Sisters in hereditary breast and ovarian cancer families: communal coping, social integration, and psychological well-being.

Abstract:

OBJECTIVE:We investigated the association between psychological distress and indices of social integration and communal coping among sisters from hereditary breast and ovarian cancer (HBOC) families. SAMPLE AND METHODS:Sixty-five sisters from 31 HBOC families completed the Brief Symptom Inventory-18 and the Colored Eco-Genetic Relationship Map, which identified members of participants' social support networks. Hierarchical linear models were used for all analyses to account for the clustering of sisters within families. RESULTS:Intra-family correlation coefficients suggested that sisters shared perceptions of breast cancer risk and worry, but not ovarian cancer risk and worry. Further, sisters demonstrated shared levels of anxiety and somatization, but not depressive symptoms. Communal coping indices quantifying shared support resources were negatively related to anxiety and somatization. The number of persons with whom cancer risk information was shared exhibited a positive trend with somatization. Social integration, as measured by the size of participants' emotional support network, was negatively associated with anxiety. Lower depression scores were observed among participants with more persons playing multiple support roles and fewer persons providing tangible assistance. CONCLUSION:Understanding how support relationships impact well-being among persons adjusting to HBOC risk, and the particular role of family in that process, will facilitate developing appropriate management approaches to help cancer-prone families adjust to their cancer risk.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Koehly LM,Peters JA,Kuhn N,Hoskins L,Letocha A,Kenen R,Loud J,Greene MH

doi

10.1002/pon.1373

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

812-21

issue

8

eissn

1057-9249

issn

1099-1611

journal_volume

17

pub_type

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