Why should I talk about emotion? Communication patterns associated with physician discussion of patient expressions of negative emotion in hospital admission encounters.

Patient Education and Counseling
Kristen AdamsWendy G Anderson

Abstract

To describe hospital-based physicians' responses to patients' verbal expressions of negative emotion and identify patterns of further communication associated with different responses. Qualitative analysis of physician-patient admission encounters audio-recorded between August 2008 and March 2009 at two hospitals within a university system. A codebook was iteratively developed to identify patients' verbal expressions of negative emotion. We categorized physicians' responses by their immediate effect on further discussion of emotion - focused away (away), focused neither toward nor away (neutral), and focused toward (toward) - and examined further communication patterns following each response type. In 79 patients' encounters with 27 physicians, the median expression of negative emotion was 1, range 0-14. Physician responses were 25% away, 43% neutral, and 32% toward. Neutral and toward responses elicited patient perspectives, concerns, social and spiritual issues, and goals for care. Toward responses demonstrated physicians' support, contributing to physician-patient alignment and agreement about treatment. Responding to expressions of negative emotion neutrally or with statements that focus toward emotion elicits clinically re...Continue Reading

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Citations

Oct 1, 2013·Journal of Palliative Medicine·Anthony L Back, Robert M Arnold
Jul 23, 2013·Current Opinion in Psychiatry·Gricelda Gómez, Emilio Aillach
Mar 11, 2015·Journal of Psychiatric and Mental Health Nursing·U VolpeA Fiorillo
Jul 16, 2013·Patient Education and Counseling·Arnstein FinsetCornelia Ruland
Apr 23, 2013·Patient Education and Counseling·Donald J CegalaBenedict C Nwomeh
Feb 5, 2014·Patient Education and Counseling·Annette Sofie Davidsen, Christina Fogtmann Fosgerau
May 12, 2016·Journal of Palliative Medicine·Arif H KamalLynn F Reinke
Apr 30, 2016·Pain·Claire E Ashton-James, Michael K Nicholas
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Feb 20, 2020·Journal of Cutaneous Medicine and Surgery·Valérie Johnson GirardMarie-Thérèse Lussier
Jun 23, 2020·American Journal of Audiology·Jennifer WatermeyerLiora Brom
Oct 11, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Chetna MalhotraKathryn I Pollak
Jan 8, 2021·Clinical Orthopaedics and Related Research·Amanda I GonzalezMark Queralt
Nov 5, 2020·Current Trauma Reports·Mackenzie CookKaren Brasel
Mar 21, 2021·Patient Education and Counseling·Hélène Givron, Martin Desseilles
Mar 31, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Helen HaukBenny Wohlfarth
Jul 27, 2021·Patient Education and Counseling·Bingyu TieQingyan Wang
Jun 26, 2018·Journal of Pain and Symptom Management·Abby R Rosenberg

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