A path analysis of factors associated with distress among first-degree female relatives of women with breast cancer diagnosis
Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Psychiatry
Adaptation, Psychological; Adult; Aged; Aged, 80 and over; Breast Neoplasms; Cross-Sectional Studies; *Family; Female; Humans; Longitudinal Studies; Massachusetts; Middle Aged; New Hampshire; Questionnaires; *Stress, Psychological
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventative Medicine
Patterns and predictors of psychological distress in first-degree female relatives (N = 624) of newly diagnosed breast cancer patients were explored. First-degree female relatives who were high monitors reported greater cancer-specific and general distress than did low monitors. Greater optimism was associated with lower cancer-specific distress. Optimism's effect on general distress was moderated by women's level of monitoring. Greater optimism was associated with lower general distress for both high and low monitors, but the effect was stronger for high monitors than for low monitors. Avoidance and engaged coping were associated with higher distress. A close relationship with the cancer patient was related to higher cancer-specific distress but lower general distress. Further understanding of the process of adjustment in these women awaits longitudinal study.
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Citation: Health Psychol. 2006 May;25(3):413-24. Link to article on publisher's site