Department of Medicine, Division of Medical Oncology, Sunnybrook Health Sciences Centre, Odette Cancer Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.
York University, Department of Psychology, Sunnybrook Health Sciences Centre, Odette Cancer Centre, Patient and Family Support, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.
Breast. 2014 Feb;23(1):50-5. doi: 10.1016/j.breast.2013.10.004. Epub 2013 Nov 27.
For young women with breast cancer mothers might either be a source of support or of increased stress, depending on the premorbid relationship and on the psychological effect of the daughter's diagnosis on her mother.
To examine the effects of a breast cancer diagnosis on young women's relationships with their mothers and the possible support needs of these mothers from the daughters' perspective.
We developed and pre-tested a self-administered questionnaire on 10 survivors of breast cancer diagnosed ≤ age 40. Then, consecutive recurrence-free young women diagnosed with breast cancer were asked to complete the modified questionnaire.
Of 110 daughters approached from July/11 to May/12, 90 (82%) participated. In 11 cases (13%), the daughters had turned to their mothers before approaching anyone else. Of the 83 daughters who disclosed their diagnosis to their mothers, 76 (92%) stated their mothers had been emotionally and/or practically supportive, and 43 (54%) reported that the breast cancer diagnosis had a favorable impact on their relationship with their mothers. Of the 35 employed mothers, 26 had taken time off from work to support their daughters. Nineteen mothers, eight of whom had been living in a different country, had slept over or moved in with daughters during their treatment. Twenty-two daughters believed their mothers felt responsible to some extent for their developing breast cancer. Fifty-nine daughters indicated that health care professionals could help mothers by providing information pamphlets, education sessions, and linking to support groups.
Mothers are an important source of support for young daughters with breast cancer, with the mother-daughter relationship frequently becoming closer after the diagnosis. However, the practical and emotional burden on mothers appears to be high. Future studies should address the effects of a breast cancer diagnosis in young daughters from the mothers' perspective, and the benefit of formal supports for these mothers.
对于患有乳腺癌的年轻女性来说，其母亲可能是支持的源泉，也可能是压力的来源，这取决于母女关系的先天状况以及女儿的诊断对母亲心理产生的影响。
从女儿的角度探讨乳腺癌诊断对年轻女性与母亲关系的影响，以及这些母亲可能从女儿那里得到的支持需求。
我们针对 10 名≤40 岁确诊乳腺癌的幸存者开发并预测试了一份自填式问卷。随后，我们要求连续确诊乳腺癌且无复发的年轻女性填写经修订的问卷。
2011 年 7 月至 2012 年 5 月，共对 110 名年轻女性进行了问卷调查，其中 90 名（82%）参与了研究。在 11 例（13%）中，女儿在求助他人之前首先向母亲寻求了帮助。在 83 名向母亲透露诊断结果的女儿中，76 名（92%）表示母亲在情感和/或实际方面给予了支持，其中 43 名（54%）称乳腺癌诊断改善了与母亲的关系。在 35 名有工作的母亲中，有 26 人因支持女儿而请假。19 名母亲（其中 8 人住在不同的国家）在女儿治疗期间曾留宿或搬来与女儿同住。22 名女儿认为母亲在某种程度上对自己患乳腺癌负有责任。59 名女儿表示，医护人员可以通过提供宣传册、教育课程和与支持小组建立联系来帮助母亲。
母亲是年轻乳腺癌女儿的重要支持来源，诊断后母女关系通常会更加亲密。然而，母亲在情感和实际方面的负担似乎很重。未来的研究应从母亲的角度探讨乳腺癌诊断对年轻女儿的影响，以及为这些母亲提供正式支持的益处。
