Skip to main content
Erschienen in: Journal of Behavioral Medicine 3/2016

13.01.2016

Physician trust moderates the relationship between intolerance of uncertainty and cancer worry interference among women with Lynch syndrome

verfasst von: Lindsey A. Torbit, Jenna J. Albiani, Melyssa Aronson, Spring Holter, Kara Semotiuk, Zane Cohen, Tae L. Hart

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

This study investigated the extent to which intolerance of uncertainty was associated with cancer worry interference, anxiety and depression among women with Lynch syndrome (LS), and whether having greater trust in one’s physician moderated those relationships. Women with confirmed LS (N = 128) were recruited from a high-risk of cancer registry and completed a one-time self-report questionnaire. Women who reported greater intolerance of uncertainty and more trust in their physician reported less cancer worry interference compared to women who had greater intolerance of uncertainty and less trust in their physician, who reported the highest worry interference, b = −1.39, t(99) = −2.27, p = .03. No moderation effect of trust in physician was found for anxiety or depression. Trust in one’s physician buffered the impact of high intolerance of uncertainty on cancer worry interference, underscoring the need for supportive provider–patient relationships, particularly for LS patients.
Fußnoten
1
Models were also examined stratifying by cancer history (N = 70) versus no cancer history (N = 46). In both groups, only intolerance of uncertainty was associated with each of the outcomes (cancer worry interference, anxiety, and depression), and the interaction of intolerance of uncertainty and trust in physician was not significant. However, power to test models with stratification was compromised, given the low sample sizes.
 
Literatur
Zurück zum Zitat Aktan-Collan, K., Kääriäinen, H., Järvinen, H., Peltomäki, P., Pylvänäinen, K., Mecklin, J. P., & Haukkala, A. (2013). Psychosocial consequences of predictive genetic testing for lynch syndrome and associations to surveillance behaviour in a 7-year follow-up study. Familial Cancer, 10, 1–8. doi:10.1007/s10689.013-9628-9 Aktan-Collan, K., Kääriäinen, H., Järvinen, H., Peltomäki, P., Pylvänäinen, K., Mecklin, J. P., & Haukkala, A. (2013). Psychosocial consequences of predictive genetic testing for lynch syndrome and associations to surveillance behaviour in a 7-year follow-up study. Familial Cancer, 10, 1–8. doi:10.​1007/​s10689.​013-9628-9
Zurück zum Zitat Anderson, L. A., & Dedrick, R. F. (1990). Development of the Trust in Physician Scale: A measure to assess interpersonal trust in patient–physician relationships. Psychological Reports, 67, 1091–1100.CrossRefPubMed Anderson, L. A., & Dedrick, R. F. (1990). Development of the Trust in Physician Scale: A measure to assess interpersonal trust in patient–physician relationships. Psychological Reports, 67, 1091–1100.CrossRefPubMed
Zurück zum Zitat Bakker, D. A., Fitch, M. I., Gray, R., Reed, E., & Bennett, J. (2001). Patient-health care provider communication during chemotherapy treatment: The perspectives of women with breast cancer. Patient Education and Counseling, 43, 61–71. doi:10.1016/S0738-3991(00)00147-6 CrossRefPubMed Bakker, D. A., Fitch, M. I., Gray, R., Reed, E., & Bennett, J. (2001). Patient-health care provider communication during chemotherapy treatment: The perspectives of women with breast cancer. Patient Education and Counseling, 43, 61–71. doi:10.​1016/​S0738-3991(00)00147-6 CrossRefPubMed
Zurück zum Zitat Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). No news is (not necessarily) good news: Impact of preliminary results for BRCA1 mutation searches. Genetics in Medicine, 4, 353–358.CrossRefPubMed Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). No news is (not necessarily) good news: Impact of preliminary results for BRCA1 mutation searches. Genetics in Medicine, 4, 353–358.CrossRefPubMed
Zurück zum Zitat Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.CrossRefPubMed Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.CrossRefPubMed
Zurück zum Zitat Butow, P. N., Lobb, E. A., Meiser, B., Barratt, A., & Tucker, K. M. (2003). Psychological outcomes and risk perception after genetic testing and counseling in breast cancer: A systematic review. Medical Journal of Australia, 178, 77–81.PubMed Butow, P. N., Lobb, E. A., Meiser, B., Barratt, A., & Tucker, K. M. (2003). Psychological outcomes and risk perception after genetic testing and counseling in breast cancer: A systematic review. Medical Journal of Australia, 178, 77–81.PubMed
Zurück zum Zitat Consedine, N. S., Magai, C., Krivoshekova, Y. S., Ryzewicz, L., & Neugut, A. I. (2004). Fear, anxiety, worry, and breast cancer screening behavior: A critical review. Cancer Epidemiology, Biomarkers and Prevention, 13, 501–510.PubMed Consedine, N. S., Magai, C., Krivoshekova, Y. S., Ryzewicz, L., & Neugut, A. I. (2004). Fear, anxiety, worry, and breast cancer screening behavior: A critical review. Cancer Epidemiology, Biomarkers and Prevention, 13, 501–510.PubMed
Zurück zum Zitat Costa-Requena, G., Rodríguez, A., Fernández, R., Palomera, E., & Gil, F. L. (2011). Cognitive processing variables in breast cancer: Worry and distress at the end of treatment. Journal of Cancer Education, 26, 375–379. doi:10.1007/s13187-010-0140-8 CrossRefPubMed Costa-Requena, G., Rodríguez, A., Fernández, R., Palomera, E., & Gil, F. L. (2011). Cognitive processing variables in breast cancer: Worry and distress at the end of treatment. Journal of Cancer Education, 26, 375–379. doi:10.​1007/​s13187-010-0140-8 CrossRefPubMed
Zurück zum Zitat Craike, M. J., Livingston, P. M., & Warne, C. (2001). Sensitivity and specificity of the Distress Impact Thermometer for the detection of psychological distress among CRC survivors. Journal of Psychosocial Oncology, 29, 231–241. doi:10.1080/07347332.2011.563347 CrossRef Craike, M. J., Livingston, P. M., & Warne, C. (2001). Sensitivity and specificity of the Distress Impact Thermometer for the detection of psychological distress among CRC survivors. Journal of Psychosocial Oncology, 29, 231–241. doi:10.​1080/​07347332.​2011.​563347 CrossRef
Zurück zum Zitat Dowty, J. G., Win, A. K., Buchanan, D. D., Lindor, N. M., Macrae, F. A., Clendenning, M., et al. (2013). Cancer risks for MLH1 and MSH2 mutation carriers. Human Mutation, 34, 490–497. doi:10.1002/humu.22262 CrossRefPubMed Dowty, J. G., Win, A. K., Buchanan, D. D., Lindor, N. M., Macrae, F. A., Clendenning, M., et al. (2013). Cancer risks for MLH1 and MSH2 mutation carriers. Human Mutation, 34, 490–497. doi:10.​1002/​humu.​22262 CrossRefPubMed
Zurück zum Zitat Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21, 593–606.CrossRef Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21, 593–606.CrossRef
Zurück zum Zitat Easterling, D. V., & Leventhal, H. (1989). Contribution of concrete cognition to emotion: Neutral symptoms as elicitors of worry about cancer. Journal of Applied Psychology, 74, 787.CrossRefPubMed Easterling, D. V., & Leventhal, H. (1989). Contribution of concrete cognition to emotion: Neutral symptoms as elicitors of worry about cancer. Journal of Applied Psychology, 74, 787.CrossRefPubMed
Zurück zum Zitat Hoffman, R. M., Gilliland, F. D., Eley, J. W., Harlan, L. C., Stephenson, R. A., Stanford, J. L., et al. (2001). Racial and ethnic differences in advanced-stage prostate cancer: The Prostate Cancer Outcomes Study. Journal of the National Cancer Institute, 93, 388–395.CrossRefPubMed Hoffman, R. M., Gilliland, F. D., Eley, J. W., Harlan, L. C., Stephenson, R. A., Stanford, J. L., et al. (2001). Racial and ethnic differences in advanced-stage prostate cancer: The Prostate Cancer Outcomes Study. Journal of the National Cancer Institute, 93, 388–395.CrossRefPubMed
Zurück zum Zitat Kash, K. M., Holland, J. C., Halper, M. S., & Miller, D. G. (1992). Psychological distress and surveillance behaviors of women with a family history of breast cancer. Journal of the National Cancer Institute, 84, 24–30.CrossRefPubMed Kash, K. M., Holland, J. C., Halper, M. S., & Miller, D. G. (1992). Psychological distress and surveillance behaviors of women with a family history of breast cancer. Journal of the National Cancer Institute, 84, 24–30.CrossRefPubMed
Zurück zum Zitat Kasparian, N. A., Meiser, B., Butow, P. N., Simpson, J. M., & Mann, G. J. (2008). Predictors of psychological distress among individuals with a strong family history of malignant melanoma. Clinical Genetics, 73, 121–131.CrossRefPubMed Kasparian, N. A., Meiser, B., Butow, P. N., Simpson, J. M., & Mann, G. J. (2008). Predictors of psychological distress among individuals with a strong family history of malignant melanoma. Clinical Genetics, 73, 121–131.CrossRefPubMed
Zurück zum Zitat Klitzman, R., & Chung, W. (2010). The process of deciding about prophylactic surgery for breast and ovarian cancer: Patient questions, uncertainties, and communication. American Journal of Medical Genetics, 152A, 52–66.CrossRefPubMedPubMedCentral Klitzman, R., & Chung, W. (2010). The process of deciding about prophylactic surgery for breast and ovarian cancer: Patient questions, uncertainties, and communication. American Journal of Medical Genetics, 152A, 52–66.CrossRefPubMedPubMedCentral
Zurück zum Zitat Krebber, A. M., Buffart, L. M., Kleijn, G., Riepma, I. C., de Bree, R., Leemans, C. R., et al. (2014). Prevalence of depression in cancer patients: A meta-analysis of diagnostic interviews and self-report instruments. Psycho-Oncology, 23, 121–130. doi:10.1002/pon.3409 CrossRefPubMedPubMedCentral Krebber, A. M., Buffart, L. M., Kleijn, G., Riepma, I. C., de Bree, R., Leemans, C. R., et al. (2014). Prevalence of depression in cancer patients: A meta-analysis of diagnostic interviews and self-report instruments. Psycho-Oncology, 23, 121–130. doi:10.​1002/​pon.​3409 CrossRefPubMedPubMedCentral
Zurück zum Zitat Landsbergen, K. M., Prins, J. B., Brunner, H. G., van Duijvendijk, P., Nagengast, F. M., van Krieken, J. H., et al. (2012). Psychological distress in newly diagnosed colorectal cancer patients following microsatellite instability testing for Lynch syndrome on the pathologist’s initiative. Familial Cancer, 11, 259–267.CrossRefPubMedPubMedCentral Landsbergen, K. M., Prins, J. B., Brunner, H. G., van Duijvendijk, P., Nagengast, F. M., van Krieken, J. H., et al. (2012). Psychological distress in newly diagnosed colorectal cancer patients following microsatellite instability testing for Lynch syndrome on the pathologist’s initiative. Familial Cancer, 11, 259–267.CrossRefPubMedPubMedCentral
Zurück zum Zitat O’Neill, S. C., DeMarco, T., Peshkin, B. N., Rogers, S., Rispoli, J., Brown, K., et al. (2006). Tolerance for uncertainty and perceived risk among women receiving uninformative BRCA1/2 test results. American Journal of Medical Genetics, 42C, 251–259. doi:10.1002/ajmg.c.30104 CrossRef O’Neill, S. C., DeMarco, T., Peshkin, B. N., Rogers, S., Rispoli, J., Brown, K., et al. (2006). Tolerance for uncertainty and perceived risk among women receiving uninformative BRCA1/2 test results. American Journal of Medical Genetics, 42C, 251–259. doi:10.​1002/​ajmg.​c.​30104 CrossRef
Zurück zum Zitat Osborne, R. H., Elsworth, G. R., Sprangers, M. A., Oort, F. J., & Hopper, J. L. (2004). The value of the Hospital Anxiety and Depression Scale (HADS) for comparing women with early onset breast cancer with population-based reference women. Quality of Life Research, 13, 191–206.CrossRefPubMed Osborne, R. H., Elsworth, G. R., Sprangers, M. A., Oort, F. J., & Hopper, J. L. (2004). The value of the Hospital Anxiety and Depression Scale (HADS) for comparing women with early onset breast cancer with population-based reference women. Quality of Life Research, 13, 191–206.CrossRefPubMed
Zurück zum Zitat Padilla, G. V., Mishel, M. H., & Grant, M. M. (1992). Uncertainty, appraisal and quality of life. Quality of Life Research, 1, 155–165.CrossRefPubMed Padilla, G. V., Mishel, M. H., & Grant, M. M. (1992). Uncertainty, appraisal and quality of life. Quality of Life Research, 1, 155–165.CrossRefPubMed
Zurück zum Zitat Rose, J. H. (1990). Social support and cancer: Adult patients’ desire for support from family, friends, and health professionals. American Journal of Community Psychology, 18, 439–464. doi:10.1007/BF00938117 CrossRefPubMed Rose, J. H. (1990). Social support and cancer: Adult patients’ desire for support from family, friends, and health professionals. American Journal of Community Psychology, 18, 439–464. doi:10.​1007/​BF00938117 CrossRefPubMed
Zurück zum Zitat Sheppard, V. B., Mays, D., LaVeist, T., & Tercyak, K. P. (2013). Medical mistrust and self-efficacy influence black women’s level of engagement in BRCA ½ genetic counseling and testing. Journal of the National Medical Association, 105, 17–22.CrossRefPubMedPubMedCentral Sheppard, V. B., Mays, D., LaVeist, T., & Tercyak, K. P. (2013). Medical mistrust and self-efficacy influence black women’s level of engagement in BRCA ½ genetic counseling and testing. Journal of the National Medical Association, 105, 17–22.CrossRefPubMedPubMedCentral
Zurück zum Zitat Takayama, T., Yamazaki, Y., & Katsumata, N. (2001). Relationship between outpatients’ perceptions of physicians’ communication styles and patients’ anxiety levels in a Japanese oncology setting. Social Science and Medicine, 53, 1335–1350. doi:10.1016/S0277-9536(00)00413-5 CrossRefPubMed Takayama, T., Yamazaki, Y., & Katsumata, N. (2001). Relationship between outpatients’ perceptions of physicians’ communication styles and patients’ anxiety levels in a Japanese oncology setting. Social Science and Medicine, 53, 1335–1350. doi:10.​1016/​S0277-9536(00)00413-5 CrossRefPubMed
Zurück zum Zitat Thom, D. H., & Campbell, B. (1997). Patient–physician trust: An exploratory study. Journal of Family Practice, 44, 169–176.PubMed Thom, D. H., & Campbell, B. (1997). Patient–physician trust: An exploratory study. Journal of Family Practice, 44, 169–176.PubMed
Zurück zum Zitat Trask, P. C., Paterson, A. G., Wang, C., Hayasaka, S., Milliron, K. J., Blumberg, L. R., et al. (2001). Cancer-specific worry interference in women attending a breast and ovarian cancer risk evaluation program: Impact on emotional distress and health functioning. Psycho-Oncology, 10, 349–360. doi:10.1002/pon.510 CrossRefPubMed Trask, P. C., Paterson, A. G., Wang, C., Hayasaka, S., Milliron, K. J., Blumberg, L. R., et al. (2001). Cancer-specific worry interference in women attending a breast and ovarian cancer risk evaluation program: Impact on emotional distress and health functioning. Psycho-Oncology, 10, 349–360. doi:10.​1002/​pon.​510 CrossRefPubMed
Zurück zum Zitat Van Roosmalen, M. S., Stalmeier, P. F. M., Verhoef, L. C. G., Hoekstra-Weebers, J. E. H. M., Oosterwijk, J. C., Hoogerbrugge, N., et al. (2004). Randomized trial of a shared decision-making intervention consisting of trade-offs and individualized treatment information for BRCA1/2 mutation carriers. Journal of Clinical Oncology, 22, 3293–3301. doi:10.1200/JCO.2004.05.066 CrossRefPubMed Van Roosmalen, M. S., Stalmeier, P. F. M., Verhoef, L. C. G., Hoekstra-Weebers, J. E. H. M., Oosterwijk, J. C., Hoogerbrugge, N., et al. (2004). Randomized trial of a shared decision-making intervention consisting of trade-offs and individualized treatment information for BRCA1/2 mutation carriers. Journal of Clinical Oncology, 22, 3293–3301. doi:10.​1200/​JCO.​2004.​05.​066 CrossRefPubMed
Zurück zum Zitat Wellisch, D. K., Gritz, E. R., Schain, W., Wang, H. J., & Siau, J. (1992). Psychological functioning of daughters of breast cancer patients: Part II: Characterizing the distressed daughter of the breast cancer patient. Psychosomatics, 33, 171–179.CrossRefPubMed Wellisch, D. K., Gritz, E. R., Schain, W., Wang, H. J., & Siau, J. (1992). Psychological functioning of daughters of breast cancer patients: Part II: Characterizing the distressed daughter of the breast cancer patient. Psychosomatics, 33, 171–179.CrossRefPubMed
Zurück zum Zitat Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandanavica, 67, 361–370.CrossRef Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandanavica, 67, 361–370.CrossRef
Metadaten
Titel
Physician trust moderates the relationship between intolerance of uncertainty and cancer worry interference among women with Lynch syndrome
verfasst von
Lindsey A. Torbit
Jenna J. Albiani
Melyssa Aronson
Spring Holter
Kara Semotiuk
Zane Cohen
Tae L. Hart
Publikationsdatum
13.01.2016
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 3/2016
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-016-9711-4

Weitere Artikel der Ausgabe 3/2016

Journal of Behavioral Medicine 3/2016 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.