PMID- 16409581
OWN - NLM
STAT- MEDLINE
DCOM- 20060425
LR  - 20151119
IS  - 1075-122X (Print)
IS  - 1075-122X (Linking)
VI  - 12
IP  - 1
DP  - 2006 Jan-Feb
TI  - Disengagement and social support moderate distress among women with a family 
      history of breast cancer.
PG  - 7-15
AB  - Using a cross-sectional, exploratory design, this pilot study analyzed the 
      relationships between familial history of breast cancer and psychological 
      distress in order to evaluate who is more distressed and to assess the possible 
      need for intervention. Coping style, social support, and family relations were 
      investigated as potential moderators of these relationships. Participants were 45 
      women with a familial history of breast cancer recruited from the Family Registry 
      for Breast Cancer (FRBC) at the Northern California Cancer Center (NCCC). 
      Contrary to previous reports of similar cohorts, the overall level of 
      psychological distress in this cohort was comparable to normative samples. The 
      number of relatives with breast cancer was related to distress as measured by the 
      State-Trait Anxiety Inventory (STAI) scale, but there was no significant 
      differentiation in distress associated with the number of first-degree as 
      compared to second- and third-degree relatives with breast cancer. Having more 
      relatives that had died from breast cancer was associated with greater distress 
      on a number of measures. The number of first-degree relative deaths, including 
      maternal death, was also associated with distress. Positive and network support, 
      disengagement coping responses, and family cohesion were each significant 
      moderators of the impact of family history on distress. This association between 
      distress and disengagement is similar to that found in metastatic breast cancer 
      patients themselves, and the findings suggest a subgroup that merits and might 
      respond to more intensive intervention to provide support and facilitate 
      emotional expression.
FAU - Turner-Cobb, Julie M
AU  - Turner-Cobb JM
AD  - Psychiatry and Behavioral Sciences and Department of Health Research and Policy, 
      Stanford University School of Medicine, Stanford, California, USA. 
      pssjmtc@bath.ac.uk
FAU - Bloor, Lindsey E
AU  - Bloor LE
FAU - Whittemore, Alice S
AU  - Whittemore AS
FAU - West, Dee
AU  - West D
FAU - Spiegel, David
AU  - Spiegel D
LA  - eng
GR  - 69417-01-2/PHS HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Breast J
JT  - The breast journal
JID - 9505539
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Anxiety/*psychology
MH  - Breast Neoplasms/genetics/*psychology
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Family Relations
MH  - Female
MH  - Genetic Predisposition to Disease
MH  - Humans
MH  - Manifest Anxiety Scale
MH  - Middle Aged
MH  - Pilot Projects
MH  - Registries
MH  - *Social Support
MH  - Surveys and Questionnaires
EDAT- 2006/01/18 09:00
MHDA- 2006/04/28 09:00
CRDT- 2006/01/18 09:00
PHST- 2006/01/18 09:00 [pubmed]
PHST- 2006/04/28 09:00 [medline]
PHST- 2006/01/18 09:00 [entrez]
AID - TBJ178 [pii]
AID - 10.1111/j.1075-122X.2006.00178.x [doi]
PST - ppublish
SO  - Breast J. 2006 Jan-Feb;12(1):7-15. doi: 10.1111/j.1075-122X.2006.00178.x.