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Cited by 112Cancer survivorship and careFamily Support in IllnessNursing care and research

The DOI matches its Crossref record.

Family Environment as a Predictor of Adjustment to Metastatic Breast Carcinoma

Spiegel, David, Bloom, Joan R., Gottheil, Ellen·1983·Journal of Psychosocial Oncology
DOI 10.1300/j077v01n01_04
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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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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
DOI
10.1300/j077v01n01_04
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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