Document Detail


Differences in psychological perception of lung cancer between patients, medical staff and medical students.
MedLine Citation:
PMID:  22219400     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVESIn clinical practice, medical staff is often unaware that what they think about patient's disease differs much from the perceptions and feelings of the patient. The aim of the study was to analyse the differences in psychological perception of lung cancer between patients treated with combined regimen for lung cancer (n = 30), medical staff (n = 94) and medical students (n = 303).METHODSA total of 427 persons were enrolled in this questionnaire study using Imagination and Perception of Illness Scale (IPIS) by Sak. The IPIS scale items described: loss of motivation to carry out specific activities (eight items), mental sphere destruction (six items), physical sphere destruction (eight items), pessimism (four items), being a burden to others (three items) and loss of control over the illness (three items). A seven-point scale from '0', meaning the choice of maximum positive feature, to '6', meaning the choice of maximum negative feature, was used. The higher result obtained within a given factor signified the more negative perception of the illness.RESULTSIn all IPIS items, the results among patients were significantly lower than among medical staff or students (P = 0.018 and P = 0.001, respectively). Medical staff and students perceive lung cancer as causing more profound destruction in patient's mental and physical spheres than patients do.CONCLUSIONSPatients treated for lung cancer with combined regimen perceive their disease more optimistically than what is imagined by medical staff and students, and may underestimate the threat. It may be explained by psychological adaptation of patients to their disease during prolonged treatment. We believe that informing lung cancer patients in detail about their illness should be recommended to enhance self-awareness and doctor-patient cooperation.
Authors:
Dariusz Sagan; Jaroslaw Sak; Michal Wiechetek; Jakub Pawlikowski; Elzbieta Olszewska; Tobiasz Cieslak
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-21
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  -     ISSN:  1873-734X     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-1-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Thoracic Surgery, Medical University of Lublin, Lublin, Poland.
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