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Supportive Care in Cancer
Published in: Supportive Care in Cancer 12/2005

01-12-2005 | Original Article

Family functioning and psychological distress among Japanese breast cancer patients and families

Authors: Shuichi Ozono, Toshinari Saeki, Shinichi Inoue, Tomoyuki Mantani, Hitoshi Okamura, Shigeto Yamawaki

Published in: Supportive Care in Cancer | Issue 12/2005

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Abstract

Goals of work

The purpose of this study was to develop a typology of family functioning in the families of breast cancer patients.

Patients and methods

Seventy-four families (189 individuals: 74 patients, 54 spouses, 46 offspring, and 15 other relatives) completed self-report questionnaires. Perception of family functioning was assessed using the family relationship index (FRI) and its three dimensions (cohesiveness, expressiveness, and conflict) and was classified into groups by a cluster analytic approach. Psychological distress was assessed using the Zung self-rating depression scale (SDS) and the Zung self-rating anxiety scale (SAS).

Main results

Cluster analysis yielded three groups of patients and their family members: one cluster with high cohesiveness, high expressiveness, and low conflict (“supportive” type: n=64); a second group with low cohesiveness, low expressiveness, and high conflict (“conflictive” type: n=65); and a third group with limited cohesiveness, limited expressiveness, and low conflict (“intermediate” type: n=60). Analysis of variance revealed that conflictive families manifested the highest level of depression and anxiety among these clusters.

Conclusions

Typology of family functioning can identify psychologically at-risk families. A family-focused approach can help to reduce psychological distress, especially in conflictive families.
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Metadata
Title
Family functioning and psychological distress among Japanese breast cancer patients and families
Authors
Shuichi Ozono
Toshinari Saeki
Shinichi Inoue
Tomoyuki Mantani
Hitoshi Okamura
Shigeto Yamawaki
Publication date
01-12-2005
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 12/2005
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-005-0816-5

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