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Arora NK et al. – Overall, 54% of survivors reported a sub–optimal decision–making style for their physician. With the exception of physical health, physician style was associated with all proximal, intermediate, and distal outcomes. The authors identified two significant pathways by which a participatory physician style may be associated with survivors’ mental health: (1) by increasing survivors’ participation self–efficacy and thereby enhancing their perceptions of personal control; (2) by enhancing survivors’ level of trust and thereby reducing their perceptions of uncertainty. A participatory physician style may improve survivors’ mental health by a complex two–step mechanism of improving survivors’ proximal communication and intermediate cognitive outcomes.

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