Physiological linkage during interactions between doctors and cancer patients

Vigier, Marta; Thorson, Katherine R.; Andritsch, Elisabeth; Stoeger, Herbert; Suerth, Leonie; Farkas, Clemens; Schwerdtfeger, Andreas

doi:10.1016/j.socscimed.2021.114220

Cited by 6 publications

(6 citation statements)

References 63 publications

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“…Satisfaction is considered an important factor for continuity of care that contributes to the stability of the patient−healthcare professional relationship 31 . The vast majority of respondents reported a feeling of comfort regarding the services provided in the PMP and its crucial role in helping them to gain control over their pain.…”

Section: Resultsmentioning

confidence: 99%

Cancer pain management program: Patients' experiences–A qualitative study

et al. 2022

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Background Cancer patients frequently experience unrelieved pain as a significant symptom. However, several studies have found that cancer‐related pain is frequently undertreated. Purpose This study aimed to understand the pain experiences of cancer patients who were newly engaged in a multidisciplinary pain management program (PMP) at King Hussein Cancer Centre and still receiving cancer treatments and cancer pain management. Methods A qualitative study design and semi‐structured interviews were used to obtain data from 21 cancer patients who were purposefully selected. All patients had advanced cancer, including skeleton metastases. All female participants had breast cancer, and all male participants had prostate cancer. Results It was found that the patient−healthcare professional relationship and satisfaction with services emerged as two themes in healthcare professionals' pain management. Conclusion The results from this study can offer a new understanding of the knowledge related to satisfaction of patients with cancer in terms of the quality of pain management. Additional qualitative studies are required to replicate the findings in populations from different backgrounds, ethnicities, and cultures experiencing cancer pain.

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Section: Resultsmentioning

confidence: 99%

Cancer pain management program: Patients' experiences–A qualitative study

et al. 2022

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“…Psychotherapist-to-patient physiological contagion (but not the reversed pattern) was found during mock psychotherapy sessions, and it was higher in dyads including therapists with a secure attachment style (Palmieri et al, 2018). Similarly, oncologist-to-patient contagion was observed during consultations for cancer treatment (Vigier et al, 2021). Conversely, patient-to-clinician contagion was observed in psychotherapy, but only with trained therapists (Messina et al, 2013).…”

Section: Psychotherapy and Clinician-patient Interactionmentioning

confidence: 98%

Neurophysiological markers of asymmetric emotional contagion: implications for organizational contexts

Boukarras,

Ferri,

Borgogni

et al. 2024

Front. Integr. Neurosci.

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Emotions play a vital role within organizations, impacting various crucial aspects of work such as job satisfaction, performance, and employee well-being. Understanding how emotional states spread in organizational settings is therefore essential. Recent studies have highlighted that a leader’s emotional state can influence their followers, with significant consequences on job performance. Leaders thus possess the ability to influence their employees’ psychological state and, consequently, their well-being. However, the biological underpinnings of emotional contagion from leaders to followers remain unexplored. The field of interpersonal (neuro)physiology, which involves recording brain and peripheral activity of multiple individuals during interactions, holds great potential for investigating this phenomenon. Analyzing the time-lagged synchronization of neurophysiological activity during interactions may serve as a measure of the leader’s influence on their followers in organizational contexts. In this “mini review,” we examine empirical studies that have employed interpersonal (neuro)physiology to quantify the asymmetrical contagion of emotions in different contexts. Asymmetrical contagion was operationalized as the unidirectional influence exerted by one individual (i.e., the “sender”) to another one (i.e., the “receiver”), whereby the receiver’s state can be predicted by the sender’s one. The reviewed literature reveals that delayed synchronization of physiological states is a widespread phenomenon that may underpin the transmission of emotions. These findings have significant implications for various aspects of organizational life, including leader-to-employee communication, and could drive the development of effective leadership training programs. We propose that Organizational Neuroscience may benefit from including interpersonal neurophysiology in its methodological toolkit for laboratory and field studies of leader-follower dynamics.

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Section: Concordancementioning

confidence: 99%

“…This is associated with better health outcomes and reduced mortality [ 111 ]. However, patient satisfaction can decrease if the doctor does not continue to develop the relationship [ 111 ]. elationship building of this kind is seen to be a health provider factor, with less onus on the patient for non-adherent behaviour.…”

Section: Concordancementioning

confidence: 99%

When can cancer patient treatment nonadherence be considered intentional or unintentional? A scoping review

2023

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Background Treatment nonadherence in cancer patients remains high with most interventions having had limited success. Most studies omit the multi-factorial aspects of treatment adherence and refer to medication adherence. The behaviour is rarely defined as intentional or unintentional. Aim The aim of this Scoping Review is to increase understanding of modifiable factors in treatment nonadherence through the relationships that physicians have with their patients. This knowledge can help define when treatment nonadherence is intentional or unintentional and can assist in predicting cancer patients at risk of nonadherence and in intervention design. The scoping review provides the basis for method triangulation in two subsequent qualitative studies: 1. Sentiment analysis of online cancer support groups in relation to treatment nonadherence; 2. A qualitative validation survey to refute / or validate claims from this scoping review. Thereafter, framework development for a future (cancer patient) online peer support intervention. Methods A Scoping Review was performed to identify peer reviewed studies that concern treatment / medication nonadherence in cancer patients—published between 2000 to 2021 (and partial 2022). The review was registered in the Prospero database CRD42020210340 and follows the PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Searches. The principles of meta-ethnography are used in a synthesis of qualitative findings that preserve the context of primary data. An aim of meta-ethnography is to identify common and refuted themes across studies. This is not a mixed methods study, but due to a limited qualitativevidence base and to broaden findings, the qualitative elements (author interpretations) found within relevant quantitative studies have been included. Results Of 7510 articles identified, 240 full texts were reviewed with 35 included. These comprise 15 qualitative and 20 quantitative studies. One major theme, that embraces 6 sub themes has emerged: ‘Physician factors can influence patient factors in treatment nonadherence’. The six (6) subthemes are: 1. Suboptimal Communication; 2. The concept of Information differs between Patient and Physician; 3.Inadequate time. 4. The need for Treatment Concordance is vague or missing from concepts; 5. The importance of Trust in the physician / patient relationship is understated in papers; 6. Treatment concordance as a concept is rarely defined and largely missing from studies. Line of argument was drawn Treatment (or medication) nonadherence that is intentional or unintentional is often attributed to patient factors—with far less attention to the potential influence of physician communication factors. The differentation between intentional or unintentional nonadherence is missing from most qualitative and quantitative studies. The holistic inter-dimensional / multi-factorial concept of ‘treatment adherence’ receives scant attention. The main focus is on medication adherence / nonadherence in the singular context. Nonadherence that is unintentional is not necessarily passive behaviour and may overlap with intentional nonadherence. The absence of treatment concordance is a barrier to treatment adherence and is rarely articulated or defined in studies. Conclusion This review demonstrates how cancer patient treatment nonadherence is often a shared outcome. An equal focus on physican and patient factors can increase understanding of the two main types of nonadherence (intentional or unintentional). This differentation should help improve the fundamentals of intervention design.

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Physiological linkage during interactions between doctors and cancer patients

Cited by 6 publications

References 63 publications

Cancer pain management program: Patients' experiences–A qualitative study

Cancer pain management program: Patients' experiences–A qualitative study

Neurophysiological markers of asymmetric emotional contagion: implications for organizational contexts

When can cancer patient treatment nonadherence be considered intentional or unintentional? A scoping review

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