Abstract
The study was conducted to extend research on the reluctance for emotional disclosure to Chinese patients with a variety of types of cancer. A quantitative survey was conducted among 400 cancer patients in China. Statistical analysis revealed that among four confirmed factors on reluctance for emotional disclosure to physicians, no perceived need scored highest, followed by unwillingness to bother, no practical use, and fear of negative impact. Patient distress was negatively associated with no perceived need and no practical use. Patients with low family support scored significantly lower in all factors except fear of negative impact. Education and income affected the factor of no perceived need. Those patients having limited family support and limited education indicated a higher need for emotional support from their physicians and were more likely to open up to them. Cultural traits should be integrated into supportive cancer care research.
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References
Wang S. Cancer death rate increasing: cancer becoming number one killer in China. Beijing Daily, August 27, 2010, p. 33. http://mag.fznews.com.cn/html/fzwb/20100827/fzwb208990.html. Accessed: 10 July 2011
Chinese Ministry of Health. China’s Cancer Prevention and Control Plan (2004–2010). http://www.caca.org.cn/system/2009/03/18/010022193.shtml. Accessed: 21 July 2011
Zhang S, Lei Z, Li G, Zou X, Zhao P, Chen W (2010) A report of cancer incidence and mortality from 34 cancer registries in China, 2006. China Cancer 19:356–365
Robinson JD, Tian Y (2009) Cancer patients and the provision of informational social support. Health Commun 24:381–390
Okuyama T, Endo C, Seto T et al (2007) Cancer patients’ reluctance to disclose their emotional distress to their physicians: a study of Japanese patients with lung cancer. Psychooncology 17:460–465
McDaniel JS, Musselman DL, Porter MR, Reed DA, Nemeroff CB (1995) Depression in patients with cancer. Diagnosis, biology, and treatment. Arch Gen Psychiatry 52:89–99
Zabora J, BrintzenhofeSzoc K, Curbow B, Hooker C, Piantadosi S (2001) The prevalence of psychological distress by cancer site. Psychooncology 10:19–28
Lam WWT, Bonanno GA, Mancini AD, Ho S, Chan M, Hung WK, Or A, Fielding R (2009) Trajectories of psychological distress among Chinese women diagnosed with breast cancer. Psychooncology 19:1044–1051
Liu J-E, Mok E, Wong T (2005) Perceptions of supportive communication in Chinese patients with cancer: experiences and expectations. J Adv Nurs 52:262–270
Hall ET (1966) The hidden dimension. Random House, New York
Markus HR, Kitayama S (1991) Culture and the self: Implications for cognition, emotion, and motivation. Psychol Rev 98:224–253
Kim M-S, Klingle RS, Sharkey WF, Park HS, Smith DH, Cai D (2000) A test of a cultural model of patients’ motivation for verbal communication in patient–doctor interactions. Commun Monogr 67:262–283
Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370
Zebrack BJ, Zevon MA, Turk N, Nagarajan R, Whitton J, Robison LL, Zeltzer LK (2007) Psychological distress in long-term survivors of solid tumors diagnosed in childhood: a report from the childhood cancer survivor study. Pediatr Blood Cancer 49:47–51
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Wei, D., Tian, Y., Gao, H. et al. Patient Distress and Emotional Disclosure: A Study of Chinese Cancer Patients. J Canc Educ 28, 346–351 (2013). https://doi.org/10.1007/s13187-012-0404-6
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DOI: https://doi.org/10.1007/s13187-012-0404-6