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Related Experiment Videos

Communicating with cancer patients.

S Gautam1, M Nijhawan

  • 1SMS Medical College, Jaipur, India.

The British Journal of Psychiatry : the Journal of Mental Science
|June 1, 1987
PubMed
Summary

Most cancer patients want to know their diagnosis, while most relatives prefer not to inform patients. Sociocultural factors in India positively influence family acceptance of cancer truth disclosure.

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Area of Science:

  • Oncology
  • Medical Sociology
  • Psycho-oncology

Background:

  • Communication of cancer diagnosis is a complex ethical and psychosocial issue.
  • Patient and family preferences regarding disclosure vary significantly across cultures.

Purpose of the Study:

  • To investigate patient and relative preferences for cancer diagnosis disclosure in an Indian setting.
  • To explore emotional reactions and behavioral changes associated with disclosure.

Main Methods:

  • Prospective study involving structured interviews with 100 cancer patients and their relatives.
  • Examination of reasons for disclosure/non-disclosure, emotional responses, and behavioral changes.

Main Results:

  • 71% of patients who knew their diagnosis desired truth disclosure.
  • 81% of relatives wanted to know the truth, but 77% preferred patients not be told.
  • Patients experienced immediate emotional reactions (anxiety, dejection) but accepted the diagnosis.

Conclusions:

  • Indian families exhibit a more positive attitude towards truth disclosure compared to some Western settings.
  • Sociocultural factors play a significant role in the acceptance of cancer diagnosis disclosure.

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