Abstract

Background: COVID-19 represents a threat both for the physical and psychological health of oncological patients experiencing heightened distress levels to which the fear of the virus is also added. Moreover, fear of COVID-19 could lead oncological patients to experience feelings of hopelessness related to their medical care. Patient-centered communication may act as a buffer against the aforementioned variables. This study aimed to test the role of doctor–patient communication in the relationship between fear of COVID-19 and hopelessness. Methods: During the COVID-19 pandemic, a sample of 90 oncological outpatients was recruited (40 males (44.4%) and 50 females (55.6%), mean age = 66.08 (SD = 12.12)). A structured interview was developed and used during the pandemic to measure the patients’ perceived (A) fear of COVID-19, and (B) feelings of hopelessness, and (C) physicians’ use of empathetic and (D) clear language during the consultation. A multiple mediation model was tested, and the effects between males and females were also compared. Results: Empathetic and clear doctor–patient communication buffered the adverse effect of the fear of COVID-19 on hopelessness through a full-mediation model. The effects did not differ between males and females in the overall model but its indirect effects. Discussions: Patient-centered communication using empathy and clear language can buffer the adverse effect of the fear of COVID-19 and protect oncological patients from hopelessness during the pandemic. These findings might help to improve clinical oncological practice.

Highlights

  • Introduction iationsIn March 2020, due to the global spread of the coronavirus disease (COVID-19), theWorld Health Organization declared the situation as a pandemic [1,2,3].The COVID-19 virus can rapidly spread and it causes a potentially mortal acute respiratory syndrome [1,2,4,5,6,7]. effective preventive policies were adopted by countries worldwide, the COVID-19 epidemic continued to demonstrate a growing pattern of community transmission

  • Effective preventive policies were adopted by countries worldwide, the COVID-19 epidemic continued to demonstrate a growing pattern of community transmission

  • A good doctor–patient management [50]. They reported being scared of COVID-19 concommunication based on patient-centered communication (PCC) seems to contribute to the reduction in distress and to the tagion as well as any of its possible repercussions on cancer treatment

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Summary

Introduction

Introduction iationsIn March 2020, due to the global spread of the coronavirus disease (COVID-19), theWorld Health Organization declared the situation as a pandemic [1,2,3].The COVID-19 virus can rapidly spread and it causes a potentially mortal acute respiratory syndrome [1,2,4,5,6,7]. effective preventive policies were adopted by countries worldwide (i.e., social isolation, social distancing, school closures, reduction or suspension of economic activities, and curfew [8,9,10]), the COVID-19 epidemic continued to demonstrate a growing pattern of community transmission. In March 2020, due to the global spread of the coronavirus disease (COVID-19), the. The COVID-19 virus can rapidly spread and it causes a potentially mortal acute respiratory syndrome [1,2,4,5,6,7]. Effective preventive policies were adopted by countries worldwide (i.e., social isolation, social distancing, school closures, reduction or suspension of economic activities, and curfew [8,9,10]), the COVID-19 epidemic continued to demonstrate a growing pattern of community transmission. Was one of the most affected countries during the outbreak, initially accounting for over 223.000 individuals infected by COVID-19 and more than 31.000 deaths [11]. In May 2021, 4.111.110 people resulted having contracted the virus, and 122.833 of them died as a consequence [12].

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