From Fear to Hopelessness: The Buffering Effect of Patient-Centered Communication in a Sample of Oncological Patients during COVID-19
Open accessAbstract
BACKGROUND: COVID-19 represents a threat both for the physical and psychological health of oncological patients experiencing heightened distress levels to which the fear of the virus is also added. Moreover, fear of COVID-19 could lead oncological patients to experience feelings of hopelessness related to their medical care. Patient-centered communication may act as a buffer against the aforementioned variables. This study aimed to test the role of doctor-patient communication in the relationship between fear of COVID-19 and hopelessness. METHODS: = 12.12)). A structured interview was developed and used during the pandemic to measure the patients' perceived (A) fear of COVID-19, and (B) feelings of hopelessness, and (C) physicians' use of empathetic and (D) clear language during the consultation. A multiple mediation model was tested, and the effects between males and females were also compared. RESULTS: Empathetic and clear doctor-patient communication buffered the adverse effect of the fear of COVID-19 on hopelessness through a full-mediation model. The effects did not differ between males and females in the overall model but its indirect effects. DISCUSSIONS: Patient-centered communication using empathy and clear language can buffer the adverse effect of the fear of COVID-19 and protect oncological patients from hopelessness during the pandemic. These findings might help to improve clinical oncological practice.
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Few studies have focused on positive outcomes during the 2020 pandemic.
“To our knowledge, to date, few studies focused on positive outcomes during the 2020 pandemic [25, 26] and even fewer on resilience [27, 28].”
From Factors impacting resilience as a result of exposure to COVID-19: The ecological resilience model (2021) · cites this paper as [26]
The Discussion says this may be the first study of how empathic, clear communication buffers COVID-19-related negative feelings in oncological patients. Neither that specific novelty claim nor the Introduction’s discussion of protective communication addresses whether few studies focused on positive outcomes during the 2020 pandemic. Searches for “positive outcomes” and “few studies” found no such assessment in our copy. (LLM, conf=0.72)
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Self-citationCaring for Patients With Cancer During the COVID-19 Outbreak in Italy
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Psychophysical health of elderly inpatients in cardiac rehabilitation: a retrospective cohort study
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Beliefs about the patient's role in the psychotherapeutic relationship: A latent trait perspective
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Self-citationNonrespiratory Complications and Obesity in Patients Dying with COVID‐19 in Italy
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Discussing Prognosis with Empathy to Cancer Patients
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Self-citationPsychological Skills Inventory for Sports--Youth Version; Short Form
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- Authors
- Rossi, A. A., Marconi, M., Taccini, F., Verusio, C., & Mannarini, S.
- Affiliations
- University of Padua (IT)
- Azienda Socio Sanitaria Territoriale della Valle Olona (IT)
- Corresponding author
- Rossi, Alessandro Alberto
- Venue
- Behavioral Sciences
- Publisher
- MDPI AG
- Published
- 2021-06-14
- Volume
- 11
- Issue
- 6
- Pages
- 87
- ISSN
- 2076-328X (ISSN-L)
- PMC
- PMC8231896
- OpenAlex
- W3170814570
- Cited by
- 41
- References
- 131
- Citations by year
- 2026: 2 · 2024: 5 · 2023: 6 · 2022: 22 · 2021: 6
- FWCI
- 10.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Behavioral Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- COVID-19 pandemic, cancer patients, fear of COVID-19, hopelessness, patient-centered communication, physician-patient communication, empathy, clear language, mediation, gender differences, psychological distress
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