Compas B E, Worsham N L, Epping-Jordan J E, Grant K E, Mireault G, Howell D C, Malcarne V L
Department of Psychology, University of Vermont, Burlington 05405.
Health Psychol. 1994 Nov;13(6):507-15.
This study assessed anxiety/depression and stress response symptoms in adult cancer patients (n = 117), spouses (n = 76), and their children (n = 110, ages 6 to 30 years old) near the patients' diagnoses to identify family members at risk for psychological maladjustment. Patients' and family members' distress was related to appraisals of the seriousness and stressfulness of the cancer but not related to objective characteristics of the disease. Patients and spouses did not differ in anxiety/depression or in stress-response symptoms. Both stress-response and anxiety/depression symptoms differed in children as a function of age, sex of child, and sex of patient. Adolescent girls whose mothers had cancer were the most significantly distressed. Implications for understanding the impact of cancer on the family are highlighted.
本研究评估了成年癌症患者（n = 117）、其配偶（n = 76）及其子女（n = 110，年龄在6至30岁之间）在患者确诊时附近的焦虑/抑郁及应激反应症状，以确定有心理适应不良风险的家庭成员。患者及其家庭成员的痛苦与对癌症严重性和压力程度的评估有关，但与疾病的客观特征无关。患者和配偶在焦虑/抑郁或应激反应症状方面没有差异。应激反应和焦虑/抑郁症状在儿童中因儿童年龄、性别以及患者性别而异。母亲患癌症的青春期女孩痛苦最为明显。文中强调了对于理解癌症对家庭影响的意义。
