Rabin Carolyn, Rogers Michelle L, Pinto Bernardine M, Nash Justin M, Frierson Georita M, Trask Peter C
The Miriam Hospital & Brown Medical School, Providence, RI, USA.
Soc Sci Med. 2007 Jan;64(2):411-6. doi: 10.1016/j.socscimed.2006.09.004. Epub 2006 Oct 24.
This study examined the impact of personal and family cancer history on psychological distress. Regression analyses were conducted on a nationally representative sample of adult individuals who participated in the 2000 National Health Interview Survey, USA. Effects on distress of a personal cancer history, any family cancer history, or mother, father, sister or brother with a cancer history were examined. The interaction of personal and family cancer histories and three-way interactions with gender were also assessed. Analyses indicate that having either a personal or family cancer history is linked with significantly greater psychological distress and there is evidence of an interaction. Three-way interactions with gender were not found. Consistent with prior research, results demonstrated that cancer survivors are more distressed than the general population. Results extend prior research by indicating that having a first-degree relative with cancer increases risk for distress, and having personal and family cancer histories may exert a synergistic effect on distress.
本研究考察了个人及家族癌症病史对心理困扰的影响。对参与2000年美国国家健康访谈调查的具有全国代表性的成年个体样本进行了回归分析。研究了个人癌症病史、任何家族癌症病史，或有癌症病史的母亲、父亲、姐妹或兄弟对困扰的影响。还评估了个人与家族癌症病史的交互作用以及与性别的三向交互作用。分析表明，有个人或家族癌症病史与显著更高的心理困扰相关，且有交互作用的证据。未发现与性别的三向交互作用。与先前研究一致，结果表明癌症幸存者比一般人群更痛苦。结果扩展了先前的研究，表明有患癌的一级亲属会增加痛苦风险，且个人和家族癌症病史可能对痛苦产生协同效应。
