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.