[Breaking unexpected bad news: pilot study on communication style of physicians].
The aim of this study was to explore the physician's communication pattern when breaking a bad unexpected news. 30 videotaped consultations (VRM) were collected in which the physicians met an actress as a patient. The doctors received the x-ray report in which an apical mass was detected before (condition A) or during (condition B) the consultation. The VRM were analysed through the Roter Interaction Analysis System (RIAS). Data suggested in condition B a significant decrease in "process", "counselling" and "emotional" categories. In consultation where a bad unexpected news is communicated doctors seem to be less directive in the content and more emotionally defended.
Cattedra di Psicologia Medica, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano. psicocat@unimi.it
Loredana
L
Odone
Emanuela
E
Mauri
Elena
E
Vegni
Egidio Aldo
EA
Moja
D000328:Adult; D003142:Communication; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D016544:Patient Simulation; D010817:Physician-Patient Relations; D010820:Physicians / Q000706:statistics & numerical data*; D010865:Pilot Projects; D012017:Referral and Consultation; D014342:Truth Disclosure