Psychiatric Interviewing Techniques VI. Experimental Study: Eliciting Feelings

Cox, Anthony; Holbrook, Debra S.; Rutter, Michael

doi:10.1192/bjp.139.2.144

Cited by 48 publications

(29 citation statements)

References 10 publications

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“…This involves restating in the doctor's own words what he or she believes the patient has expressed. Empathic comments are also helpful (Cox et al. 1981; Goldberg et al.…”

Section: Resultsmentioning

confidence: 99%

“…1993) by illustrating interest and understanding of the patient's concerns. Questions with a direct psychological focus can also help to elicit information from the patient (Cox et al. 1981; Goldberg et al.…”

Section: Resultsmentioning

confidence: 99%

“…asking for facts) generate less expression of feelings and self‐disclosure, while open questions used with a psychological focus (i.e. feelings) tend to increase expression of feelings and self‐disclosure (Cox et al. 1981).…”

Section: Resultsmentioning

confidence: 99%

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How to recognize and manage psychological distress in cancer patients

et al. 2005

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Psychological distress is common in cancer patients, however, it is often unrecognized and untreated. We aimed to identify barriers to cancer patients expressing their psychological concerns, and to recommend strategies to assist oncologists to elicit, recognize, and manage psychological distress in their patients. Medline, Psychlit, and the Cochrane databases were searched for articles relating to the detection of emotional distress in patients. Patients can provide verbal and non-verbal information about their emotional state. However, many patients may not reveal emotional issues as they believe it is not a doctor's role to help with their emotional concerns. Moreover, patients may normalize or somatize their feelings. Anxiety and depression can mimic physical symptoms of cancer or treatments, and consequently emotional distress may not be detected. Techniques such as active listening, using open questions and emotional words, responding appropriately to patients' emotional cues, and a patient-centred consulting style can assist in detection. Screening tools for psychological distress and patient question prompt sheets administered prior to the consultation can also be useful. In conclusion, the application of basic communication techniques enhances detection of patients' emotional concerns. Training oncologists in these techniques should improve the psychosocial care of cancer patients.

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“…This involves restating in the doctor's own words what he or she believes the patient has expressed. Empathic comments are also helpful (Cox et al. 1981; Goldberg et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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How to recognize and manage psychological distress in cancer patients

et al. 2005

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“…MJA 71 These open-ended questions can be asked before discussing prognosis, palliative care or end-of-life issues so that the patient's concerns, goals and values can be determined. 72 It can also help create an atmosphere where the patient is treated as a "whole person" (as well as the family) and feels that the health care professional is interested in and sensitive to their problems and feelings.…”

Section: S88mentioning

confidence: 99%

Life expectancy discussions in a multisite sample of Australian medical oncology outpatients

Zucca

Sanson‐Fisher

Waller

et al. 2015

Medical Journal of Australia

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Objectives: The study examined: 1) the proportion of patients who received their preferred level of information about life expectancy; and 2) sociodemographic, clinical and psychological factors associated with patients' perceptions of whether they received too little, too much, or the right amount of information about life expectancy. Design: Cross‐sectional survey. Setting: Eleven large Australian medical oncology treatment centres. Participants: A total of 1431 medical oncology outpatients participated (81% consent rate). Eligible patients were approached between September 2012 and May 2014. Main outcome measures: Patients indicated whether the information about life expectancy they received aligned with their preferences. Results: Almost one in four patients (24%) received too little information, 4% received too much, and 50% received all the information they wanted; 22% of patients neither wanted nor received information about life expectancy. Patients were more likely to receive too little information if they were not in remission (odds ratio [OR], 1.77), did not know their cancer stage at diagnosis (OR, 3.64), or were anxious (OR, 1.48) or depressed (OR, 1.48). Patients had greater odds of receiving too much information if they were younger (OR, 1.45), had more advanced cancer (OR, 2.01) or did not know their cancer stage at diagnosis (OR, 4.42). Conclusions: That fact that 28% of cancer patients did not receive their desired level of information about life expectancy highlights the difficulties associated with discussing this sensitive topic. To ensure that life expectancy discussions correspond with patient preferences, clinicians should routinely ask patients whether they want to know this information, in what format, and at which level of detail.

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“…The straightest path to increased recognition of adolescent suicidality is simply to ask. In fact, it has been shown that direct questioning, simple empathic support, and attentiveness yield the greatest rates of emotional and behavioral disclosure from adolescents and their parents (93,94). Reducing adolescent access to firearms and assessing for past attempts or future plans of suffocation can appropriately target resources to adolescents with the highest risk of suicide completion.…”

Section: Recognition Of Suicidality In Adolescents In Psychiatric Andmentioning

confidence: 98%

Educating health care trainees and professionals about suicide prevention in depressed adolescents

Rice

Sher²

2013

International Journal of Adolescent Medicine and Health

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Adolescent depression is a highly prevalent disorder with significant morbidity and suicide mortality. It is simultaneously highly responsive to treatment. Adolescents wish to discuss depression with their providers, and providers routinely receive opportunities to do so. These characteristics of prevalence, morbidity, mortality, responsiveness, and accessibility make adolescent depression an excellent target of care. However, most health care trainees and professionals report low confidence in caring for adolescent depression. As a caregiver community, we fare poorly in routine matters of assessment and management of adolescent depression. All health care professionals are trained within a medical model. In this light, the conceptualization of adolescent depression and suicidality within the medical model may increase provider confidence and performance. Epidemiology and neurobiology are presented with emphasis in this review. Legal concerns also affect health care professionals. For example, providers may deviate from evidence-based medicine owing to anxieties that the identification and treatment of depression may induce suicide and consequent legal culpability. A review of the historical context and relevant outcome trials concerning the increased risk of suicidality in depressed adolescents treated with selective-serotonin reuptake inhibitors may increase provider comfort. Furthermore, increased didactic and experiential training improve provider performance. In this work, proven models were discussed, and the testable hypothesis that education incorporating the views of this article can produce the best care for depressed adolescents.

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Psychiatric Interviewing Techniques VI. Experimental Study: Eliciting Feelings

Cited by 48 publications

References 10 publications

How to recognize and manage psychological distress in cancer patients

How to recognize and manage psychological distress in cancer patients

Life expectancy discussions in a multisite sample of Australian medical oncology outpatients

Educating health care trainees and professionals about suicide prevention in depressed adolescents

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