Charos Dimitrios, Andriopoulou Maria, Kyrkou Giannoula, Kolliopoulou Maria, Deltsidou Anna, Bothou Anastasia, Vivilaki Victoria
General Anti-Cancer Oncology Hospital Agios Savvas, 11522 Athens, Greece.
"Konstantopouleio" General Hospital of Nea Ionia, 14233 Athens, Greece.
Behav Sci (Basel). 2025 Jun 27;15(7):880. doi: 10.3390/bs15070880.
This longitudinal study investigated changes in family resilience, support, and functionality among breast cancer patients during the pre-operative and post-operative phases. The study was grounded in McCubbin's model, emphasizing the psychosocial impact of illness and the cultural dynamics of the Greek family system. A longitudinal cohort study was conducted on women diagnosed with breast cancer, aged over 18, undergoing mastectomy, fluent in Greek, and capable of completing questionnaires at two time points, pre- and post-operatively. Standardized instruments were used: the Family Assessment Device (FAD), the Family Crisis Oriented Personal Evaluation Scales (F-COPES), the Family Problem Solving Communication Scale (FPSC), and the Family Support Scale (FS-13). Data were analyzed using paired -tests, ANOVA, and partial correlations. The sample consisted of 58 women with breast cancer. The mean age of participants was 52 years. According to post-operative measurements, the scales that had a significant change were FS-13 (change -12 and SD = 6.9, paired -test, < 0.001), and the subscale "Problem Solving" of FAD (change 0.13 and SD = 0.44, paired -test, = 0.048). The remaining scales did not change significantly post-operatively. Depending on the type of treatment, the scales that had a significant difference post-operatively regarded the participants, who had undergone chemotherapy in the dimension "Acquiring Social Support" (ANOVA = 0.173, = 0.030), the participants, who had undergone radiotherapy in the dimension "Seeking spiritual support" (ANOVA = 0.122, = 0.035), and in the FS-13 scale across all treatment types (ANOVA = 0.458, < 0.001). The post-operative phase of breast cancer was a psychosocially vulnerable time, accompanied by an increase in family dysfunction and a significant decrease in family support across all types of treatments, while patients receiving chemotherapy or radiotherapy experienced a corresponding decrease in social and spiritual support. Finally, enhanced family support was associated with improved family resilience, highlighting the need for targeted psychosocial interventions during this period.
这项纵向研究调查了乳腺癌患者在术前和术后阶段家庭恢复力、支持和功能的变化。该研究基于麦库宾的模型，强调疾病的心理社会影响以及希腊家庭系统的文化动态。对年龄超过18岁、接受乳房切除术、希腊语流利且能够在术前和术后两个时间点完成问卷的乳腺癌女性进行了纵向队列研究。使用了标准化工具：家庭评估量表（FAD）、家庭危机导向个人评估量表（F-COPES）、家庭问题解决沟通量表（FPSC）和家庭支持量表（FS-13）。数据采用配对t检验、方差分析和偏相关分析。样本包括58名乳腺癌女性。参与者的平均年龄为52岁。根据术后测量，有显著变化的量表是FS-13（变化值为-12，标准差=6.9，配对t检验，p<0.001），以及FAD的“问题解决”子量表（变化值为0.13，标准差=0.44，配对t检验，p=0.048）。其余量表术后无显著变化。根据治疗类型，术后有显著差异的量表涉及在“获得社会支持”维度接受化疗的参与者（方差分析=0.173，p=0.030），在“寻求精神支持”维度接受放疗的参与者（方差分析=0.122，p=0.035），以及所有治疗类型的FS-13量表（方差分析=0.458，p<0.001）。乳腺癌术后阶段是心理社会脆弱期，伴随着家庭功能障碍增加以及所有治疗类型的家庭支持显著下降，而接受化疗或放疗的患者社会和精神支持相应减少。最后，增强的家庭支持与改善的家庭恢复力相关，突出了在此期间进行有针对性的心理社会干预的必要性。
