The DOI matches its Crossref record.
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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Keenan, L. A. (2002) · doi:10.12794/metadc3240 · Cited by 1
Jenick, M. (2003) · Griffith Research Online · doi:10.25904/1912/2977 · Cited by 1
Henrich, G., Sellschopp, A., & Beutel, M. E. (1990) · Springer eBooks · doi:10.1007/978-3-642-93474-2_19 · Cited by 1
Beutel, M., & Sellschopp, A. (1989) · Springer eBooks · doi:10.1007/978-3-642-73842-5_33
Strategies for morbidity control of axillary dissection for breast cancer
Bonnema, J. (1998) · RePub (Erasmus University Rotterdam)
PSYCHOLOGICAL ADJUSTMENT TO CANCER: THE RELEVANCE OF SOCIAL SUPPORT AND FAMILY STRUCTURE
Lunn, M. E. (1993) · PEARL (University of Plymouth) · doi:10.24382/2461
BRIEF REPORTS Willingness to Express Emotions to Caregiving Spouses
Monin, J. K., Martire, L. M., Schulz, R., & Clark, M. S. (2009)
Title of Document: SOCIAL EXCLUSION AND THE DESIRE TO JOIN IMPORTANT GROUPS
Fishman, S., & Kruglanski, A. W. (2009)
Psychosocial Concerns and Individual Anxieties for Fathers with Testicular Cancer
Russell, K. S. (2015) · Staff Publications Online (The Tavistock and Portman) · doi:10.15123/pub.4592
“However, in most of the studies (Spencer et al., 1999; Spiegel et al., 1983; Walsh et al., 2005) the females were the patients.”
BackgroundResultIngle (1991) · doi:10.1002/1097-0142(19910215)67:4
The prevalence of psychological distress by cancer site
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001) · Psycho-Oncology · doi:10.1002/1099-1611(200101/02)10:1
Self-citation
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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