Department of Medical Psychology and Psychotherapy, Erasmus Medical Centre, Rotterdam, The Netherlands.
Psychooncology. 2012 Feb;21(2):153-60. doi: 10.1002/pon.1879. Epub 2010 Dec 2.
The objectives of the present study were to (1) evaluate whether social and personal resources were independently related to psychological distress and (2) examine the interrelationships of social and personal resources in women at risk for hereditary breast cancer.
General and breast cancer specific distress, family communication regarding hereditary breast cancer, perceived social support, self-esteem, self-concept, and demographics were assessed in 222 high-risk women, having opted either for regular surveillance or prophylactic surgery.
Structural equation modeling showed that (1) both personal and social resources were independently associated with psychological distress and (2) the associations between social resources and psychological distress were partially mediated by personal resources. Support from family and friends was associated with a higher level of self-esteem, which in turn was associated with less general distress. Furthermore, communication regarding cancer within the nuclear family was associated with decreased feelings of stigmatization, which in turn was associated with less general and breast cancer specific distress. Moreover, open communication within the family was associated with a reduced sense of vulnerability.
Health workers involved in the care of high-risk women should carefully monitor women's personal and social resources, and if compromised refer them for appropriate support.
本研究的目的是：(1)评估社会和个人资源是否与心理困扰独立相关；(2)研究遗传性乳腺癌高危女性中社会和个人资源的相互关系。
对 222 名选择常规监测或预防性手术的高危女性进行一般和乳腺癌特异性困扰、与遗传性乳腺癌相关的家庭沟通、感知社会支持、自尊、自我概念和人口统计学评估。
结构方程模型显示：(1)个人和社会资源均与心理困扰独立相关；(2)社会资源与心理困扰的关联部分通过个人资源中介。来自家庭和朋友的支持与更高的自尊水平相关，而自尊水平又与一般困扰程度较低相关。此外，核心家庭内的癌症沟通与减少污名化感相关，而后者又与一般和乳腺癌特异性困扰程度较低相关。此外，家庭内的开放沟通与降低脆弱感相关。
参与高危女性护理的卫生工作者应仔细监测女性的个人和社会资源，如果资源受损，应将其转介至适当的支持机构。
