Coping styles, health status and advance care planning in patients with hematologic malignancies.

Abstract:

:This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physician-patient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Loberiza FR Jr,Swore-Fletcher BA,Block SD,Back AL,Goldman RE,Tulsky JA,Lee SJ

doi

10.3109/10428194.2011.601474

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

2342-8

issue

12

eissn

1042-8194

issn

1029-2403

journal_volume

52

pub_type

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