A family-based model to predict fear of recurrence for cancer survivors and their caregivers

A family-based model to predict fear of recurrence for cancer survivors and their caregivers
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DOI:
10.1002/pon.1074
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发表时间:
2007-03-01
期刊:
影响因子:
3.6
通讯作者:
Freeman-Gibb, Laurie
Freeman-Gibb, Laurie
中科院分区:
医学2区
文献类型:
--
作者:
Mellon, Suzanne;Kershaw, Trace S.;Freeman-Gibb, Laurie

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尽管对癌症复发的恐惧是幸存者及其家人非常关心的问题,但很少有研究检查对复发恐惧的预测因素。本研究的目的是在基于人群的样本 (N = 246) 中确定与复发恐惧相关的因素,并确定幸存者和家庭护理人员是否影响彼此对复发的恐惧。家庭框架指导了研究和分析,包括使用参与者-合作伙伴相互依赖模型的多层次建模。结果表明,幸存者和家庭照顾者对复发的恐惧相互影响,并且照顾者比幸存者更害怕复发。更多的家庭压力、疾病的积极意义和年龄与幸存者和护理人员对癌症复发的恐惧增加有关。版权所有 (c) 2006 John Wiley & Sons, Ltd.
Although fear of cancer recurrence is a great concern among survivors and their families, few studies have examined predictors of fear of recurrence. The purpose of this study was to identify factors associated with fear of recurrence in a population-based sample (N = 246) and determine if survivors and family caregivers influenced one another's fear of recurrence. A family framework guided the study and analyses included multilevel modeling using the Actor-Partner Interdependence Model. Results indicated that survivors and family caregivers influenced each other's fear of recurrence and that caregivers had significantly more fear of recurrence than survivors. More family stressors, less positive meaning of the illness, and age were related to elevated fear of cancer recurrence for both survivors and caregivers. Copyright (c) 2006 John Wiley & Sons, Ltd.