Predictors and interdependence of family support in a random sample of long‐term young breast cancer survivors and their biological relatives

Katapodi, Maria C.; Ellis, Katrina R.; Schmidt, Franziska; Nikolaidis, Christos; Northouse, Laurel L. (2018). Predictors and interdependence of family support in a random sample of long‐term young breast cancer survivors and their biological relatives Cancer Medicine, 7(10), pp. 4980-4992. John Wiley & Sons 10.1002/cam4.1766

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Objective: Women diagnosed with breast cancer younger than 45 years (young breast cancer survivors-YBCS) and their biological relatives face significant stressors. Although family support is an important coping resource, little is known about YBCS' and relatives' support and whether it is interdependent. The study described family support in YBCS and their biological relatives; identified demographic, clinical, and psychosocial predictors of support; and determined the interdependence of support in YBCS-relatives family units. Methods: Data were collected from a random sample of YBCS and their first- or second-degree female relatives. Actor-partner interdependence models (APIM) explored predictors and interdependence of YBCS' and relatives' family support in dyads (YBCS and relative) and triads (YBCS and two relatives). Results: Among n = 310 YBCS and n = 431 first- or second-degree relatives, family support was higher in triads compared to dyads. APIMs identified actor effects in dyads, and actor and partner effects in triads. Across all family units, YBCS' higher self-efficacy was associated with higher YBCS support (actor effect) and relative support (partner effect); YBCS' prior diagnosis of depression was associated with lower YBCS and relative support (actor and partner effect); cost-related lack of access to care was associated with lower support among YBCS (actor effect) and relatives (actor and partner effect). Conclusions: Family support was interdependent and was affected by self-efficacy, depression, and access to care. Interventions should include YBCS and relatives, enhance self-efficacy and access to care.

Item Type:

Journal Article (Original Article)

Division/Institute:

School of Health Professions
School of Health Professions > Nursing

Name:

Katapodi, Maria C.;
Ellis, Katrina R.;
Schmidt, Franziska;
Nikolaidis, Christos and
Northouse, Laurel L.

ISSN:

2045-7634

Publisher:

John Wiley & Sons

Language:

English

Submitter:

Franziska Schmidt

Date Deposited:

23 Apr 2024 15:28

Last Modified:

23 Apr 2024 15:28

Publisher DOI:

10.1002/cam4.1766

Uncontrolled Keywords:

Actor-Partner Interdependence Model; dyads; principal component analysis; random sample; triads; young breast cancer survivors

ARBOR DOI:

10.24451/arbor.21782

URI:

https://arbor.bfh.ch/id/eprint/21782

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