Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Psychooncology. 2010 Oct;19(10):1102-11. doi: 10.1002/pon.1667.

Using a family systems approach to investigate cancer risk communication within melanoma families.

Author information

  • 1Robert Wood Johnson Health and Society Scholars Program, University of California at San Francisco, San Francisco, CA 94118, USA. HarrisJN@chc.ucsf.edu

Abstract

OBJECTIVE:

The family provides an important communication nexus for information and support exchange about family cancer history, and adoption of family-wide cancer risk reduction strategies. The goals of this study were to (1) use the family systems theory to identify characteristics of this sample of families at increased risk of developing melanoma and (2) to relate familial characteristics to the frequency and style of familial risk communication.

METHODS:

Participants were first-degree relatives (n=313) of melanoma patients, recruited into a family web-based intervention study. We used multivariable logistic regression models to analyze the association between family functioning and family communication.

RESULTS:

Most participants were female (60%), with an average age of 51 years. Fifty percent of participants reported that they spoke to their relatives about melanoma risk and people were more likely to speak to their female family members. Familial adaptation, cohesion, coping, and health beliefs were strongly associated with an open style of risk communication within families. None were associated with a blocked style of risk communication. Only cohesion and adaptation were associated with the amount of risk communication that occurred within families.

CONCLUSIONS:

Overall, individuals who came from families that were more highly cohesive, adaptable, and shared strong beliefs about melanoma risk were more likely to communicate openly about melanoma. The fact that this association was not consistent across blocked communication and communication frequency highlights the multifaceted nature of this process. Future research should focus on the interplay between different facets of communication.

Copyright © 2010 John Wiley & Sons, Ltd.

PMID:
20119933
[PubMed - indexed for MEDLINE]
PMCID:
PMC2888971
Free PMC Article

Images from this publication.See all images (1)Free text

Figure 1
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for John Wiley & Sons, Inc. Icon for PubMed Central
    Loading ...
    Write to the Help Desk