title: [Teenage and young adult cancer: how to make effective disclosures?].
abstract: Announcement of diagnosis is a critical step in establishing a trust-based relationship of quality between patient and physician. Disclosing "bad news" is a difficult and sensitive task which has direct consequences on psychological, emotional and relational levels, as well as on therapeutic management. This is a potentially traumatic experience which requires a long process of integration and psychological adaptation. The hematologist-oncologist occupies a central position: He introduces the framework for a multidisciplinary care, while taking into account the personality and behavior of the teenager or young adult. We propose an analysis of doctor-patient interaction; an overview of psychological issues associate with diagnosis disclosure; suggestions to build and manage communication with patients; and a clarification of the role of the psychologist and of the psychological adjustment at the time of disclosure.
authors: Centre Antoine-Lacassagne, Département des soins de support, 33 avenue de Valombrose, 06189 Nice Cedex, France.
authors: Ivanka
authors: I
authors: Ezhova
authors: Centre Antoine-Lacassagne, Département des soins de support, 33 avenue de Valombrose, 06189 Nice Cedex, France.
authors: Nicole
authors: N
authors: Martinez
authors: Centre Antoine-Lacassagne, Département des soins de support, 33 avenue de Valombrose, 06189 Nice Cedex, France.
authors: Catherine
authors: C
authors: Ciais
authors: Centre Antoine-Lacassagne, Département des soins de support, 33 avenue de Valombrose, 06189 Nice Cedex, France.
authors: Anne
authors: A
authors: Fogliarini
authors: Centre Antoine-Lacassagne, Département des soins de support, 33 avenue de Valombrose, 06189 Nice Cedex, France.
authors: Faredj
authors: F
authors: Cherikh
authors: Institut Paoli-Calmettes, Département d'hématologie, 13009, Marseille, France.
authors: Diane
authors: D
authors: Coso
authors: Centre Antoine Lacassagne, Département d'oncologie médicale, 06189 Nice, France.
authors: Frédéric
authors: F
authors: Peyrade
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D003674:Defense Mechanisms; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology*; D010817:Physician-Patient Relations; D024382:Professional Role; D011385:Projection; D011586:Psychology, Clinical; D014342:Truth Disclosure; D055815:Young Adult
keywords: coping; defense mechanisms; disclosure; doctor-patient interaction; emotional reactions; teenager/young adult