{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:41:38Z","timestamp":1791996098130,"version":"4.4.0"},"reference-count":42,"publisher":"Wiley","issue":"14","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Effective communication between cancer patients and providers is critical for addressing psychological distress, reducing uncertainty, and promoting patient well\u2010being. This is particularly relevant during medical appointments that may elicit uncertainty, such as surgical consultations for newly diagnosed women with breast cancer. This study aimed to evaluate how pre\u2010appointment anxiety and illness uncertainty affect patient\u2013provider communication in breast cancer surgical consultations and subsequent post\u2010appointment well\u2010being. Breast cancer patient anxiety has been studied as an outcome of provider communication, though less is known about the extent to which preexisting anxiety or uncertainty act as antecedents to effective patient\u2013provider communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study analyzed videorecorded breast cancer surgical consultations (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200951) and corresponding patient surveys to understand how pre\u2010appointment anxiety influences pre\u2010appointment patient uncertainty, patient\u2013provider communication during the appointment, and subsequent post\u2010appointment uncertainty.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proposed model achieved good fit to the data such that more pre\u2010appointment anxiety was associated with more pre\u2010appointment uncertainty, more pre\u2010appointment anxiety was associated with more empathic opportunities per minute, and more empathic opportunities were associated with less post\u2010appointment uncertainty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results indicate breast cancer patients with anxiety pre\u2010appointment are at\u2010risk for more illness uncertainty and are more likely to explicitly provide empathic opportunities. This supports the need for added attention to empathic opportunities to not only address patients emotionally but to also assess whether a patient may be at higher risk of having preexisting anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.70003","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T04:38:03Z","timestamp":1721363883000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Examining the role of pre\u2010visit anxiety on patient uncertainty and breast cancer patient\u2013provider communication"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4121-3697","authenticated-orcid":false,"given":"Elizabeth A.","family":"Broadbridge","sequence":"first","affiliation":[{"name":"Department of Communication Rutgers University  New Brunswick New Jersey 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