Associations between marital quality, maternal emotional expressiveness and children's sibling relationships were examined in a sample of 64 seven‐year‐olds and their mothers. Mothers reported on the quality of their marital relationships, and children rated the quality of their sibling relationships. Mothers and children provided data on maternal emotional expressiveness. Results indicated that marital dissatisfaction was associated with hostile and rivalrous sibling relationships and with maternal negative emotional expressiveness. Mothers' negative emotional expressiveness was correlated with hostile and rivalrous sibling relationships, and maternal positive emotional expressiveness was associated with affectionate sibling relationships. Maternal emotional expressiveness mediated the links between the marital relationship and sibling hostility and rivalry.
These NCCN Guidelines for Distress Management discuss the identification and treatment of psychosocial problems in patients with cancer. All patients experience some level of distress associated with a cancer diagnosis and the effects of the disease and its treatment regardless of the stage of disease. Clinically significant levels of distress occur in a subset of patients, and identification and treatment of distress are of utmost importance. The NCCN Distress Management Panel meets at least annually to review comments from reviewers within their institutions, examine relevant new data from publications and abstracts, and reevaluate and update their recommendations. These NCCN Guidelines Insights describe updates to the NCCN Distress Thermometer (DT) and Problem List, and to the treatment algorithms for patients with trauma- and stressor-related disorders.
Objective
To describe the development, pilot testing, and dissemination of a psychosocial intervention addressing concerns of young breast cancer survivors (YBCS).
Methods
Intervention development included needs assessment with community organizations and interviews with YBCS. Based on evidence-based models of treatment, the intervention included tools for managing anxiety, fear of recurrence, tools for decision-making, and coping with sexuality/ relationship issues. After pilot testing in a university setting, the program was disseminated to two community clinical settings.
Results
The program has two distinct modules (anxiety management and relationships/sexuality) that were delivered in two sessions; however, due to attrition, an all day workshop evolved. An author constructed questionnaire was used for pre- and post-intervention evaluation. Post-treatment scores showed an average increase of 2.7 points on a 10 point scale for the first module, and a 2.3 point increase for the second module. Qualitative feedback surveys were also collected. The two community sites demonstrated similar gains among their participants.
Conclusions
The intervention satisfies an unmet need for YBCS and is a possible model of integrating psychosocial intervention with oncology care.
Practice Implications
This program developed standardized materials which can be disseminated to other organizations and potentially online for implementation within community settings.
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