Family Environment as a Predictor of Adjustment to Metastatic Breast Carcinoma
Abstract
The effects of family environment on the psychological adjustment of 54 women with metastatic carcinoma of the breast were studied over a one-year period. Family environment was assessed using the Family Environment Scale (FES) and a descriptive checklist, and adjustment was measured using the Profile of Mood States (POMS). Patients described their families as supportive and relatively free of conflict, and their spouses or other family members agreed moderately with them. Patient mood disturbance during the year was made the dependent variable in a stepwise multiple regression analysis, with FES subscale scores at the beginning of the year and other control variables as predictors. Better adjustment was found to be predicted by more expressiveness and less conflict and moral-religious orientation in the family. These findings are presented as evidence that the family is a crucial factor in patient adjustment, and that 'conspiracies of silence' in the family may be harmful. A clinical illustration is presented.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Of the 178 highest-rigor studies on R/S and depression, 119 (67%) reported inverse relationships and 13 (7%) found positive relationships with depression.
“Of the 178 studies with the highest methodological rigor, 119 (67%) reported inverse relationships [124–135] and 13 (7%) found positive relationships with depression [136–148].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [132]
Cited by
Sorted by citations
Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423 · see citing works
“%) found positive relationships with depression [136–148].”
Religion and spirituality: Linkages to physical health.
Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.36 · Cited by 1,093 · see citing works
Religious involvement and mortality: A meta-analytic review.
McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, H. G., & Thoresen, C. E. (2000) · Health Psychology · doi:10.1037/0278-6133.19.3.211 · Cited by 1,088 · see citing works
Breitbart, W. (2002) · Supportive Care in Cancer · doi:10.1007/s005200100289 · Cited by 466 · see citing works
Religiosity/Spirituality and Mortality
Chida, Y., Steptoe, A., & Powell, L. H. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000190791 · Cited by 409 · see citing works
Edwards, B., & Clarke, V. A. (2003) · Psycho-Oncology · doi:10.1002/pon.773 · Cited by 383 · see citing works
“Longitudinal and cross-sectional studies have demonstrated that good family functioning has been associated with lower levels of distress, depression and anxiety (Baider et al., 1986, 1998a; Baider and De-Nour, 1988; Spiegel et al., 1983).”
BackgroundThe partner relationship in psychological response to breast cancer
Pistrang, N., & Barker, C. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(94)00136-h · Cited by 329 · see citing works
Coping With Breast Cancer: Patient, Spouse, and Dyad Models
Ben‐Zur, H., Gilbar, O., & Lev, S. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200101000-00004 · Cited by 294 · see citing works
“Past research has shown that emotional support by the family is related to a positive outlook on life among women with advanced breast cancer (32) and that a family environment characterized by more expressiveness and less conflict predicts better adjustment of cancer patients (33).”
BackgroundReligion and Medicine II: Religion, Mental Health, and Related Behaviors
Koenig, H. G. (2001) · The International Journal of Psychiatry in Medicine · doi:10.2190/bk1b-18tr-x1nn-36gg · Cited by 274 · see citing works
“Of the remaining 33 studies, 13 reported no association, four reported only greater depression among the more religious [5, 20-22], and 16 studies reported mixed findings (significant positive correlations with some religious variables and significant negative correlations with others).”
BackgroundBloom, J. R., & Spiegel, D. (1984) · Social Science & Medicine · doi:10.1016/0277-9536(84)90400-3 · Cited by 264 · see citing works
Self-citationManne, S. L., Taylor, K. L., Dougherty, J., & Kemeny, N. E. (1997) · Journal of Behavioral Medicine · doi:10.1023/a:1025574626454 · Cited by 227 · see citing works
Psychosocial Issues Confronting Young Women with Breast Cancer
Baucom, D. H., Porter, L. S., Kirby, J. S., Gremore, T. M., & Keefe, F. J. (2006) · Breast Disease · doi:10.3233/bd-2006-23114 · Cited by 204 · see citing works
“In addition, the ability to express emotions and to communicate openly with family members about cancer has been associated with fewer emotional and physical complaints and higher levels of self-esteem and perceived control [57,68–70].”
Disclosure between patients with gastrointestinal cancer and their spouses
Porter, L. S., Keefe, F. J., Hurwitz, H. I., & Faber, M. (2005) · Psycho-Oncology · doi:10.1002/pon.915 · Cited by 182 · see citing works
“The lack of findings with regard to disclosure is somewhat surprising in light of previous studies which have found better patient psychological adjustment among patients who were more expressive (Figueiredo et al., 2004; Giese-Davis et al., 2000; Mesters et al., 1997; Spiegel et al., 1983).”
ResultMcLean, L. M., Walton, T., Rodin, G., Esplen, M. J., & Jones, J. M. (2011) · Psycho-Oncology · doi:10.1002/pon.2046 · Cited by 158 · see citing works
“positive attachment bonds can draw on this stable foundation of mutual trust, affection, and respect during the challenges of terminal cancer [22–30].”
BackgroundFriedman, L. C., Nelson, D. V., Baer, P. E., Lane, M., Smith, F. E., & Dworkin, R. J. (1992) · Journal of Behavioral Medicine · doi:10.1007/bf00848321 · Cited by 155 · see citing works
Impact of Breast Cancer on Asian American and Anglo American Women
Kagawa‐Singer, M., Wellisch, D. K., & Durvasula, R. (1997) · Culture Medicine and Psychiatry · doi:10.1023/a:1005314602587 · Cited by 150 · see citing works
Quality of couples' relationship and adjustment to metastatic breast cancer.
Giese‐Davis, J., Hermanson, K., Koopman, C., Weibel, D., & Spiegel, D. (2000) · Journal of Family Psychology · doi:10.1037//0893-3200.14.2.251 · Cited by 140 · see citing works
Self-citationKristjanson, L. J., Sloan, J. A., Dudgeon, D. J., & Adaskin, E. J. (1996) · Journal of Palliative Care · doi:10.1177/082585979601200403 · Cited by 125 · see citing works
“Reports of the value of closed versus open communication patterns in families of cancer patients were inconsistent (46,47).”
BackgroundBlumenthal, J. A., Babyak, M. A., Ironson, G., Thoresen, C., Powell, L., Czajkowski, S., Burg, M., Keefe, F. J., Steffen, P., & Catellier, D. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3180cab76c · Cited by 119 · see citing works
The impact of breast cancer on the family
Lewis, F. M., Ellison, E. S., & Woods, N. F. (1985) · Seminars in Oncology Nursing · doi:10.1016/s0749-2081(85)80010-3 · Cited by 118 · see citing works
Bonnema, J., van Wersch, A. M. E. A., van Geel, A. N., et al. (1998) · BMJ · doi:10.1136/bmj.316.7140.1267 · Cited by 111 · see citing works
A review of distress and its management in couples facing end‐of‐life cancer
McLean, L. M., & Jones, J. M. (2007) · Psycho-Oncology · doi:10.1002/pon.1196 · Cited by 111 · see citing works
“marital adjustment to role changes arising from cancer [96], and less disturbance in mood [83].”
BackgroundQuality of couples' relationship and adjustment to metastatic breast cancer.
Giese‐Davis, J., Hermanson, K., Koopman, C., et al. (2000) · Journal of Family Psychology · doi:10.1037/0893-3200.14.2.251 · Cited by 108 · see citing works
Self-citationLay People's and Health Care Personnel's Perceptions of Cancer, Aids, Cardiac, and Diabetic Patients
Katz, I., Hass, R. G., Parisi, N., et al. (1987) · Psychological Reports · doi:10.2466/pr0.1987.60.2.615 · Cited by 104 · see citing works
Women with breast cancer: perception of family functioning and adjustment to illness.
Friedman, L. C., Baer, P. E., Nelson, D. V., et al. (1988) · Psychosomatic Medicine · doi:10.1097/00006842-198809000-00009 · Cited by 99 · see citing works
“Because of the fear and uncertainty associated with cancer, supportive family relationships are particularly important to cancer patients (5-10).”
BackgroundKristjanson, L. J., Leis, A. M., Koop, P. M., Carriere, K. C., & Mueller, B. (1997) · Journal of Palliative Care · doi:10.1177/082585979701300402 · Cited by 98 · see citing works
Turner, J., Clavarino, A. M., Yates, P. M., Hargraves, M., Connors, V., & Hausmann, S. (2006) · Psycho-Oncology · doi:10.1002/pon.1106 · Cited by 96 · see citing works
Adjustment of women and their husbands to recurrent breast cancer
Northouse, L., Laten, D., & Reddy, P. (1995) · Research in Nursing & Health · doi:10.1002/nur.4770180607 · Cited by 95 · see citing works
Openness and Avoidance in Couples Communicating About Cancer
Goldsmith, D. J., Miller, L. E., & Caughlin, J. P. (2007) · Annals of the International Communication Association · doi:10.1080/23808985.2007.11679065 · Cited by 90 · see citing works
“Among 86 women with breast cancer (42 of whom were partnered), those who reported more expressiveness and less conflict experienced less mood disturbance one year later (controlling for baseline mood; Spiegel et al., 1983).”
BackgroundMolassiotis, A., van den Akker, O., & Boughton, B. (1997) · Social Science & Medicine (1967) · doi:10.1016/s0277-9536(96)00101-3 · Cited by 87 · see citing works
Religion, Race, and Breast Cancer Survival
Ness, P. H. V., Kasl, S. V., & Jones, B. A. (2003) · The International Journal of Psychiatry in Medicine · doi:10.2190/lrxp-6ccr-g728-mwyh · Cited by 83 · see citing works
“The trend reported in one previous study [13] and evidence of the benefits of religiousness for pain, life satisfaction, and other subjective aspects of cancer [8, 17, 18]—benefits which may mediate better survival—motivate the hypothesis’ protective character: higher levels of self-reported religiousness at breast ca…”
ResultAndershed, B., & Ternestedt, B. (1998) · Cancer Nursing · doi:10.1097/00002820-199804000-00004 · Cited by 81 · see citing works
Long-Term Effects of Testicular Cancer on Marital Relationships
Gritz, E. R., Wellisch, D. K., Siau, J., & Wang, H.-J. (1990) · Psychosomatics · doi:10.1016/s0033-3182(90)72168-8 · Cited by 79 · see citing works
Depression in breast cancer patients: The need for treatment
Aapro, M., & Cull, A. (1999) · Annals of Oncology · doi:10.1023/a:1008328005050 · Cited by 76 · see citing works
Ballantyne, P. J. (2004) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2004.00921.x · Cited by 76 · see citing works
Family communication and mental health after breast cancer
Mallinger, J. B., Griggs, J. J., & Shields, C. G. (2006) · European Journal of Cancer Care · doi:10.1111/j.1365-2354.2006.00666.x · Cited by 76 · see citing works
Psychosocial intervention for lesbians with primary breast cancer
Fobair, P., Koopman, C., Dimiceli, S., O’Hanlan, K. A., Butler, L. D., Classen, C. C., Drooker, N., Davids, H. R., Loulan, J., Wallsten, D., et al. (2002) · Psycho-Oncology · doi:10.1002/pon.624 · Cited by 74 · see citing works
“The scale has been widely used, with good concurrent and predictive validity with cancer patients (Spiegel et al., 1983).”
MethodSelf-citationPsychological support for cancer patients.
Spiegel, D., Bloom, J., Kraemer, H., & Gottheil, E. (1989) · The Lancet · doi:10.1016/s0140-6736(89)92051-5 · Cited by 74 · see citing works
Self-citationDisclosure of concerns in breast cancer
Pistrang, N., & Barker, C. (1992) · Psycho-Oncology · doi:10.1002/pon.2960010307 · Cited by 73 · see citing works
The influence of attachment and emotional support in end‐stage cancer
Hunter, M. J., Davis, P. J., & Tunstall, J. (2005) · Psycho-Oncology · doi:10.1002/pon.965 · Cited by 70 · see citing works
“Similarly, breast cancer patients in families who encouraged open discussion of problems and feelings experienced less mood disturbance over the following year (Spiegel et al., 1983) and the presence of intrusive thoughts about cancer predicted elevated levels of distress three months later in cancer patients who had…”
BackgroundFacilitating emotional coping during treatment
Spiegel, D. (1990) · Cancer · doi:10.1002/1097-0142(19900915)66:14+ · Cited by 67 · see citing works
Self-citationConcerns, confiding and psychiatric disorder in newly diagnosed cancer patients: A descriptive study
Harrison, J., Maguire, P., Ibbotson, T., MacLeod, R., & Hopwood, P. (1994) · Psycho-Oncology · doi:10.1002/pon.2960030303 · Cited by 65 · see citing works
Arpin, K., Fitch, M. I., Browne, G. B., et al. (1990) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(90)90123-7 · Cited by 64 · see citing works
Are Equity Concerns Important in the Intimate Relationship When One Partner of a Couple Has Cancer?
Kuijer, R. G., Buunk, B. P., & Ybema, J. F. (2001) · Social Psychology Quarterly · doi:10.2307/3090116 · Cited by 60 · see citing works
Essentials of psychotherapeutic intervention for cancer patients.
Spiegel, D. (1995) · PubMed · Cited by 60 · see citing works
Self-citationA Pilot Study of an Intervention for Breast Cancer Survivors and Their Spouses
Shields, C. G., & Rousseau, S. J. (2004) · Family Process · doi:10.1111/j.1545-5300.2004.04301008.x · Cited by 59 · see citing works
Psychosocial resources and subjective well-being of cancer patients
Pinquart, M., & Fröhlich, C. (2008) · Psychology and Health · doi:10.1080/08870440701717009 · Cited by 55 · see citing works
Tominaga, K., Andow, J., Koyama, Y., Numao, S., Kurokawa, E., Ojima, M., & Nagai, M. (1998) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/28.1.36 · Cited by 53 · see citing works
“Abbreviations: 5-FU, NK relationships are particularly important to cancer patients, because of the fear and uncertainty associated with cancer (3-6).”
Psychological adaptation to cancer: A comparison among patients, spouses, and nonspouses.
Ell, K. O., Nishimoto, R. H., Mantell, J. E., & Hamovitch, M. B. (1988) · Family Systems Medicine · doi:10.1037/h0089745 · Cited by 52 · see citing works
Nikoletti, S., Kristjanson, L. J., Tataryn, D. J., McPhee, I., & Burt, L. (2003) · Oncology nursing forum · doi:10.1188/03.onf.987-996 · Cited by 50 · see citing works
Hannah, M., Gritz, E., Wellisch, D., Fobair, P., Hoppe, R., Bloom, J., Sun, G., Varghese, A., Cosgrove, M. D., & Spiegel, D. (1992) · Psycho-Oncology · doi:10.1002/pon.2960010206 · Cited by 59 · see citing works
Self-citationEssentials of psychotherapeutic intervention for cancer patients
Seiegel, D. (1995) · Supportive Care in Cancer · doi:10.1007/bf00335899 · Cited by 48 · see citing works
The influence of cancer on self-concept and life quality
Foltz, A. T. (1987) · Seminars in Oncology Nursing · doi:10.1016/s0749-2081(87)80023-2 · Cited by 44 · see citing works
Close Relationships and the Female Cancer Patient
Lichtman, R. R., & Taylor, S. E. (1986) · Contributions to psychology and medicine · doi:10.1007/978-1-4613-8671-1_7 · Cited by 43 · see citing works
The Impact of Breast Cancer and Its Treatment on Marital Functioning
O'Mahoney, J. M., & Carroll, R. A. (1997) · Journal of Clinical Psychology in Medical Settings · doi:10.1023/a:1026205502614 · Cited by 42 · see citing works
“…emotional expressiveness are related to increased marital satisfaction, couples experiencing a great deal of conflict may become overwhelmed by their negative feelings and unable to modulate how these feelings are expressed, resulting in increased strain and mood disturbance (Spiegel et al., 1983).”
BackgroundInfluentialLong-Term Breast Cancer Survivors' Perceptions of Support From Female Partners: An Exploratory Study
White, J., & Boehmer, U. (2012) · Oncology nursing forum · doi:10.1188/12.onf.210-217 · Cited by 41 · see citing works
The meaning of being in transition to end-of-life care for female partners of spouses with cancer
Sutherland, N. (2009) · Palliative & Supportive Care · doi:10.1017/s1478951509990435 · Cited by 41 · see citing works
“Numerous studies that investigated spousal reactions to cancer reported the use of avoidant coping strategies (Spiegel et al., 1983; Wright & Dyck, 1984; Kalayjian, 1989; Mahon et al., 1990; Germino et al., 1995; Lewis & Deal, 1995; Pistrang & Barker, 1995; Gray et al., 2000; Winterling et al.,…”
BackgroundA 43-Year-Old Woman Coping With Cancer
Spiegel, D. (1999) · JAMA · doi:10.1001/jama.282.4.371 · Cited by 37 · see citing works
Self-citationMarital therapy for couples facing advanced cancer: Case review
McLean, L. M., & Nissim, R. S. (2007) · Palliative & Supportive Care · doi:10.1017/s1478951507000466 · Cited by 34 · see citing works
“…and families that report good family and couple functioning also have lower levels of distress, depression, anxiety, and psychological morbidity (Spiegel et al., 1983; Vinokur & VinokurKaplan, 1990; Baider et al., 1996, 1998; Kissane, et al., 1996a, 1996b; Manne et al., 1997; Baider & Kaplan…”
BackgroundEnhancing women's lives: The role of support groups among breast cancer patients
Gore-Felton, C. E., & Spiegel, D. (1999) · The Journal for Specialists in Group Work · doi:10.1080/01933929908411436 · Cited by 29 · see citing works
Self-citationMen's experiences of their partner's primary and recurrent breast cancer
Foy, S., & Rose, K. M. (2001) · European Journal of Oncology Nursing · doi:10.1054/ejon.2000.0127 · Cited by 30 · see citing works
Shannon, C. S., & Bourque, D. (2005) · Social Work in Health Care · doi:10.1300/j010v42n01_05 · Cited by 29 · see citing works
Yoo, W., Shah, D. V., Shaw, B. R., Kim, E., Smaglik, P., Roberts, L. J., Hawkins, R. P., Pingree, S., McDowell, H., & Gustafson, D. H. (2014) · Journal of Health Communication · doi:10.1080/10810730.2013.864723 · Cited by 29 · see citing works
“…well-being (Baider & Kaplan De-Nour, 1988; Baider, Rizel, & Kaplan De-Nour, 1986; Bloom, 1982; Bloom & Spiegel, 1984; Edwards & Clarke, 2004; Ozono et al., 2005; Spiegel, Bloom, & Gottheil, 1983), and the ability to adjust and cope with breast cancer (Spinetta, 1984; Wellisch et al., 1999).”
Anxiety in medical situations and chemotherapy-related problems among cancer patients
Friedman, L. C., Lehane, D. E., Webb, J. A., et al. (1994) · Journal of Cancer Education · doi:10.1080/08858199409528263 · Cited by 28 · see citing works
Willingness to express emotions to caregiving spouses.
Monin, J. K., Martire, L. M., Schulz, R., & Clark, M. S. (2009) · Emotion · doi:10.1037/a0013732 · Cited by 28 · see citing works
Cancer patient education: Reality and potential
Rimer, B. K., Keintz, M. K., & Glassman, B. (1985) · Preventive Medicine · doi:10.1016/0091-7435(85)90072-6 · Cited by 28 · see citing works
Palliative Care Needs Assessment Guidelines
Girgis, A., Currow, D. C., Waller, A. E., Kristjanson, L. J., Mitchell, G. K., Yates, P. M., Neil, A. L., Kelly, B. J., Tattersall, M., & Bowman, D. (2006) · Cited by 27 · see citing works
ROBINSON, S. (1992) · European Journal of Cancer Care · doi:10.1111/j.1365-2354.1992.tb00108.x · Cited by 25 · see citing works
Psychosocial interventions in cancer: Group therapy techniques.
Spiegel, D., & Diamond, S. B. (2001) · American Psychological Association eBooks · doi:10.1037/10402-012 · Cited by 24 · see citing works
Self-citationChanges in family relationships affect the development of chemotherapy-related nausea symptoms
Kim, Y., & Morrow, G. R. (2003) · Supportive Care in Cancer · doi:10.1007/s00520-002-0416-6 · Cited by 23 · see citing works
Disengaging Communication in Later-Life Couples Coping with Breast Cancer.
Hodgson, J. H., Shields, C. G., & Rousseau, S. L. (2003) · Families Systems & Health · doi:10.1037/1091-7527.21.2.145 · Cited by 22 · see citing works
Garlan, R. W., Butler, L. D., Siegel, E. R. A., & Spiegel, D. (2011) · OMEGA - Journal of Death and Dying · doi:10.2190/om.62.3.c · Cited by 21 · see citing works
Self-citationCouples and Chronic Illness: An Attachment Perspective and Emotionally Focused Therapy Interventions
Stiell, K., Naaman, S., & Lee, A. (2007) · Journal of Systemic Therapies · doi:10.1521/jsyt.2007.26.4.59 · Cited by 21 · see citing works
Cooley, M. E., & Moriarty, H. (1997) · Journal of Family Nursing · doi:10.1177/107484079700300402 · Cited by 21 · see citing works
Rosenbaum, E. H., Garlan, R. W., Hirschberger, N., Siegel, A. L., Butler, L. D., & Spiegel, D. (2006) · OMEGA - Journal of Death and Dying · doi:10.2190/f143-5363-3442-5163 · Cited by 20 · see citing works
“…example, Bloom and Spiegel (1984) found that family support was associated with improved outlook on life in women with metastatic breast cancer, and Spiegel, Bloom, and Gottheil (1983) found that expressiveness in the form of open and shared problem solving among family members led to better…”
BackgroundSelf-citationCancer from a biobehavioural and social epidemiological perspective
Baltrusch, H. J. F., & Waltz, M. (1985) · Social Science & Medicine · doi:10.1016/0277-9536(85)90332-6 · Cited by 20 · see citing works
Children's and family needs of young women with advanced breast cancer: A review
Turner, J. (2004) · Palliative & Supportive Care · doi:10.1017/s1478951504040076 · Cited by 19 · see citing works
“…of the woman inf luenced family cohesion ~Friedman et al., 1988!, open family expressiveness favorably inf luenced the adjustment of the mother ~Spiegel et al., 1983!, and depressed mood in the mother affected the quality of the marriage, in turn leading to impaired family functioning ~Lewis &…”
BackgroundPsychosocial Interventions with Cancer Patients
Spiegel, D. (1985) · Journal of Psychosocial Oncology · doi:10.1300/j077v03n04_09 · Cited by 17 · see citing works
Self-citationThe Family Relationships Index (FRI)
Margola, D., Fenaroli, V., Sorgente, A., Lanz, M., & Costa, G. (2017) · European Journal of Psychological Assessment · doi:10.1027/1015-5759/a000427 · Cited by 15 · see citing works
Religion and Cancer: Examining the Possible Connections
Crane, J. N. (2009) · Journal of Psychosocial Oncology · doi:10.1080/07347330903182010 · Cited by 16 · see citing works
“The studies examined patients with a variety of advanced cancer including breast, colorectal, and lung cancer ( Kune, Kune, & Watson, 1986 ; Loprinzi et al, 1994 ; Ringdal, Gotestam, Kassa, Kvinnsland, & Ringdal, 1996 ; Spiegel, Bloom, and Gottheil, 1983 ; Yates et al, 1981 ).”
BackgroundFamily Therapy for Cancer Patients: Clinical Issues and Interventions
Sherman, A. C., & Simonton, S. (1999) · The Family Journal · doi:10.1177/1066480799071006 · Cited by 15 · see citing works
Laganà, L., Chen, X., Koopman, C., Classen, C. C., Kimerling, R. E., & Spiegal, D. M. (2002) · Rehabilitation Psychology · doi:10.1037/0090-5550.47.4.402 · Cited by 14 · see citing works
On the nature of cancer patients' social interactions
Meyerowitz, B. E., Levin, K., & Harvey, J. H. (1997) · Journal of Personal and Interpersonal Loss · doi:10.1080/10811449708414405 · Cited by 13 · see citing works
Supportive‐Expressive Group Psychotherapy
Classen, C. C., & Spiegel, D. (2011) · doi:10.1002/9780470975176.ch10 · Cited by 15 · see citing works
Self-citationBelief in psychological effects on cancer
Doan, B. D., Gray, R. E., & Davis, C. S. (1993) · Psycho-Oncology · doi:10.1002/pon.2960020207 · Cited by 13 · see citing works
Cross-Cultural Aspects of Cancer Care
Ho, S. M. Y., Saltel, P., Machavoine, J., Rapoport-Hubschman, N., & Spiegel, D. (2006) · Kluwer Academic Publishers eBooks · doi:10.1007/0-306-48007-7_8 · Cited by 13 · see citing works
Self-citationPrevalence of and Markers for Affective Disorders Among Cancer Patients' Caregivers
Pitceathly, C., Maguire, P., Haddad, P. M., & Fletcher, I. J. (2004) · Journal of Psychosocial Oncology · doi:10.1300/j077v22n03_03 · Cited by 11 · see citing works
Lagan�, L., Chen, X., Koopman, C., Classen, C. C., Kimerling, R. E., & Spiegal, D. M. (2002) · Rehabilitation Psychology · doi:10.1037//0090-5550.47.4.402 · Cited by 11 · see citing works
Family Environments of Women Seeking BRCA1/BRCA2 Genetic Mutation Testing: An Exploratory Analysis
Keenan, L. A., Lesniak, K. T., Guarnaccia, C. A., et al. (2004) · Journal of Genetic Counseling · doi:10.1023/b:jogc.0000018824.04992.7b · Cited by 10 · see citing works
“…that women who present for genetic testing perceive themselves to be at high risk for cancer and subsequently will have a higher need for cohesion and expressiveness within their families, similar to previous findings for individuals with cancer histories (Olsonet al., 1979; Spiegel et al., 1983).”
ResultFamilism, family cohesion, and health-related quality of life in Hispanic prostate cancer survivors
Pedreira, P. B., Fleszar‐Pavlović, S. E., Walsh, E. A., Esquives, B. S. N., Moreno, P. I., Perdomo, D. M., Heller, A. S., Antoni, M. H., & Penedo, F. J. (2024) · Journal of Behavioral Medicine · doi:10.1007/s10865-024-00479-1 · Cited by 8 · see citing works
“…that patients with family alliances marked by cohesiveness, open communication, shared decision making, and absence of conflict have bet - ter psychological adjustment to cancer (Edwards & Clarke, 2004; Fobair & Zabora, 1995; Kissane et al., 1994; Spiegel et al., 1983; Tan et al., 2018 ).”
Casamento, stress e menopausa: Desafios e prazeres da meia-idade
Fielder, K. V., & Robinson, S. E. (2014) · Psicologia · doi:10.17575/rpsicol.v19i1/2.399 · Cited by 8 · see citing works
THE FAMILY WITH A MEMBER WHO HAS CANCER
Rothschild, S. K. (1992) · Primary Care Clinics in Office Practice · doi:10.1016/s0095-4543(21)00620-5 · Cited by 7 · see citing works
Laganà, L. (2014) · Journal of Women s Health Care · doi:10.4172/2167-0420.1000205 · Cited by 6 · see citing works
“Similarly, spouses face their potential losses by watching others grieve, while learning that such losses can be worked through [80,110-111].”
BackgroundO papel da intimidade conjugal na qualidade de vida da mulher com cancro da mama
Moreira, H., Silva, S., & Canavarro, M. C. (2009) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · Cited by 4 · see citing works
Social Issues: Marital Support
Picard, L. (2009) · Cancer treatment and research · doi:10.1007/978-0-387-75115-3_26 · Cited by 3 · see citing works
Psychological Risk Factors in Acute Leukemia
Damigos, D., Tsabouri, S., & Mavreas, V. G. (2009) · Cited by 3 · see citing works
Emotional and personality types of breast cancer patients and spouses
Carter, R. E., Carter, C. A., & Prosen, H. (1992) · American Journal of Family Therapy · doi:10.1080/01926189208250900 · Cited by 3 · see citing works
A comunicação entre o casal no contexto do cancro da mama
Moreira, H., & Canavarro, M. C. (2014) · Estudos de Psicologia (Campinas) · doi:10.1590/0103-166x2014000100010 · Cited by 2 · see citing works
Rehabilitation bei entstellenden Eingriffen und Traumen
Schmid, F. X., & Drukarczyk-Hoppe, G. (1988) · Springer eBooks · doi:10.1007/978-3-642-73129-7_31 · Cited by 2 · see citing works
Later-life marriage, chronic illness, and spouse-caregiver functioning
Harkness, J. L. (1997) · doi:10.31274/rtd-180813-13482 · Cited by 2 · see citing works
- Authors
- Spiegel, D., Bloom, J. R., & Gottheil, E.
- Affiliations
- Stanford Medicine (US)
- ORCID
- Spiegel, David
- Venue
- Journal of Psychosocial Oncology
- Publisher
- Informa UK Limited
- Published
- 1983-04-08
- Volume
- 1
- Issue
- 1
- Pages
- 33-44
- ISSN
- 0734-7332 (ISSN-L)
- 1540-7586
- OpenAlex
- W2041805273
- Cited by
- 111
- References
- 0
- Citations by year
- 2024: 1 · 2017: 1 · 2015: 1 · 2014: 4 · 2012: 2
- FWCI
- 1.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosocial Oncology (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- family environment, metastatic breast cancer, psychological adjustment, mood disturbance, family conflict, family expressiveness, Family Environment Scale, Profile of Mood States, women with cancer
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
