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首页> 外文学位 >Breast cancer in the family context: Predictors and consequences of communication about cancer with the patient's children in relation to a family systems theory model.
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Breast cancer in the family context: Predictors and consequences of communication about cancer with the patient's children in relation to a family systems theory model.

机译：家庭背景下的乳腺癌：与家庭系统理论模型相关的与患儿的癌症沟通的预测因素和结果。

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摘要

A mother's diagnosis of cancer greatly affects the well-being of her children (Lewis, 1990). Researchers have identified symptoms of distress in children of cancer patients including anxiety, depression, behavior problems, and intrusive thoughts and avoidance (Compas, et al., 1994; Compas, Worsham, & Howell, 1996). In addition, a lack of disclosure of parental illness has been found to further increase distress (Rosenheim & Reicher, 1985). The present study assessed demographic, medical, and psychological predictors of cancer disclosure to children in addition to the relationship between disclosure of mother's cancer diagnosis and child's distress in 83 women with breast cancer. Correlations showed that the FACT-G, a measure of quality of life in cancer patients, was a significant predictor of mothers' disclosure of cancer diagnosis to their children (p = .04). Similar to past empirical and clinical findings, amount of diagnosis disclosure was significantly related to child's distress as rated by the mother (p = .05). Significant differences were found for amount of disclosure based on child's age and gender with older children and females being told more information (p's < .05). Finally, on the FACES 83% of families were found to be balanced or moderately balanced. These preliminary findings suggest that mothers' quality of life may predict disclosure of cancer diagnosis. Since most families in the study were found to be balanced other variables warrant further investigation as potential moderators in the relationship between disclosure and distress.
机译：母亲对癌症的诊断极大地影响了她孩子的健康（Lewis，1990）。研究人员已经确定了癌症患者患儿的困扰症状，包括焦虑，抑郁，行为问题以及侵入性思维和回避行为（Compas等，1994； Compas，Worsham，＆Howell，1996）。另外，已经发现缺乏父母疾病的披露会进一步增加痛苦（Rosenheim＆Reicher，1985）。本研究评估了83名患有乳腺癌的女性的人口统计学，医学和心理预测因素，以及母亲的癌症诊断信息披露与儿童的痛苦之间的关系。相关性表明，FACT-G是衡量癌症患者生活质量的指标，是母亲向孩子披露癌症诊断的重要预测指标（p = .04）。与过去的经验和临床发现相似，诊断披露的数量与母亲评估的孩子的痛苦程度显着相关（p = .05）。发现基于儿童年龄和性别的披露量存在显着差异，而较大的儿童和女性被告知更多信息（p <.05）。最后，在FACES上，发现83％的家庭处于平衡或中等平衡状态。这些初步发现表明，母亲的生活质量可以预测癌症诊断的披露。由于发现研究中的大多数家庭是平衡的，其他变量值得进一步研究，因为它们可能是披露与困扰之间关系的潜在调节者。

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  • 作者

    Harris, Casey Alyson.;

  • 作者单位

    The Herman M. Finch University of Health Sciences - The Chicago Medical School.;

  • 授予单位 The Herman M. Finch University of Health Sciences - The Chicago Medical School.;
  • 学科 Psychology Clinical.;Sociology Individual and Family Studies.;Health Sciences Oncology.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 99 p.
  • 总页数 99
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
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