The role of disclosure patterns and unsupportive social interactions in the well-being of breast cancer patients
The role of disclosure patterns and unsupportive social interactions in the well-being of breast cancer patients
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DOI：
10.1002/pon.717
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发表时间：
2004-02-01
期刊：
影响因子：
3.6
通讯作者：
Ingram, KM
中科院分区：
文献类型：
--
作者：
Figueiredo, MI;Fries, E;Ingram, KM
本研究的目的是探讨乳腺癌患者的披露模式和不支持的社会互动的性质和潜在影响。披露，人们与他人交流的想法和感受，以及不支持的社会交往，人们从他人那里得到的令人不安或不支持的反应，很少在乳腺癌患者中进行研究。66名诊断不到一年的早期乳腺癌患者完成了一份书面问卷。结果表明，妇女报告说，向家人和朋友比向精神卫生工作者倾诉更多。担心复发和担心疾病对家庭成员的影响是最重要的担忧，而对身体形象的担忧是最不麻烦的。未能披露的关注与低社会支持，高不支持的社会互动，低情绪幸福感。从其他人那里得到的大多数不支持的反应都是最小化或疏远的行为。不支持的反应与由于情绪问题和社会功能下降而导致的更大的角色限制显著相关。干预措施和未来的研究的影响进行了讨论。版权所有（C）2003约翰威利父子有限公司。
The purpose of this study was to examine the nature and potential effects of disclosure patterns and unsupportive social interactions in breast cancer patients. Disclosure, the thoughts and feelings people communicate to others, and unsupportive social interactions, the upsetting or unsupportive responses people receive from others, have been infrequently studied in breast cancer patients. Sixty-six early stage breast cancer patients diagnosed less than one year completed a written questionnaire. Results indicated that the women reported confiding in family and friends more than in mental health workers. Fears of recurrence and worries about the effects of the illness on family members were the most important concerns, whereas concerns about body image were the least troublesome. Failure to disclose concerns was associated with low social support, high unsupportive social interactions, and low emotional well-being. Most of the unsupportive responses received from other people were either behaviors of minimizing or distancing. Unsupportive reactions were significantly associated with greater role limitations due to emotional problems and decreased social functioning. Implications for interventions and future research are discussed. Copyright (C) 2003 John Wiley Sons, Ltd.