Phung Van Du, Fetzer Susan J, Fang Su-Ying
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Nursing, Hai Duong Medical Technical University, Hai Duong, Vietnam.
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Semin Oncol Nurs. 2025 Feb;41(1):151760. doi: 10.1016/j.soncn.2024.151760. Epub 2024 Nov 30.
Cancer Worry (CW) can shape the responses and behaviors of information or support-seeking of daughters of women with breast cancer.
This study aims to explore the roles of Cancer Worry (CW) as a moderator and mediator in the relationship between information needs, support needs, and psychological distress.
A cross-sectional and correlational design was used in conjunction with a convenience sampling strategy. Daughters of mothers with breast cancer were requested to complete the questionnaires Impact of Event Scale Chinese version (IES-C), Cancer Worry Scale for Genetic Counseling (CWS-GC), and Information and Support Needs Questionnaire (ISNQ). Hayes' PROCESS macro using SPSS for Windows were used to examine the mediator and moderator role of CW.
A total of 194 daughters provided data. Cancer worry was significantly correlated with total IES (r = 0.352, P < .01), intrusion-IES (r = 0.353, P < .01), avoidance-IES (r = 0.313, P < .01), unmet support needs (r = 0.226, P < .01), and unmet information needs (r = 0.17, P < .05). Cancer worry mediated the relationship between unmet support needs and total IES (β = 0.089, 95% CI: 0.026, 0.171) and moderated the relationship between unmet information needs and total IES (β = -0.395, P = .018, 95% CI: -0.723, -0.066).
The role of cancer worry should be paid attention to when clinicians deliver information and provide support as well as tailoring psychological intervention for ameliorating distress in daughters of women with breast cancer.
Providing personalized information and support is essential to address the unmet needs of daughters of women with breast cancer. Healthcare professionals providing interventions to reduce distress and improve overall care should consider individual CW.
This research looks at how worrying about cancer affects daughters of women who have breast cancer. It focuses on the degree of cancer worry changes the way they feel when they don't get the information and support. Researchers used surveys to gather data from these daughters, examining how their level of cancer worry influenced their needs for information and support and their psychological distress. They found that greater unmet support needs will intensify worry about cancer and then increase psychological stress. However, too much or too little worry about cancer will also heighten their psychological distress due to limited information. The findings suggest that healthcare providers, including nurses, should consider the level of worry about cancer when offering support and information to these individuals to help reduce their stress.
癌症担忧（CW）会影响乳腺癌患者女儿寻求信息或支持的反应及行为。
本研究旨在探讨癌症担忧（CW）在信息需求、支持需求与心理困扰之间的关系中作为调节变量和中介变量的作用。
采用横断面相关设计，并结合便利抽样策略。要求乳腺癌患者的女儿完成中文版事件影响量表（IES-C）、遗传咨询癌症担忧量表（CWS-GC）以及信息与支持需求问卷（ISNQ）。使用SPSS for Windows的Hayes PROCESS宏程序来检验CW的中介和调节作用。
共有194名女儿提供了数据。癌症担忧与IES总分（r = 0.352，P <.01）、侵入性-IES（r = 0.353，P <.01）、回避性-IES（r = 0.313，P <.01）、未满足的支持需求（r = 0.226，P <.01）以及未满足的信息需求（r = 0.17，P <.05）显著相关。癌症担忧在未满足的支持需求与IES总分之间起中介作用（β = 0.089，95% CI：0.026，0.171），并调节未满足的信息需求与IES总分之间的关系（β = -0.395，P =.018，95% CI：-0.723，-0.066）。
临床医生在为乳腺癌患者的女儿提供信息、支持以及制定心理干预措施以减轻困扰时，应关注癌症担忧的作用。
提供个性化信息和支持对于满足乳腺癌患者女儿未满足的需求至关重要。提供干预措施以减轻困扰并改善整体护理的医疗保健专业人员应考虑个体的癌症担忧情况。
本研究探讨了对癌症的担忧如何影响乳腺癌患者女儿的情况。重点关注癌症担忧程度如何改变她们在未获得信息和支持时的感受。研究人员通过调查收集这些女儿的数据，研究她们的癌症担忧程度如何影响其信息和支持需求以及心理困扰。他们发现，未满足的支持需求增加会加剧对癌症的担忧，进而增加心理压力。然而，由于信息有限，对癌症过多或过少的担忧也会加剧她们的心理困扰。研究结果表明，包括护士在内的医疗保健提供者在为这些人提供支持和信息时应考虑其对癌症的担忧程度，以帮助减轻他们的压力。
