Elizabeth Lobb|Phyllis Butow|Alexandra Barratt|Bettina Meiser|Clara Gaff|Mary?Anne Young|Eric Haan|Graeme Suthers|Michael Gattas|Kathy Tucker
Communication and information-giving in high-risk breast cancer consultations: influence on patient outcomes
University of Sydney|University of Sydney|University of Sydney|Prince of Wales Hospital|Royal Children's Hospital|Peter MacCallum Cancer Centre|Women's and Children's Hospital|Women's and Children's Hospital|Royal Brisbane and Women's Hospital|Royal Children's Hospital|UNSW Sydney|Prince of Wales Hospital
longitudinal study aimed document informationgiving patientcommunication styles clinical geneticists genetic counsellors consultants familial breast cancer clinics ii assess effect styles womens knowledge whether expectations met satisfaction risk perception psychological status total 158 women highrisk breast cancer families completed selfreport questionnaires 2 weeks preconsultation 4 weeks postconsultation consultations audiotaped transcribed coded multivariate logistic regressions showed discussing prophylactic mastectomy p000 oophorectomy p001 led women significantly expectations met discussing genetic testing significantly decreased anxiety p003 facilitating understanding significantly decreased depression p005 receiving summary letter consultation significantly lowered anxiety p001 significantly increased accuracy perceived risk p002 women whose consultant used supportive communications experienced significantly anxiety breast cancer 4 weeks followup p000 women significantly anxious genetic counselling conclusion study found consultants vary amount information give way communicate variation result better worse psychosocial outcomes greater use supportive counselling communications appeared increase anxiety breast cancer identifying methods assist consultants address emotional issues effectively may helpful