Department of Psychiatry, University Hospital of Lausanne, Lausanne, Switzerland.
Vrije Universiteit Amsterdam, Department of Clinical Psychology, Emgo+ Institute for Health and Care Research, Cancer Center Amsterdam (CCA), Amsterdam, The Netherlands.
Psychooncology. 2018 Mar;27(3):929-936. doi: 10.1002/pon.4614. Epub 2018 Feb 5.
In cancer care, optimal communication between patients and their physicians is, among other things, dependent on physicians' emotion regulation, which might be related to physicians' as well as patients' characteristics. In this study, we investigated physicians' emotion regulation during communication with advanced cancer patients, in relation to physicians' (stress, training, and alexithymia) and patients' (sadness, anxiety, and alexithymia) characteristics.
In this study, 134 real-life consultations between 24 physicians and their patients were audio-recorded and transcribed. The consultations were coded with the "Defence Mechanisms Rating Scale-Clinician." Physicians completed questionnaires about stress, experience, training, and alexithymia, while patients completed questionnaires about sadness, anxiety, and alexithymia. Data were analysed using linear mixed effect models.
Physicians used several defence mechanisms when communicating with their patients. Overall defensive functioning was negatively related to physicians' alexithymia. The number of defence mechanisms used was positively related to physicians' stress and alexithymia as well as to patients' sadness and anxiety. Neither physicians' experience and training nor patients' alexithymia were related to the way physicians regulated their emotions.
This study showed that physicians' emotion regulation is related to both physician (stress and alexithymia) and patient characteristics (sadness and anxiety). The study also generated several hypotheses on how physicians' emotion regulation relates to contextual variables during health care communication in cancer care.
在癌症护理中，患者与医生之间的最佳沟通除其他外还取决于医生的情绪调节能力，而情绪调节能力可能与医生和患者的特征有关。在这项研究中，我们调查了医生在与晚期癌症患者沟通时的情绪调节情况，以及医生（压力、培训和述情障碍）和患者（悲伤、焦虑和述情障碍）的特征。
在这项研究中，对 24 名医生和他们的患者之间的 134 次真实咨询进行了录音和转录。咨询内容使用“防御机制评分量表-临床医生”进行编码。医生完成了有关压力、经验、培训和述情障碍的问卷，而患者完成了有关悲伤、焦虑和述情障碍的问卷。使用线性混合效应模型分析数据。
医生在与患者沟通时使用了几种防御机制。总体防御功能与医生的述情障碍呈负相关。使用防御机制的数量与医生的压力和述情障碍以及患者的悲伤和焦虑呈正相关。医生的经验和培训以及患者的述情障碍均与医生调节情绪的方式无关。
本研究表明，医生的情绪调节与医生（压力和述情障碍）和患者特征（悲伤和焦虑）有关。该研究还提出了一些假设，说明医生的情绪调节如何与癌症护理中医疗保健沟通期间的情境变量相关。
