{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:55:47Z","timestamp":1790096147148,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2007,9,7]],"date-time":"2007-09-07T00:00:00Z","timestamp":1189123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001700","name":"Japanese Ministry of Education, Culture, Sports, Science and Technology","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Purpose<\/jats:italic>: To explore cancer patients' concerns about emotional disclosure (ED) to their physicians, and to investigate the factors associated with them.<\/jats:p><jats:p><jats:italic>Subjects and Methods<\/jats:italic>: Randomly selected ambulatory patients with lung cancer participated in this study. An 18\u2010item questionnaire to assess patients' beliefs regarding ED to their physicians was developed for this study. Factor analysis was used to extract the underlying factors of this scale. Patients were asked to answer this questionnaire along with other self\u2010administered questionnaires.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: Complete data were available from 104 patients. Four factors were extracted by factor analysis: \u2018Hesitation to disturb the physicians by ED\u2019, \u2018No perceived need for ED\u2019, \u2018Negative attitude towards ED\u2019, and \u2018Fear of a negative impact of ED\u2019. All factors reached standards of internal consistency. The prevalence of the above concerns, in that order, among the patients was 68, 67, 46, and 20%. Patients with high distress levels were significantly more likely to endorse \u2018Negative impact\u2019 (<jats:italic>p<\/jats:italic>=0.02). Older patients were more likely to report \u2018Negative attitude\u2019 (<jats:italic>p<\/jats:italic>=0.06), whereas male patients were more likely than females to report \u2018Hesitation\u2019 (<jats:italic>p<\/jats:italic>=0.05).<\/jats:p><jats:p><jats:italic>Conclusion<\/jats:italic>: Knowledge of such patient\u2010related barriers should better prepare physicians to build good communication channels with their cancer patients. Copyright \u00a9 2007 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1255","type":"journal-article","created":{"date-parts":[[2007,9,7]],"date-time":"2007-09-07T13:16:19Z","timestamp":1189170979000},"page":"460-465","source":"Crossref","is-referenced-by-count":44,"title":["Cancer patients' reluctance to disclose their emotional distress to their physicians: a study of Japanese patients with lung cancer"],"prefix":"10.1002","volume":"17","author":[{"given":"Toru","family":"Okuyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiharu","family":"Endo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Seto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiko","family":"Seki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuo","family":"Akechi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiaki 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