How doctors' communication style and race concordance influence African-Caribbean patients when disclosing depression

Patient Education and Counseling
A AdamsD Roter

Abstract

To determine the impact of doctors' communication style and doctor-patient race concordance on UK African-Caribbeans' comfort in disclosing depression. 160 African-Caribbean and 160 white British subjects, stratified by gender and history of depression, participated in simulated depression consultations with video-recorded doctors. Doctors were stratified by black or white race, gender and a high (HPC) or low patient-centred (LPC) communication style, giving a full 2×2×2 factorial design. Afterwards, participants rated aspects of doctors' communication style, their comfort in disclosing depression and treatment preferences Race concordance had no impact on African-Caribbeans' comfort in disclosing depression. However a HPC versus LPC communication style made them significantly more positive about their interactions with doctors (p=0.000), their overall comfort (p=0.003), their comfort in disclosing their emotional state (p=0.001), and about considering talking therapy (p=0.01); but less positive about considering antidepressant medication (p=0.01). Doctors' communication style was shown to be more important than patient race or race concordance in influencing African Caribbeans' depression consultation experiences. Changing doc...Continue Reading

References

Jan 1, 1993·The International Journal of Social Psychiatry·K Lloyd
Mar 31, 1998·The British Journal of Psychiatry : the Journal of Mental Science·S M OdellS P Sashidharan
Aug 18, 1999·JAMA : the Journal of the American Medical Association·L Cooper-PatrickD E Ford
Aug 12, 2000·Journal of General Internal Medicine·M Dwight-JohnsonK B Wells
Dec 23, 2003·Journal of General Internal Medicine·Pat F BassCharles H Griffith
Jun 24, 2004·Risk Analysis : an Official Publication of the Society for Risk Analysis·Marilyn M SchapiraAnn B Nattinger
Dec 1, 2004·American Journal of Public Health·Rachel L JohnsonLisa A Cooper
Sep 28, 2005·Archives of Internal Medicine·Joseph J GalloDaniel E Ford
Aug 16, 2006·Cancer·Howard S GordonJulianne Souchek
Nov 8, 2007·Sociology of Health & Illness·Sara Mallinson, Jennie Popay
Feb 12, 2008·Journal of General Internal Medicine·Bri K GhodsLisa A Cooper
Jul 31, 2009·Lancet·Alex J MitchellSanjay Rao
Sep 19, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Lynda Tait
Dec 12, 2012·International Journal of Geriatric Psychiatry·Yolonda R PickettMartha L Bruce

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Citations

May 6, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Patricia Jones, Fasiha Kanwal
Apr 20, 2019·Psychology and Psychotherapy·Dawn Edge, Henna Lemetyinen

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