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The experience of medical communication in adults with acute leukemia: Impact of age and attachment security.

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Title: The experience of medical communication in adults with acute leukemia: Impact of age and attachment security.
Authors: Fraser, Brooke, Korenblum, Chana, Mah, Kenneth, Watt, Sarah, Malfitano, Carmine, Rydall, Anne, Schimmer, Aaron, Zimmermann, Camilla, Rodin, Gary
Source: Psycho-Oncology. Jan2019, Vol. 28 Issue 1, p122-130. 9p. 3 Charts, 1 Graph.
Subjects: Leukemia treatment, Evaluation research, Defense mechanisms (Psychology), Health attitudes, Research funding, Anxiety, Age distribution, Leukemia, Patient-professional relations, Communication, Research methodology, Research, Psychoanalytic theory, Comparative studies, Psychosocial factors
Abstract: Background: Health care providers' (HCPs) communication with cancer patients provides both information and support. Younger patient age and greater difficulty accepting support (attachment security) have been linked to poorer communication experiences with HCPs. The present secondary data analysis examined the impact of age group and attachment security on perceived communication problems with HCPs in adults with acute leukemia (AL).Methods: The sample included 95 younger (age < 40 years) and 225 older (age ≥ 40 years) patients with newly diagnosed or recently relapsed AL. We assessed avoidant and anxious attachment security (reluctance to accept support and fear of its unavailability, respectively) with the modified 16-item Experiences in Close Relationships Scale. The impact of age group and attachment security on perceived communication problems, measured with the Cancer Rehabilitation Evaluation System-Medical Interaction Subscale, was assessed based on the presence and extent of communication problems.Results: Younger patients (OR = 1.79-1.82, P = .030) and those with greater avoidant (OR = 1.44, P = .001) or anxious attachment (OR = 1.38, P = .009) were more likely to report communication problems. A similar relationship was found between age (β's = -.17-.19, P = .015-.025), avoidant (β = .29, P = .013), or anxious attachment (β = .17, P = .031), and the extent of communication problems. A significant age-group × avoidant-attachment interaction (β = -.31, P = .008) suggested that more avoidant attachment was associated with more perceived communication problems in the younger but not in the older group.Conclusions: Younger patients with AL, especially those more reluctant to seek or accept support, perceive more communication problems with their HCPs than older patients. Greater attention by HCPs to their communication with younger patients is needed. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The experience of medical communication in adults with acute leukemia: Impact of age and attachment security.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fraser%2C+Brooke%22&quot;&gt;Fraser, Brooke&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Korenblum%2C+Chana%22&quot;&gt;Korenblum, Chana&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mah%2C+Kenneth%22&quot;&gt;Mah, Kenneth&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Watt%2C+Sarah%22&quot;&gt;Watt, Sarah&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Malfitano%2C+Carmine%22&quot;&gt;Malfitano, Carmine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rydall%2C+Anne%22&quot;&gt;Rydall, Anne&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schimmer%2C+Aaron%22&quot;&gt;Schimmer, Aaron&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zimmermann%2C+Camilla%22&quot;&gt;Zimmermann, Camilla&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rodin%2C+Gary%22&quot;&gt;Rodin, Gary&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Jan2019, Vol. 28 Issue 1, p122-130. 9p. 3 Charts, 1 Graph.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Leukemia+treatment%22&quot;&gt;Leukemia treatment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Evaluation+research%22&quot;&gt;Evaluation research&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Defense+mechanisms+%28Psychology%29%22&quot;&gt;Defense mechanisms (Psychology)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+attitudes%22&quot;&gt;Health attitudes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Anxiety%22&quot;&gt;Anxiety&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Age+distribution%22&quot;&gt;Age distribution&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Leukemia%22&quot;&gt;Leukemia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient-professional+relations%22&quot;&gt;Patient-professional relations&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Communication%22&quot;&gt;Communication&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+methodology%22&quot;&gt;Research methodology&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research%22&quot;&gt;Research&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychoanalytic+theory%22&quot;&gt;Psychoanalytic theory&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Comparative+studies%22&quot;&gt;Comparative studies&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychosocial+factors%22&quot;&gt;Psychosocial factors&lt;/searchLink&gt;
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  Data: &lt;bold&gt;Background: &lt;/bold&gt;Health care providers&#39; (HCPs) communication with cancer patients provides both information and support. Younger patient age and greater difficulty accepting support (attachment security) have been linked to poorer communication experiences with HCPs. The present secondary data analysis examined the impact of age group and attachment security on perceived communication problems with HCPs in adults with acute leukemia (AL).&lt;bold&gt;Methods: &lt;/bold&gt;The sample included 95 younger (age&#160;&lt;&#160;40&#160;years) and 225 older (age&#160;≥&#160;40&#160;years) patients with newly diagnosed or recently relapsed AL. We assessed avoidant and anxious attachment security (reluctance to accept support and fear of its unavailability, respectively) with the modified 16-item Experiences in Close Relationships Scale. The impact of age group and attachment security on perceived communication problems, measured with the Cancer Rehabilitation Evaluation System-Medical Interaction Subscale, was assessed based on the presence and extent of communication problems.&lt;bold&gt;Results: &lt;/bold&gt;Younger patients (OR&#160;=&#160;1.79-1.82, P&#160;=&#160;.030) and those with greater avoidant (OR&#160;=&#160;1.44, P&#160;=&#160;.001) or anxious attachment (OR&#160;=&#160;1.38, P&#160;=&#160;.009) were more likely to report communication problems. A similar relationship was found between age (β&#39;s&#160;=&#160;-.17-.19, P&#160;=&#160;.015-.025), avoidant (β&#160;=&#160;.29, P&#160;=&#160;.013), or anxious attachment (β&#160;=&#160;.17, P&#160;=&#160;.031), and the extent of communication problems. A significant age-group&#160;&#215;&#160;avoidant-attachment interaction (β&#160;=&#160;-.31, P&#160;=&#160;.008) suggested that more avoidant attachment was associated with more perceived communication problems in the younger but not in the older group.&lt;bold&gt;Conclusions: &lt;/bold&gt;Younger patients with AL, especially those more reluctant to seek or accept support, perceive more communication problems with their HCPs than older patients. Greater attention by HCPs to their communication with younger patients is needed. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/pon.4919
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 122
    Subjects:
      – SubjectFull: Leukemia treatment
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Defense mechanisms (Psychology)
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      – SubjectFull: Health attitudes
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      – SubjectFull: Research funding
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      – SubjectFull: Anxiety
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      – SubjectFull: Leukemia
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              Text: Jan2019
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              Y: 2019
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