The Lancet
 1993
DOI: 10.1016/0140-6736(93)90219-7
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Giving sad and bad news

Lesley Fallowfield
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Cited by 260 publications

(128 citation statements)
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“…This finding is consistent with the suggestion in some studies that when the prognosis is very poor, some patients may prefer not to know24 or hold on to the belief that they are being treated for a cure 25. It is clear that issues of communication are important in this disease, particularly as it is now generally accepted that communication with cancer patients should be straightforward and open 26 27 28. Our findings underline that the consequences of the communication style adopted by medical staff need to be considered in terms of distress for both the patients and their families, particularly when many families seem to adopt a coping style which is not based on the continuous and explicit discussion of the truth 29 30 31…”
Section: Discussionsupporting
confidence: 87%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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“…This finding is consistent with the suggestion in some studies that when the prognosis is very poor, some patients may prefer not to know24 or hold on to the belief that they are being treated for a cure 25. It is clear that issues of communication are important in this disease, particularly as it is now generally accepted that communication with cancer patients should be straightforward and open 26 27 28. Our findings underline that the consequences of the communication style adopted by medical staff need to be considered in terms of distress for both the patients and their families, particularly when many families seem to adopt a coping style which is not based on the continuous and explicit discussion of the truth 29 30 31…”
Section: Discussionsupporting
confidence: 87%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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“……”
Section: Discussionsupporting
confidence: 57%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…To learn that one has a life-threatening disease is a major event, and many patients recalled it with clarity even years later. This has been noted before 6,10,15 . The event itself did not seem to cause long-term psychological morbidity, although the findings must be interpreted with caution in view of the range of time from diagnosis to interview (unavoidable in a diagnostically heterogeneous sample of terminally ill patients).…”
Section: Discussionsupporting
confidence: 56%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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