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Appendix 4. The Clinical Interview

Lecture



The clinical interview is conducted in the form of a non-formalized interview or a semi-structured conversation. Depending on the objectives of the study, the range of questions to be discussed is determined, but the duration and content of the conversation are not regulated in advance, which allows the patient to freely present their problems.

Sociodemographic characteristics

1.Sex

2.Age

3.Education

4.Occupation

5.Marital status:

married;

common-law marriage;

single/unmarried;

divorced;

widower/widow

6.Having children:

yes;

no

Clinical characteristics

7.Disease diagnosis

8.Disease stage

9.Clinical stages of the course of the disease:

hospitalization;

before surgery;

after surgery;

primary treatment;

treatment of recurrence

10.What treatment are you currently undergoing:

preparing for surgery;

after surgery, further treatment is forthcoming;

undergoing chemotherapy;

undergoing radiation therapy;

undergoing chemoradiation therapy;

undergoing other (which?) treatment

11.Duration of the disease (months)

Clinical and psychological characteristics

Attitude toward the diagnosis

12.Nature of the emotional reaction to the discovery of the disease (recurrence):

fear, shock;

anxiety;

agitation;

calmness

13.Information about the prospects of the disease:

positive information;

negative information;

positive and negative information;

have no information

14.The main source of information about the disease for you:

doctor;

television, radio;

internet;

medical literature;

relatives and acquaintances;

other

15.Acknowledgment of the malignant nature of the disease

denial;

partial acknowledgment;

acknowledgment

Attitude toward treatment

16.What types of cancer treatment do you know of, and which of them seem to you the most frightening, the most dangerous?

17.On what (whom) does the success of treatment depend to the greatest extent:

on the form and stage of the disease;

on financial means;

on the person themselves, their will to live;

on the doctor (professional and human qualities);

on God (fate, luck);

other

18.What was your reaction when treatment was prescribed?

19.Attitude toward treatment procedures now:

fear of helplessness;

fear of pain;

fear of changes in appearance;

complications;

the main thing is that they are treating it

20.Is communication with the doctor a source of support for you (is there rapport with the doctor):

yes (in what it consists);

difficult to say;

no

21.Are you sufficiently informed about your treatment by the doctor:

yes;

no

22.Do you strive to obtain new information about the disease and treatment?

23.Are there questions you would like to discuss with the doctor additionally:

the outcome of the disease;

about treatment;

about life after the disease

24.Do you inform your relatives about your treatment:

yes;

no

25.What enables you to endure the hardships of being in the clinic and the treatment:

confidence that everything will be all right;

faith in the doctor, in medicine;

other

26.If we assume that responsibility for the cure equals 100%, what share belongs to the sick person, and what share to the doctor?

The internal picture of the disease

27.Is there a subjective cause of the disease:

yes;

no

28.Model of the disease (as conceived by the patient):

physical;

psychological;

heredity;

age as a cause;

don't know

29.Is there any experience of illness in general (being in the role of a patient):

yes (previously underwent surgeries, etc. and recovered);

no (before this, considered myself a healthy person);

there are chronic concomitant diseases (you may note which)

30.Was there any experience of interacting with a cancer patient:

yes;

no

31.Are there relatives and close ones with cancer:

yes (outcome – cure);

yes (fatal outcome);

no (just heard that there are cancer patients)

32.Were there any premonitions, thoughts that this could happen to you too:

yes;

no

33.Did you monitor your health, undergo preventive check-ups, etc.:

yes;

no

34.Were there signs of the disease:

yes;

no

35.How much time passed from the onset of signs of malaise to seeking medical help (months)?

36.The patient's understanding of the personal meaning of the disease: illness is

a trial;

a punishment;

a resolution of life's problems;

information about oneself, about life;

don't know

37.The personal meaning of recovery

family, children, home;

social ties;

unfinished business;

helplessness;

work;

other

Social and psychological situation in connection with the disease

38.Do you experience difficulties in informing your immediate circle about your diagnosis:

yes;

no

39.Whom was it harder to tell about the disease:

spouse;

children;

parents;

other close ones;

other people

40.Does a person need psychological support in a situation of illness:

yes;

no

41.Was there support during the stage from the discovery of the disease to admission to the clinic:

they provided support, and it helped;

they provided support, but it did not help;

there was no support

42.Who from your circle is supporting you now:

spouse;

children;

friend;

colleagues;

neighbors;

ward neighbors;

no one;

parents

43.Whose support do you need most of all:

spouse;

family;

friends;

doctor;

psychologist;

other

44.How do you feel about psychological help from a professional psychologist:

everyone needs it;

I need it;

it is not needed

Relationships within the family

45.Nature of the expected relationships within the family in connection with the disease:

confident of support;

the future will show;

there will be no support

46.Nature of the change in family relationships in connection with the disease (as conceived by the patient):

improved;

remained the same;

worsened

Relationships with others

47.The influence of the disease on the perception of relationships with significant others:

relationships improved;

relationships remained the same;

relationships worsened

48.Change in social functioning:

remained the same;

declined

Attitude toward the present and the future

49.Has your life changed in connection with the disease:

yes, my place of residence, daily routine, and diet have changed, I had to give up some plans;

no;

everything has changed

50.Outlook on the future:

optimistic («I will recover, life still has meaning»);

uncertain («I don't know, it depends on the doctors»);

hopeless («nothing will help me anymore»);

have not thought about it

51.Can you say that, despite the illness, you find much in your life that allows you to be called a happy person?

52.Do you have plans for the future:

there are specific plans – meetings, trips, unfinished business;

no, there is a general picture of the future

53.What can a person do for themselves to make it easier to cope with the disease?

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Lectures and tutorial on "Psycho-oncology"

Terms: Psycho-oncology