PSYCHOTHERAPY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC DISEASES

Abstract

This study explores how psychosocial factors influence the delivery of bad news and the promotion of quality of life in patients with chronic diseases. Emphasis is placed on the importance of considering emotional, cultural, religious, and social elements that significantly affect patient well-being and care dynamics. When conducted with empathy, active listening, and structured protocols such as SPIKES, breaking bad news can enhance treatment adherence and reduce suffering associated with uncertainty or the severity of a diagnosis. In this context, medical trainees face challenges such as managing anxiety and developing relational skills, particularly when caring for individuals living with chronic conditions. The relevance of specific training in the academic curriculum is underscored, involving simulations and reflective supervision to improve communication and emotional competencies. Consequently, the physician-patient relationship becomes more humanized, supporting both quality of life and the strengthening of therapeutic bonds. In summary, investing in professional training to deliver bad news fosters comprehensive care, grounded in empathy and respect for each person’s distinct needs.