Communicatively constructing resilience: Exploring family resilience in the experience of hereditary cancer

IF 1.7 3区社会学 Q2 FAMILY STUDIES

Family Relations Pub Date : 2024-10-17 DOI:10.1111/fare.13097

Gemme Campbell-Salome, Skye Chernichky-Karcher, Marleah Dean

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引用次数: 0

Abstract

Objective

The goal was to explore how families communicate to cope with hereditary cancer conditions and identify factors that may enhance resilience and recommended decision-making.

Background

Families with Hereditary Breast and Ovarian Cancer syndrome (HBOC), Lynch syndrome (LS), and Li-Fraumeni syndrome (LFS) have an increased lifetime risk of developing cancer. We use the communication theory of resilience (CTR) to examine how families engage in resilience and make health decisions about hereditary cancer risks over time.

Method

We conducted 42 dyadic interviews with families with HBOC, LS, and LFS. Themes emerged through qualitative analysis for each of the resilience processes outlined by CTR (crafting normalcy, communication networks, identity anchors, alternative logics, and foregrounding productive action while legitimizing negative feelings), illustrating how family members manage stressors associated with hereditary cancer over time.

Results

Participants described enacting each of the five CTR processes to manage the acute and chronic stressors associated with hereditary cancer. We described themes that emerged within each of the five resilience processes.

Conclusion

Findings demonstrate the ways in which families managing hereditary cancer risks enact resilience processes and how these processes may have a complex relationship to coping and medical decision-making.

Implications

Findings demonstrate areas for intervention to support familial resilience.

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沟通建构复原力：探索遗传性癌症经验中的家庭复原力

目的探讨家庭如何沟通以应对遗传性癌症状况，并确定可能增强韧性和建议决策的因素。具有遗传性乳腺癌和卵巢癌综合征（HBOC）、Lynch综合征（LS）和Li-Fraumeni综合征（LFS）的家族终生患癌症的风险增加。我们使用弹性沟通理论（CTR）来研究家庭如何参与弹性，并随着时间的推移做出有关遗传性癌症风险的健康决策。方法对HBOC、LS和LFS患者家庭进行42例双向访谈。通过对CTR概述的每个恢复过程的定性分析，主题浮现出来（塑造常态，沟通网络，身份锚定，替代逻辑，以及在合法化负面情绪的同时突出生产性行动），说明家庭成员如何随着时间的推移管理与遗传性癌症相关的压力源。结果参与者描述了制定五个CTR过程中的每一个来管理与遗传性癌症相关的急性和慢性压力源。我们描述了五个弹性过程中出现的主题。研究结果表明，家族管理遗传癌症风险的方式制定了恢复过程，以及这些过程如何与应对和医疗决策具有复杂的关系。研究结果显示了支持家庭弹性的干预领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family Relations Multiple-

CiteScore

3.40

自引率

13.60%

发文量

164

期刊介绍： A premier, applied journal of family studies, Family Relations is mandatory reading for family scholars and all professionals who work with families, including: family practitioners, educators, marriage and family therapists, researchers, and social policy specialists. The journal"s content emphasizes family research with implications for intervention, education, and public policy, always publishing original, innovative and interdisciplinary works with specific recommendations for practice.