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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.
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“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]
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Religion, Spirituality, and Health: The Research and Clinical Implications
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BackgroundEnhancing women's lives: The role of support groups among breast cancer patients
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“…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).”
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“…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…”
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“…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
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Self-citationThe Family Relationships Index (FRI)
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Supportive‐Expressive Group Psychotherapy
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Cross-Cultural Aspects of Cancer Care
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“…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
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Schmid, F. X., & Drukarczyk-Hoppe, G. (1988) · Springer eBooks · doi:10.1007/978-3-642-73129-7_31 · Cited by 2
Later-life marriage, chronic illness, and spouse-caregiver functioning
Harkness, J. L. (1997) · doi:10.31274/rtd-180813-13482 · Cited by 2
Metadata
- 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 › Psychology › Clinical Psychology › Family Support in Illness
- Health Sciences › Nursing › Research and Theory › 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
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