Breast cancer patients'personality style, age, and treatment decision making.
Previous studies have shown that whereas nearly all cancer patients want information, far fewer wish to make treatment decisions.
Although breast cancer patients who were given a choice of lumpectomy versus mastectomy and were encouraged to make the decision were believed to do better psychologically, a 1994 study refuted this.
Some authors suggest that patient personality style is an important consideration in decisional preference.
Newly diagnosed breast cancer patients (n=76) were surveyed within 6 months of surgery.
They answered seven questions about patient and physician roles in the decision-making process.
Additionally, they completed the Miller Behavioral Style Scale (MBSS), which categorizes « monitors, » or information seekers, and « blunters, » or information avoiders.
Chi-square analyses were used to explore the relationship of personality style and age to treatment decision-making preferences.
Although 80% of women wanted a role in decision making, 74% wanted their surgeons to make a recommendation and when given, 94% followed the recommended treatment plan.
Monitors and blunters were equally likely to want physician recommendations.
Younger women, particularly those under age 40, were more likely to want a physician's recommendation.
Of those women who had specific fears about their cancer (76%), only half of them revealed such fears to their doctors. (...)
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Femelle, Homme, Traitement, Prise décision, Choix, Difficulté psychologique, Information thérapeutique, Age, Relation médecin malade, Coping, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Female, Human, Treatment, Decision making, Choice, Psychological difficulty, Therapeutic information, Age, Physician patient relation, Coping, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0051482
Code Inist : 002B20E02. Création : 21/05/1997.