  19 (11) 2883-2885
  • 34 Siminoff L A, Step M M. A communication model of shared decision making: accounting for cancer treatment decisions.  Health Psychol. 2005;  24 (4 Suppl) S99-S105
  • 35 Back A L, Curtis J R. Communicating bad news.  West J Med. 2002;  176 (3) 177-180
  • 36 Fallowfield L. Giving sad and bad news.  Lancet. 1993;  341 (8843) 476-478
  • 37 Spiegel D. Psychosocial aspects of breast cancer treatment.  Semin Oncol. 1997;  24 (1 Suppl 1) S1-36-S1-47
  • 38 Gordon G H. Care not cure: dialogues at the transition.  Patient Educ Couns. 2003;  50 (1) 95-98
  • 39 Burke M A, Lowrance W, Perczek R. Emotional and cognitive burden of prostate cancer.  Urol Clin North Am. 2003;  30 (2) 295-304
  • 40 Jakel P. Patient communication and strategies for managing fatigue.  Oncology (Williston Park). 2002;  16 (9 Suppl 10) 141-145
  • 41 Ellis P M, Tattersall M H. How should doctors communicate the diagnosis of cancer to patients?.  Ann Med. 1999;  31 (5) 336-341
  • 42 McPherson C J, Higginson I J, Hearn J. Effective methods of giving information in cancer: a systematic literature review of randomized controlled trials.  J Public Health Med. 2001;  23 (3) 227-234
  • 43 Stanton A L, Ganz P A, Kwan L. et al . Outcomes from the Moving Beyond Cancer psychoeducational, randomized, controlled trial with breast cancer patients.  J Clin Oncol. 2005;  23 (25) 6009-6018
  • 44 De Lorenzo F, Ballatori E, Di Costanzo F. et al . Improving information to Italian cancer patients: results of a randomized study.  Ann Oncol. 2004;  15 (5) 721-725
  • 45 Razavi D, Merckaert I, Marchal S. et al . How to Optimize Physicians' Communication Skills in Cancer Care: Results of a Randomized Study Assessing the Usefulness of Posttraining Consolidation Workshops.  J Clin Psychol. 2003;  21 (16) 3141-3149
  • 46 Lienard A, Merckaert I, Libert Y. et al . Factors that influence cancer patients' and relatives' anxiety following a three-person medical consultation: impact of a communication skills training program for physicians.  Psychooncology. 2007 [Epub ahead of print]; 
  • 47 Merckaert I, Libert Y, Delvaux N. et al . Factors influencing physicians' detection of cancer patients' and relatives' distress: can a communication skills training program improve physicians' detection?.  Psychooncology. 2007 [Epub ahead of print]; 
  • 48 Engel J, Kerr J, Schlesinger-Raab A. et al . Predictors of quality of life of breast cancer patients.  Acta Oncol. 2003;  42 (7) 710-718
  • 49 Kerr J, Engel J, Schlesinger-Raab A. et al . Communication, quality of life and age: results of a 5-year prospective study in breast cancer patients.  Ann Oncol. 2003;  14 (3) 421-427
  • 50 Kerr J, Engel J, Schlesinger-Raab A. et al . Doctor-patient communication: results of a four-year prospective study in rectal cancer patients.  Dis Colon Rectum. 2003;  46 (8) 1038-1046
  • 51 Zachariae R, Pedersen C G, Jensen A B. et al . Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease.  Br J Cancer. 2003;  88 (5) 658-665
  • 52 Ong L M, Visser M R, Lammes F B. et al . Effect of providing cancer patients with the audiotaped initial consultation on satisfaction, recall, and quality of life: a randomized, double-blind study.  J Clin Oncol. 2000;  18 (16) 3052-3060
  • 53 Lerman C, Daly M, Walsh W P. et al . Communication between patients with breast cancer and health care providers. Determinants and implications.  Cancer. 1993;  72 (9) 2612-2620
  • 54 Schofield P E, Butow P N, Thompson J F. et al . Psychological responses of patients receiving a diagnosis of cancer.  Ann Oncol. 2003;  14 (1) 48-56
  • 55 Alder J, Bitzer J. Retrospective evaluation of the treatment for breast cancer: how does the patient's personal experience of the treatment affect later adjustment to the illness?.  Arch Womens Ment Health. 2003;  6 (2) 91-97
  • 56 Dunn S M, Patterson P U, Butow P N. et al . Cancer by another name: a randomized trial of the effects of euphemism and uncertainty in communicating with cancer patients.  J Clin Oncol. 1993;  11 (5) 989-996
  • 57 Fujimori M, Akechi T, Morita T. et al . Preferences of cancer patients regarding the disclosure of bad news.  Psychooncology. 2007;  16 (6) 573-581
  • 58 Chiu L Q, Lee W S, Gao F. et al . Cancer patients' preferences for communication of unfavourable news: an Asian perspective.  Support Care Cancer. 2006;  14 (8) 818-824
  • 59 Ptacek J T, Fries E A, Eberhardt T L, Ptacek J J. Breaking bad news to patients: physicians' perceptions of the process.  Support Care Cancer. 1999;  7 (3) 113-120
  • 60 Ptacek J T, Ptacek J J. Patients' perceptions of receiving bad news about cancer.  J Clin Oncol. 2001;  19 (21) 4160-4164
  • 61 Fallowfield L, Lipkin M, Hall A. Teaching senior oncologists communication skills: results from phase I of a comprehensive longitudinal program in the United Kingdom.  J Clin Oncol. 1998;  16 (5) 1961-1968
  • 62 Baile W F, Kudelka A P, Beale E A. et al . Communication skills training in oncology. Description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness.  Cancer. 1999;  86 (5) 887-897
  • 63 Fujimori M, Oba A, Koike M. et al . Communication skills training for Japanese oncologists on how to break bad news.  J Cancer Educ. 2003;  18 (4) 194-201
  • 64 Vogel B A, Helmes A W, Bengel J. Arzt-Patienten-Kommunikation in der Tumorbehandlung: Erwartungen und Erfahrungen aus Patientensicht.  Z Med Psychol. 2006;  15 (4) 149-161
  • 65 Tattersall M H, Butow P N, Clayton J M. Insights from cancer patient communication research.  Hematol Oncol Clin North Am. 2002;  16 (3) 731-743
  • 66 Pascoe S W, Neal R D, Allgar V L. et al . Psychosocial care for cancer patients in primary care? Recognition of opportunities for cancer care.  Fam Pract. 2004;  21 (4) 437-442
  • 67 Ryan H, Schofield P, Cockburn J. et al . How to recognize and manage psychological distress in cancer patients.  Eur J Cancer Care (Engl). 2005;  14 (1) 7-15
  • 68 Jansen J, van Weert J, van Dulmen S. et al . Patient education about treatment in cancer care: an overview of the literature on older patients' needs.  Cancer Nurs. 2007;  30 (4) 251-260
  • 69 Elkan R, Avis M, Cox K. et al . The reported views and experiences of cancer service users from minority ethnic groups: a critical review of the literature.  Eur J Cancer Care (Engl). 2007;  16 (2) 109-121
  • 70 McLachlan S A, Allenby A, Matthews J. et al . Randomized trial of coordinated psychosocial interventions based on patient self-assessments versus standard care to improve the psychosocial functioning of patients with cancer.  J Clin Oncol. 2001;  19 (21) 4117-4125
  • 71 Curry C, Cossich T, Matthews J P. et al . Uptake of psychosocial referrals in an outpatient cancer setting: improving service accessibility via the referral process.  Support Care Cancer. 2002;  10 (7) 549-555
  • 72 Carlson L E, Angen M, Cullum J. et al . High levels of untreated distress and fatigue in cancer patients.  Br J Cancer. 2004;  90 (12) 2297-2304
  • 73 Edgar L, Remmer J, Rosberger Z, Fournier M A. Resource use in women completing treatment for breast cancer.  Psychooncology. 2000;  9 (5) 428-438
  • 74 Whelan T J, Mohide E A, Willan A R. et al . The supportive care needs of newly diagnosed cancer patients attending a regional cancer center.  Cancer. 1997;  80 (8) 1518-1524
  • 75 Gray R E, Goel V, Fitch M I. et al . Utilization of professional supportive care services by women with breast cancer.  Breast Cancer Res Treat. 2000;  64 (3) 253-258
  • 76 Chantler M, Podbilewicz-Schuller Y, Mortimer J. Change in need for psychosocial support for women with early stage breast cancer.  J Psychosoc Oncol. 2005;  23 65-77
  • 77 Lintz K, Moynihan C, Steginga S. et al . Prostate cancer patients' support and psychological care needs: Survey from a non-surgical oncology clinic.  Psychooncology. 2003;  12 (8) 769-783
  • 78 Shapiro P J, Coyne J C, Kruus L K. et al . Interest in services among prostate cancer patients receiving androgen deprivation therapy.  Psychooncology. 2004;  13 (8) 512-525
  • 79 Roter D L, Hall J A. Physician Gender and Patient-Centered Communication: A Critical Review of Empirical Research.  Annu Rev Public Health. 2004;  25 497-519
  • 80 Söllner W, DeVries A, Steixner E. et al . How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling?.  Br J Cancer. 2001;  84 179-185
  • 81 Fallowfield L, Jenkins V, Farewell V. et al . Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial.  Lancet. 2002;  359 (9307) 650-656
  • 82 Jenkins V, Fallowfield L. Can communication skills training alter physicians' beliefs and behavior in clinics?.  J Clin Oncol. 2002;  20 (3) 765-769
  • 83 Fallowfield L, Jenkins V, Farewell V, Solis-Trapala I. Enduring impact of communication skills training: results of a 12-month follow-up.  Br J Cancer. 2003;  89 (8) 1445-1449
  • 84 Back A L, Arnold R M, Baile W F. et al . Efficacy of communication skills training for giving bad news and discussing transitions to palliative care.  Arch Intern Med. 2007;  167 (5) 453-460
  • 85 Kruse J, Schmitz N, Wöller W. et al . Effekte eines psychosozialen Fortbildungsprogramms zur Verbesserung der Arzt-Patient-Interaktion mit Krebspatienten.  Zschr Psychosom Med. 2003;  49 232-245
  • 86 Schröder C, Riedel S, Schmutzer G. et al . Inhousebefragung zur Patientenzufriedenheit in einem Klinikum der Maximalversorgung – Ein Praxisbericht.  Gesundheitswesen. 2004;  66 674-681
  • 87 Ong L M, de Haes J C, Hoos A M, Lammes F B. Doctor-patient communication: a review of the literature.  Soc Sci Med. 1995;  40 (7) 903-918
  • 88 Mossman J, Boudioni M, Slevin M L. Cancer information: a cost-effective intervention.  Eur J Cancer. 1999;  35 (11) 1587-1591
  • 89 Baile W F, Aaron J. Patient-physician communication in oncology: past, present, and future.  Curr Opin Oncol. 2005;  17 (4) 331-335
  • 90 Kennedy Sheldon L. Communication in oncology care: the effectiveness of skills training workshops for healthcare providers.  Clin J Oncol Nurs. 2005;  9 (3) 305-312
  • 91 Bredart A, Bouleuc C, Dolbeault S. Doctor-patient communication and satisfaction with care in oncology.  Curr Opin Oncol. 2005;  17 (4) 351-354
  • 92 Tallarico M, Figueiredo M, Goodman M. et al . Psychosocial determinants and outcomes of chemotherapy in older women with breast cancer: what do we know? What do we need to know?.  Cancer J. 2005;  11 (6) 518-528
  • 93 Shilling V, Jenkins V, Fallowfield L. Factors affecting patient and clinical satisfaction with the clinical consultation: can communication skills training for clinicians improve satisfaction?.  Psychooncology. 2003;  12 (6) 599-611
  • 94 Haggmark C, Bohman L, Ilmoni-Brandt K. et al . Effects of information supply on satisfaction with information and quality of life in cancer patients receiving curative radiation therapy.  Patient Educ Couns. 2001;  45 (3) 173-179
  • 95 Davidson R, Mills M E. Cancer patients' satisfaction with communication, information and quality of care in a UK region.  Eur J Cancer Care (Engl). 2005;  14 (1) 83-90
  • 96 Mallinger J B, Griggs J J, Shields C G. Patient-centered care and breast cancer survivors' satisfaction with information.  Patient Educ Couns. 2005;  57 (3) 342-349
  • 97 Geiser F, Bijani J, Imbierowicz K. et al . Disclosing the cancer diagnosis: what contributes to patient satisfaction.  Onkologie. 2006;  29 (11) 509-513
  • 98 Loge J H, Kaasa S, Hytten K. Disclosing the cancer diagnosis: the patients' experiences.  Eur J Cancer. 1997;  33 (6) 878-882
  • 99 Fallowfield L, Jenkins V. Effective communication skills are the key to good cancer care.  Eur J Cancer. 1999;  35 (11) 1592-1597
  • 100 Grassi L, Travado L, Gil F. et al . A communication intervention for training southern European oncologists to recognize psychosocial morbidity in cancer. I – development of the model and preliminary results on physicians' satisfaction.  J Cancer Educ. 2005;  20 (2) 79-84
  • 101 Zimbardo P G, Gerrig R J. Psychologie. Berlin; Springer 2003
  • 102 Hagerty R G, Butow P N, Ellis P M. et al . Communicating prognosis in cancer care: a systematic review of the literature.  Ann Oncol. 2005;  16 (7) 1005-1053
  • 103 Davies E, Higginson I J. Communication, information and support for adults with malignant cerebral glioma: a systematic literature review.  Support Care Cancer. 2003;  11 (1) 21-29
  • 104 Mills M E, Sullivan K. The importance of information giving for patients newly diagnosed with cancer: a review of the literature.  J Clin Nurs. 1999;  8 (6) 631-642
  • 105 de Haes H, Teunissen S. Communication in palliative care: a review of recent literature.  Curr Opin Oncol. 2005;  17 (4) 345-350
  • 106 Ptacek J T, Eberhardt T L. Breaking bad news. A review of the literature.  JAMA. 1996;  276 (6) 496-502
  • 107 Feldman-Stewart D, Brundage M D, Tishelman C. and the SCRN Communication Team . A conceptual framework for patient-professional communication: an application to the cancer context.  Psychooncology. 2005;  14 (10) 801-809
  • 108 Wen K Y, Gustafson D H. Needs assessment for cancer patients and their families.  Health Qual Life Outcomes. 2004;  26, 2 11
  • 109 de Bock G H, Bonnema J, Zwaan R E. et al . Patient's needs and preferences in routine follow-up after treatment for breast cancer.  Br J Cancer. 2004;  90 (6) 1144-1150
  • 110 Butow P N, Kazemi J N, Beeney L J. et al . When the diagnosis is cancer: patient communication experiences and preferences.  Cancer. 1996;  77 (12) 2630-2637
  • 111 Cox A, Jenkins V, Catt S. et al . Information needs and experiences: an audit of UK cancer patients.  Eur J Oncol Nurs. 2006;  10 (4) 263-272
  • 112 Parker P A, Baile W F, de Moor C. et al . Breaking bad news about cancer: patients' preferences for communication.  J Clin Psychol. 2001;  19 (7) 2049-2056
  • 113 Fujimori M, Parker P A, Akechi T. et al . Japanese cancer patients' communication style preferences when receiving bad news.  Psychooncology. 2007;  16 (7) 617-625
  • 114 Lehmann C, Mehnert A, Koch U. Die deutsche Version des Measure of Patients' Preferences (MPP-D). Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf 2006
  • 115 Jenkins V, Fallowfield L, Saul J. Information needs of patients with cancer: results from a large study in UK cancer centres.  Br J Cancer. 2001;  84 (1) 48-51
  • 116 Meredith C, Symonds P, Webster L. et al . Information needs of cancer patients in west Scotland: cross sectional survey of patients' views.  BMJ. 1996;  313 (7059) 724-726
  • 117 Hagerty R G, Butow P N, Ellis P A. et al . Cancer patient preferences for communication of prognosis in the metastatic setting.  J Clin Oncol. 2004;  22 (9) 1721-1730
  • 118 Hagerty R G, Butow P N, Ellis P M. et al . Communicating with realism and hope: incurable cancer patients' views on the disclosure of prognosis.  J Clin Oncol. 2005;  23 (6) 1278-1288
  • 119 Davison B J, Parker P A, Goldenberg S L. Patients' preferences for communicating a prostate cancer diagnosis and participating in medical decision-making.  BJU Int. 2004;  93 (1) 47-51
  • 120 Kaplowitz S A, Campo S, Chiu W T. Cancer patients' desire for communication of prognosis information.  Health Comm. 2002;  14 (2) 221-241
  • 121 Friis L S, Elverdam B, Schmidt K G. The patient's perspective: a qualitative study of acute myeloid leukaemia patients' need for information and their information-seeking behaviour.  Support Care Cancer. 2003;  11 (3) 162-7021
  • 122 Kim M K, Alvi A. Breaking the bad news of cancer: the patient's perspective.  Laryngoscope. 1999;  109 (7 Pt 1) 1064-1067
  • 123 Thorne S E, Kuo M, Armstrong E A. et al . 'Being known': patients' perspectives of the dynamics of human connection in cancer care.  Psychooncology. 2005;  14 (10) 887-898
  • 124 Lazarus R S, Folkman S. Stress, Appraisal, and Coping. New York; Springer 1984
  • 125 Parle M, Maguire P, Heaven C. The development of a training model to improve health professionals' skills, self-efficacy and outcomes expectancies when communicating with cancer patients.  Soc Sci Med. 1997;  44 (2) 231-240
  • 126 Mead N, Bower P. Patient-centredness: A conceptual framework and review of the empirical literature.  Soc Sci Med. 2000;  51 (7) 1087-1110
  • 127 Brammer L M, MacDonald G. The Helping Relationship: Process and Skills (8th ed). Boston; Pearson Education, Inc 2003
  • 128 Mehnert A, Lehmann C, Cao P, Koch U. Die Erfassung psychosozialer Belastungen und Ressourcen in der Onkologie – Ein Literaturüberblick zu Screeningmethoden und Entwicklungstrends.  Psychother Psychosom Med Psychol. 2006;  56 (12) 462-479
  • 129 Tedeschi R G, Calhoun L G. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma.  J Trauma Stress. 1996;  9 (3) 455-471
  • 130 Morasso G, Costantini M, Baracco G. et al . Assessing psychological distress in cancer patients: validation of a self-administered questionnaire.  Oncology. 1996;  53 (4) 295-302
  • 131 Booth C, Maguire P. Development of a rating system to assess interaction between cancer patients and health professionals. London; Report to Cancer Research Campaign 1991: 37
  • 132 Delvaux N. Contribution à l'évaluation des effets de la formation psychologique des soignants en oncologie. Brussels, Belgium; Université Libre de Bruxelles 1999
  • 133 Pedersen C G, Christensen S, Zachariae R. et al . Psychosocial and demographic predictors of pain, discomfort and satisfaction with the patient – physician relationship in a group of women attending a mammography clinic.  Psychooncology. 2001;  10 S23
  • 134 Zachariae R, Pedersen C G, Christensen S. et al . Development of a physician – patient relationship inventory (PPRI): reliability and preliminary validity in a sample of women attending a mammography clinic.  Psychooncology. 2001;  10 S52
  • 135 Rathus S A. A 30-Items schedule for assessing assertive behavior.  Behavior Therapy. 1973;  4 398-406
  • 136 Barnett M M. Effect of breaking bad news on patients' perceptions of doctors.  J R Soc Med. 2002;  95 (7) 343-347
  • 137 Ashworth C D, Williamson P, Montano D. A scale to measure physician beliefs about psychosocial aspects of patient care.  Soc Sci Med. 1984;  19 (11) 1235-1238
  • 138 Barnett M, McMichael H. Can doctors' attitudes influence emotional response in patients with advanced cancer? A prospective study.  J Cancer Care. 1992;  1 145-149
  • 139 Baile W F, Lenzi R, Parker P A. et al . Oncologists' attitudes toward and practices in giving bad news: an exploratory study.  J Clin Oncol. 2002;  20 (8) 2189-2196
  • 140 Cantril H. The pattern of human concerns. New Brunswick, NJ; Rutgers University Press 1965
  • 141 Sanson-Fisher R, Girgis A, Boyes A. et al . The unmet supportive care needs of patients with cancer. Supportive Care Review Group.  Cancer. 2000;  88 (1) 226-237
  • 142 Bui L L, Last L, Bradley H. et al . Interest and participation in support group programs among patients with colorectal cancer.  Cancer Nurs. 2002;  25 (2) 150-157
  • 143 Söllner W, Zingg-Schir M, Rumpold G. et al . Need for supportive counselling – the professionals' versus the patients' perspective. A survey in a representative sample of 236 melanoma patients.  Psychother Psychosom. 1998;  67 (2) 94-104
  • 144 Brown R, Dunn S, Butow P. Meeting patient expectations in the cancer consultation.  Ann Oncol. 1997;  8 (9) 877-882
  • 145 Roter D L. Patient participation in the patient provider interaction: The effects of patient question asking on the quality of interaction, satisfaction and compliance.  Health Educ Monogr. 1977;  5 281-315
  • 146 Korsch B M, Gozzi E K, Francis V. Gaps in doctor-patient communication. 1. Doctor-patient interaction and patient satisfaction.  Pediatrics. 1968;  42 (5) 855-871
  • 147 Collie K, Wong P, Tilston J. et al . Self-efficacy, coping, and difficulties interacting with health care professionals among women living with breast cancer in rural communities.  Psychooncology. 2005;  14 (10) 901-912
  • 148 Jones R, Pearson J, McGregor S. et al . Cross sectional survey of patients' satisfaction with information about cancer.  BMJ. 1999;  319 (7219) 1247-1248
  • 149 Kleeberg U R, Tews J T, Ruprecht T. et al . Patient satisfaction and quality of life in cancer outpatients: results of the PASQOC study.  Support Care Cancer. 2005;  13 (5) 303-310
  • 150 Bilodeau B A, Degner L F. Information needs, sources of information, and decisional roles in women with breast cancer.  Oncol Nurs Forum. 1996;  23 691-696
  • 151 Cassileth B R, Zupkis R V, Sutton-Smith K, March V. Information and participation preferences among cancer patients.  Ann Intern Med. 1980;  92 (6) 832-836
  • 152 Fujimori M, Akechi T, Akizuki N. et al . Good communication with patients receiving bad news about cancer in Japan.  Psychooncology. 2005;  14 (12) 1043-1051
  • 153 Dowsett S M, Saul J L, Butow P N. et al . Communication styles in the cancer consultation: preferences for a patient-centred approach.  Psychooncology. 2000;  9 (2) 147-156
  • 154 Lobb E A, Butow P N, Kenny D T, Tattersall M H. Communicating prognosis in early breast cancer: do women understand the language used?.  Med J Aust. 1999;  171 (6) 290-294
  • 155 Gray R E, Fitch M, Phillips C. et al . To tell or not to tell: patterns of disclosure among men with prostate cancer.  Psychooncology. 2000;  9 (4) 273-282
  • 156 Kirk P, Kirk I, Kristjanson L J. What do patients receiving palliative care for cancer and their families want to be told? A Canadian and Australian qualitative Study.  BMJ. 2004;  328 (7452) 1343
  • 157 Bakker D A, Fitch M I, Gray R. et al . Patient-health care provider communication during chemotherapy treatment: the perspectives of women with breast cancer.  Patient Educ Couns. 2001;  43 (1) 61-71
  • 158 Wright E B, Holcombe C, Salmon P. Doctors' communication of trust, care, and respect in breast cancer: qualitative study.  BMJ. 2004;  328 (7444) 864
  • 159 Liu J E, Mok E, Wong T. Perceptions of supportive communication in Chinese patients with cancer: experiences and expectations.  J Adv Nurs. 2005;  52 (3) 262-270
  • 160 Leydon G M, Boulton M, Moynihan C. et al . Cancer patients' information needs and information seeking behaviour: in depth interview study.  BMJ. 2000;  320 (7239) 909-913
  • 161 Randall T C, Wearn A M. Receiving bad news: patients with haematological cancer reflect upon their experience.  Palliat Med. 2005;  19 (8) 594-601
  • 162 Harris S R, Templeton E. Who's listening? Experiences of women with breast cancer in communicating with physicians.  Breast J. 2001;  7 (6) 444-449
  • 163 Bullinger M, Kirchberger I. SF-36 (-12): Fragebogen zum Gesundheitszustand. Göttingen; Hogrefe 1998
  • 164 Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: a measure of subjective stress.  Psychosom Med. 1979;  41 (3) 209-218
  • 165 Radloff L S. The CES-D scale: A self-report depression scale for research in the general population.  Appl Psych Meas. 1977;  1 385-401
  • 166 Hermann C, Buss U, Snaith R P. Hospital Anxiety and Depression Scale – Deutsche Version. Bern; Hans Huber 1995
  • 167 Spielberger C D, Gorsuch R L, Lushene R E. Manual for the Stait-Trait Anxiety Inventory. Palo Alto, CA; Consulting Psychologists Press 1970
  • 168 Aaronson N K, Ahmedzai S, Bergmann B. et al . The European Organization for Research and Treatment of Cancer QLQ-C30: A quality of life instrument for use in international clinical trials in oncology.  J Natl Cancer Inst. 1993;  85 (5) 365-376
  • 169 Merluzzi T V, Martinez Sanchez M A. Assessment of self-efficacy and coping with cancer: development and validation of the cancer behavior inventory.  Health Psychol. 1997;  16 (2) 163-170
  • 170 Ong L M, Visser M R, Kruyver I P. et al . The Roter Interaction Analysis System (RIAS) in oncological consultations: psychometric properties.  Psychooncology. 1998;  7 (5) 387-401
  • 171 de Haes J C, van Knippenberg F C, Neijt J P. Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist.  Br J Cancer. 1990;  62 (6) 1034-1038
  • 172 Blanchard C G, Ruckdeschel J C, Fletcher B A, Blanchard E B. The impact of oncologists' behaviors on patient satisfaction with morning rounds.  Cancer. 1986;  58 (2) 387-393
  • 173 Greer S, Watson M. Mental adjustment to cancer: its measurement and prognostic importance.  Cancer Surv. 1987;  6 (3) 439-453
  • 174 Miller S M. Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat.  J Pers Soc Psychol. 1987;  52 (2) 345-353
  • 175 McNair D M, Lorr M, Droppelmann L F. Profile of Mood States. San Diego; Educational and Industrial Testing Service 1971
  • 176 Schag C AC, Heinrich R L. Cancer Rehabilitation Evaluation System (CARES): Manual. Los Angeles; CARES Consultant 1989
  • 177 Muthny F A. Freiburger Fragebogen zur Krankheitsverarbeitung (FKV). Manual. Weinheim; Beltz Test GmbH 1989
  • 178 Zielke M, Kopf-Mehnert C. Veränderungsfragebogen des Erlebens und Verhaltens. Weinheim; Beltz Test GmbH 1978
  • 179 Weathers F, Litz B, Huska J, Keane T. Posttraumatic Stress Disorder Checklist (PCL-C) for DSM-IV. Boston; National Center of PTSD 1994
  • 180 Roberts C S, Cox C E, Reintgen D S. et al . Influence of physician communication on newly diagnosed breast patients' psychologic adjustment and decision-making.  Cancer. 1994;  74 (1 Suppl) 336-341
  • 181 Goldberg D, Williams P, Windsor U K. GHQ-12 General Health Questionnaire. NFER-Nelson 1988
  • 182 Maslach C, Jackson S. Maslach Burnout Inventory. Palo Alto, CA; Consulting Pschologists Press 1986
  • 183 Bonevski B, Sanson-Fisher R, Girgis A. et al . Evaluation of an instrument to assess the needs of patients with cancer. Supp Care Review Group.  Cancer. 2000;  88 (1) 217-225
  • 184 Beck A T, Ward C H, Mendelson M. et al . An inventory for measuring depression.  Arch Gen Psychiatry. 1961;  4 561-571
  • 185 Derogatis L R. Brief symptom inventory: Administration, scoring, and procedures manual. Minneapolis; National Computer Service 1993
  • 186 Cohen S, Hoberman H M. Positive events and social supports as buffers of life change stress.  J Appl Soc Psychol. 1983;  13 99-125
  • 187 Holland J C, Kash K M, Passik S. et al . A brief spiritual beliefs inventory for use in quality of life research in life-threatening illness.  Psychooncology. 1998;  7 (6) 460-469
  • 188 Scheier M, Carver C. Optimism, coping and health: assessment and implications of generalized outcome expectancies.  Health Psychol. 1985;  4 (3) 219-247
  • 189 Linn M W, Linn B S. The rapid disability rating scale-2.  J Am Geriatr Soc. 1982;  30 (6) 378-382
  • 190 Sarason I G, Levine H M, Basham R B, Sarason B R. Assessing social support: The Social Support Questionnaire.  J Personal Soc Psychol. 1983;  44 (1) 127-139
  • 191 Steginga S K, Occhipinti S, Dunn J. et al . The supportive care needs of men with prostate cancer.  Psychooncology. 2001;  10 (1) 66-75
  • 192 Zerssen D von, Koeller D M. Beschwerden-Liste. Weinheim; Beltz Test GmbH 1976
  • 193 Foot G, Sanson-Fisher R. Measuring the unmet needs of people living with cancer.  Cancer Forum. 1995;  19 (2) 131-135
  • 194 Coyne J C, Gallo S, Fechner-Bates S. The Michigan Interview for Life Events (MILE). Unpublished Interview Schedule. University of Michigan 1993
  • 195 Derogatis L R, Lipman R S, Rickels K. et al . The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory.  Urology. 1974;  19 (1) 1-15
  • 196 Esper P, Mo F, Chodak G. et al . Measuring Quality of life in men with prostate cancer using the Functional Assessment of Cancer Therapy-Prostate (FACT-P) instrument.  Urology. 1997;  50 (6) 920-928
  • 197 Ford S, Hall A, Ratcliffe D, Fallowfield L. The Medical Interaction Process System (MIPS): an instrument for analysing interviews of oncologists and patients with cancer.  Soc Sci Med. 2000;  50 553-566
  • 198 Strittmatter G. Indikation zur Intervention in der Psychoonkologie. Psychosoziale Belastungen und Ermittlung der Betreuungsbedürftigkeit stationärer Hauttumorpatienten. Münster, New York; Waxman, Internationale Hochschulschriften 1997: 228
  • 199 Heinrich R L, Schag C C, Ganz P A. Living with cancer: the Cancer Inventory of Problem Situations.  J Clin Psychol. 1984;  40 (4) 972-980
  • 200 Schag C A, Heinrich R L, Aadland R L, Ganz P A. Assessing problems of cancer patients: psychometric properties of the cancer inventory of problem situations.  Health Psychol. 1990;  9 (1) 83-102
  • 201 Carver C S, Scheier M F, Weintraub J K. Assessing coping strategies: a theoretically based approach.  J Pers Soc Psychol. 1989;  56 (2) 267-283
  • 202 Schwarzer R, Dunkel-Schetter C, Kemeny M. The multidimensional nature of received social support in gay men at risk of HIV infection and AIDS.  Am J Community Psychol. 1994;  22 (3) 319-339
  • 203 Safran D G, Kosinski M, Tarlov A R. et al . The Primary Care Assessment Survey: tests of data quality and measurement performance.  Med Care. 1998;  36 (5) 728-739
  • 204 Klug L, Sinha A. Death acceptance: A two component formulation and a scale.  Omega. 1987;  18 229-235
  • 205 Taylor J A. A personality scale of manifest anxiety.  J Abnorm Psychol. 1953;  48 (2) 285-290
  • 206 Krantz D S, Baum A, Wideman M. Assessment of Preferences for self-treatment and information in health care.  J Pers Soc Psychol. 1980;  39 (5) 977-990
  • 207 Lind S E, DelVecchio Good M J. et al . Telling the diagnosis of cancer.  J Clin Oncol. 1989;  7 (5) 583-589
  • 208 Butow P, Coates A, Dunn S. et al . On the receiving end IV: Validation of quality of life indicators.  Ann Oncol. 1991;  2 (8) 597-603
  • 209 Degner L F, Sloan J A, Venkatesh P. The Control Preferences Scale.  Can J Nurs Res. 1997;  29 (3) 21-43
  • 210 Ware Jr J E, Snyder M K. Dimensions of patient attitudes regarding doctors and medical care services.  Med Care. 1975;  13 (8) 669-682
  • 211 Ware Jr J E, Snyder M K, Wright W R, Davies A R. Defining and measuring patient satisfaction with medical care.  Eval Program Plann. 1983;  6 (3 – 4) 247-263

Dipl.-Psych. Claudia Lehmann

Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf

Martinistraße 52 – S 35

20246 Hamburg

Email: c.lehmann@uke.uni-hamburg.de