Document Detail

Communicating the diagnosis of multiple sclerosis: results of a survey among Greek neurologists.
MedLine Citation:
PMID:  19096891     Owner:  NLM     Status:  MEDLINE    
In the frame of current treatment options for multiple sclerosis (MS) and recommendations for early intervention, we investigated the practice and attitudes of neurologists towards MS-diagnosis communication in Greece. We constructed and sent out a 22-item questionnaire to neurologists practising in different employment settings and geographic regions in Greece. Overall, 217 (37.41 %) of 580 neurologists replied. The vast majority (94.9 %) informs the patient of a definite MS diagnosis, and 73.6 % do so immediately, but only 41.7 % use the term multiple sclerosis. Furthermore, neurologists strongly agreed that timing of diagnosis communication depends to a large extent on the individual patient's personality (62.5 %) and mental state (52.3 %). Most neurologists (78.7 %) inform relatives about the diagnosis, but only in the presence of the patient. In cases where disclosure was delayed, 59.5 % noted that they did not observe any changes as regards the trust or confidence of their patients towards them. Most neurologists also noted that education level (72 %) and mental state (51.9 %), at the time of disclosure influenced patients who did not fully understand the meaning of their diagnosis. This survey provided some useful new findings with respect to MS diagnosis communication; however, the questions of how and possibly how much to communicate warrant further cross-cultural investigation.
Panagiotis Papathanasopoulos; Lambros Messinis; Epameinondas Lyros; Anastasia Nikolakopoulou; Eftymia Gourzoulidou; Sonia Malefaki
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-12-20
Journal Detail:
Title:  Journal of neurology     Volume:  255     ISSN:  1432-1459     ISO Abbreviation:  J. Neurol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-02-19     Completed Date:  2009-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1963-9     Citation Subset:  IM    
Department of Neurology, Neuropsychology Section, University of Patras Medical School, Patras, Greece.
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MeSH Terms
Cross-Cultural Comparison
Data Collection / methods*
Middle Aged
Multiple Sclerosis / diagnosis*,  psychology
Neurology / methods*
Physician-Patient Relations
Physicians* / psychology
Reproducibility of Results

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