Abstract:
OBJECTIVE:To explore if - and possibly how - a medical interview may affect adrenocortical activity in musculo-skeletal pain patients with and without alexithymia. METHODS:Female patients (N = 54) recruited from a patient organization for fibromyalgia completed the Toronto Alexithymia Scale (TAS-20) and subgroups with, respectively, low and high scores were selected for participation. Seven physicians conducted consultations attempting to vary their communication in accordance with given guidelines. All consultations were videotaped and analysed by The Roter Interaction Analysis System (RIAS) to evaluate the actual content of the consultations. RESULTS:An increase in depressed affect from pre- to post-interview was associated with relatively high cortisol levels 24 h after the consultation, but only in patients with alexithymia. Psychosocial questions from the physician were associated with increased depressed affect immediately following the interview, but not with cortisol responses at any time. CONCLUSION:In patients with deficient affect regulation, increase in depressed affect after a medical interview may be associated with delayed effects in adrenocortical activity, possibly mediated by rumination. PRACTICE IMPLICATIONS:Providers should be sensitive to potential deficits of affect regulation in their patients.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Finset A,Graugaard PK,Holgersen Kdoi
10.1016/j.pec.2005.03.005subject
Has Abstractpub_date
2006-02-01 00:00:00pages
115-24issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(05)00092-3journal_volume
60pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:Examine the uncertainty management process of individuals with Lynch syndrome (LS). METHODS:19 phone interviews were conducted with individuals with LS. The interview guide included questions on family communication, risk perceptions, and uncertainty management. Data were analyzed using the constant comparis...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.07.017
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:This study sought to explore the perceived influence of narrative medicine training on clinical skill development of fourth-year medical students, focusing on competencies mandated by ACGME and the RCPSC in areas of communication, collaboration, and professionalism. METHODS:Using grounded-theory, three metho...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.01.014
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:Patient education in children with rare chronic diseases like children's interstitial lung disease (chILD) remains a challenge. AIMS:To develop and evaluate a component-based educational program for individual counselling and to improve patients' and caregivers' self-efficacy and treatment satisfaction. Furt...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2019.01.016
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:This study examined whether higher levels of self-reported cultural competency training were associated with less anti-gay bias among a cancer healthcare provider sample (n = 404) recruited in January 2017. METHODS:A factorial analysis of variance (ANOVA) was performed to examine anti-gay bias across professio...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.12.022
更新日期:2020-12-25 00:00:00
abstract::The objective of this study was to evaluate a computer based interactive diabetes education program designed to train patients with diabetes to correctly estimate the energy or carbohydrate contents of foods. The acceptance and the operator convenience of the program were evaluated with an integrated program and writt...
journal_title:Patient education and counseling
pub_type:
doi:10.1016/s0738-3991(01)00159-8
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this project was to gather preliminary data on preferred content for text reminders sent to low-income parents. METHODS:A brief, IRB-approved survey was administered to 200 consecutive English-speaking parents of children under 6 years old at a Pediatric Residency clinic. Because text messages...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.08.007
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:This study explored patient recall of clinician presentation of information about prescription medication, looking specifically for communication patterns and differences by patient individual characteristics and by medication availability type. METHODS:A cross sectional survey collected information about 21...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.002
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:Hospitalized smokers are often highly motivated to quit and receptive to assistance. There are few published accounts of hospital-based smoking cessation programmes implemented outside of a trial setting, particularly outside North America. We describe the implementation and effectiveness of a dedicated smoki...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.09.024
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:A clinician's ability to infer patients' thoughts and feelings is a critical component of high quality care. The goal of this article is to present a new test to measure this ability in clinicians, called the Test of Accurate Perception of Patients' Affect (TAPPA). METHODS:Audiovisual clips were taken from p...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.004
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:The objective was to explore patients' and spouses' perception and attitudes towards participating in a patient and family advisory council. METHODS:A qualitative study with interviews conducted within a phenomenological-hermeneutical frame, inspired by Ricoeur were conducted with current and former particip...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.025
更新日期:2020-11-24 00:00:00
abstract:OBJECTIVE:Smokers who are not ready to quit are a very difficult group to treat. Physicians, nurses, and nurse practitioners are in a unique position to encourage patients to quit smoking. However, the best approach to do so is not clear. METHODS:A two-group randomized controlled trial with 218 pack-a-day precontempla...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2010.04.024
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:Studies of physicians' professional development highlight the important effect that the learning environment has in shaping student attitudes, behaviors, and values. The objective of this study was to better understand the interplay among relationships and experiences in mediating the effects of the learning ...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2008.05.016
更新日期:2008-09-01 00:00:00
abstract::Widespread access to the Internet has the potential to improve the health care and quality of life of people with chronic illnesses, including people living with HIV-AIDS. However, the Internet is not equally accessible to all persons. We surveyed 96 men and 51 women living with HIV-AIDS regarding their experiences us...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00134-3
更新日期:2002-02-01 00:00:00
abstract::Twelve physicians, 33 nurses, and 30 patients completed questionnaires to elicit similarities and differences in perceptions of educational needs of post-myocardial infarction (MI) patients. Results, using chi-square analysis, indicated that the three groups generally agreed upon which areas should be included in educ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(84)90038-7
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVE:To explore the accuracy and consistency of standardized patient (SP) performance in the context of routine genetic counseling, focusing on elements beyond scripted case items including general communication style and affective demeanor. METHODS:One hundred seventy-seven genetic counselors were randomly assig...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.10.005
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Patient education on high-risk medications such as warfarin is important, and they require quick follow-up after initiation to maximize efficacy and safety. In our Anticoagulation Clinic, two 60-minute new patient appointments are available each day, contributing to prolonged lead-time. We instituted standard...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.12.023
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:We examined the reach and impact of five decision aids (DAs) routinely distributed to breast cancer patients as part of a shared decision making demonstration project. METHODS:From 2005 to 2008, we surveyed patients' change in knowledge and decisional conflict (DC) before and after their review of DAs. Using...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.05.011
更新日期:2012-02-01 00:00:00
abstract::The Division of Therapeutic Education for Chronic Diseases at the University Hospital of Geneva has been playing an important role in the field of therapeutic patient education for more than 25 years. More than 16,000 patients have been hospitalised and an excess of 75,000 h have been spent with a rather novel interdi...
journal_title:Patient education and counseling
pub_type: 历史文章,杂志文章
doi:10.1016/s0738-3991(01)00105-7
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:Considered as a reflection of human rights in our modern day, patient rights have been gaining increasing importance. This particular subject has been discussed from various perspectives in different countries and legal sanctions imposed. "Patient Rights Directives" in Turkey came into effect in 1988. The pre...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.02.013
更新日期:2006-04-01 00:00:00
abstract::The adverse consequences of passive smoking have spurred efforts to reduce environmental tobacco smoke (ETS) exposure among children, particularly in the home. For children with asthma, teaching them to avoid tobacco smoke at home is an important element of patient self-management. This strategy assumes that children ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/S0738-3991(03)00123-X
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:To investigate nursing staff attitudes towards involvement and role in end-of-life decisions (ELDs) and the relationships with sociodemographic and work-related characteristics. METHODS:Survey study among nationally representative Dutch research sample consisting of care professionals. Nursing staff working...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.09.018
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:Examine influences of diabetes-specific social support (D-SS) and depressive symptoms on glycemic control over time, among adults randomized to a diabetes self-management education and support (DSME/S) intervention or usual care. METHODS:Data were from 108 African-American and Latino participants in a 6-mont...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2015.05.019
更新日期:2015-11-01 00:00:00
abstract::American practitioners were surveyed about the role of self-care materials in the management of cardiology patients. Respondents indicated their patients commonly use self-care materials and seek recommendation of appropriate readings. Over half those responding had reviewed 'some' popular works, but few had been able...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(94)90029-9
更新日期:1994-08-01 00:00:00
abstract::A randomised controlled trial, involving 112 adolescents with asthma, and a 2-year follow-up was conducted to assess the impact of an intervention programme aimed at enhancing adherence to asthma medication. This programme had a duration of 1 year and consisted of an experimental group which received usual care from a...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0738-3991(00)00195-6
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:To evaluate if the contents of pain management websites include the current best practice self-management support strategies for people with persistent pain, are cultural tailored and to determine the website quality. METHODS:Websites were searched from three major search engines (Google, Bing, and Yahoo). ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2019.04.009
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:Our aim was to synthesise qualitative literature about the perceived impact and experience of participating in peer support interventions for individuals with chronic disease. METHODS:We carried out a meta-ethnography to synthesize 25 papers meeting specific inclusion criteria. RESULTS:Thirteen concepts wer...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.02.002
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up. METHODS:Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) init...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2018.10.006
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To investigate the applied and conceptual relationship between two measures of shared decision making using the OPTION instrument developed in Wales and the Informed Decision Making instrument developed in Seattle, USA using audio-taped consultation data from a UK general practice population. METHODS:Twelve ...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2007.09.001
更新日期:2008-01-01 00:00:00
abstract::Tsunami is a fictionalized, based on the true story of a mother and baby patients who attended my rural clinic for 12 months and disappeared. (All personal identifiers have been removed.) It is a story of a family physician trying to establish trust relationship with a young mother, that her past history and living co...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.06.008
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:Children living with parental cancer are vulnerable to distress and developmental disruption. This review aims to identify current interventions to support cancer patients' children and summarise how effective these are based on children's reports. METHODS:Between 25 May 2015 and 6 August 2018, a broad searc...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.05.001
更新日期:2019-10-01 00:00:00