Coping styles, health status and advance care planning in patients with hematologic malignancies

Fausto R. Loberiza, Barbara A Fletcher, Susan D. Block, Anthony L. Back, Roberta E. Goldman, James A. Tulsky, Stephanie J. Lee

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physicianpatient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.

Original languageEnglish (US)
Pages (from-to)2342-2348
Number of pages7
JournalLeukemia and Lymphoma
Volume52
Issue number12
DOIs
StatePublished - Dec 1 2011

Fingerprint

Advance Care Planning
Hematologic Neoplasms
Health Status
Communication
Living Wills
Proxy
Hematology
Life Expectancy
Observational Studies
Multivariate Analysis
Nurses
Prospective Studies
Psychology

Keywords

  • Advance care planning
  • Coping
  • Health status
  • Hematological cancer

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

Cite this

Loberiza, F. R., Fletcher, B. A., Block, S. D., Back, A. L., Goldman, R. E., Tulsky, J. A., & Lee, S. J. (2011). Coping styles, health status and advance care planning in patients with hematologic malignancies. Leukemia and Lymphoma, 52(12), 2342-2348. https://doi.org/10.3109/10428194.2011.601474

Coping styles, health status and advance care planning in patients with hematologic malignancies. / Loberiza, Fausto R.; Fletcher, Barbara A; Block, Susan D.; Back, Anthony L.; Goldman, Roberta E.; Tulsky, James A.; Lee, Stephanie J.

In: Leukemia and Lymphoma, Vol. 52, No. 12, 01.12.2011, p. 2342-2348.

Research output: Contribution to journalArticle

Loberiza, FR, Fletcher, BA, Block, SD, Back, AL, Goldman, RE, Tulsky, JA & Lee, SJ 2011, 'Coping styles, health status and advance care planning in patients with hematologic malignancies', Leukemia and Lymphoma, vol. 52, no. 12, pp. 2342-2348. https://doi.org/10.3109/10428194.2011.601474
Loberiza, Fausto R. ; Fletcher, Barbara A ; Block, Susan D. ; Back, Anthony L. ; Goldman, Roberta E. ; Tulsky, James A. ; Lee, Stephanie J. / Coping styles, health status and advance care planning in patients with hematologic malignancies. In: Leukemia and Lymphoma. 2011 ; Vol. 52, No. 12. pp. 2342-2348.
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