Influence of Negative Emotional Expressions on the Outcomes of Shared Decision Making During Oncofertility Consultations in Japan

J Adolesc Young Adult Oncol. 2018 Aug;7(4):504-508. doi: 10.1089/jayao.2017.0108. Epub 2018 Jul 23.

Abstract

This report examines how negative emotional expressions (NEE) influence the consequences of shared decision making (SDM) in oncofertility treatment among 32 young female cancer patients and 19 family members. Using a cross-sectional observational study, results showed that NEE influence the outcome consequences of SDM related to patients' decisions about desired treatment(s) and that the absence of negative emotional reactions to information from doctors was related to willingness to receive the desired treatment. This suggests that healthcare providers need to be sensitive to NEE of patients and their families, and highlights the need for psychological counseling before oncofertility consultation.

Keywords: decisional conflict; negative emotional evaluation; oncofertility consultation; patient–family–doctor communication; shared decision making.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Decision Making / physiology*
  • Emotions / physiology*
  • Female
  • Fertility / physiology*
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Referral and Consultation / standards*
  • Treatment Outcome
  • Young Adult