'I told them they had to get tested, and they did': social influence among siblings with Li-Fraumeni syndrome.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-07-23 DOI:10.1080/08870446.2025.2534814

Chloe O Huelsnitz, Allison Werner-Lin, Ashley S Thompson, Camella J Rising, Rowan Forbes Shepherd, Jennifer L Young, Mark H Greene, Payal P Khincha

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引用次数: 0

Abstract

Objectives: Health-related social influence refers to individual efforts to change another person's health beliefs and/or behavior. We sought to understand perspectives on social influence among adult siblings in families with an inherited cancer syndrome, Li-Fraumeni Syndrome (LFS).

Design: An interprofessional team conducted 16 semi-structured interviews with sibling groups (n = 29, aged 18-66, 2-3 siblings per group) enrolled in the NCI's LFS Study.

Main outcome measures: A semi-structured interview guide included questions targeting family closeness, information sharing, and perspectives on screening and cancer care. The research team collaboratively conducted thematic analysis on verbatim transcripts.

Results: Participants reported attempts to influence their siblings' thoughts or behavior regarding LFS-related genetic testing and cancer screening, prevention, and treatment. Some participants expressed respect for sibling autonomy regarding risk management decisions. Others reported explicit attempts to change their siblings' perspective or behavior due to concern for their siblings' health.

Conclusion: Findings suggest participants believed their influence meaningfully affected siblings' LFS risk management, indicating such influence comprises a social intervention pathway with potential to increase cascade testing and to support risk management. However, for some siblings, such efforts incurred risk of relational conflict. Future research might aim to help adult siblings balance social influence strategies with relational maintenance behaviors.

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“我告诉他们必须去做检查，他们也做了”：患有李-弗劳梅尼综合症的兄弟姐妹的社会影响。

目的：健康相关的社会影响是指个人努力改变另一个人的健康信念和/或行为。我们试图了解家庭中患有遗传性癌症综合征，Li-Fraumeni综合征（LFS）的成年兄弟姐妹的社会影响观点。设计：一个跨专业团队对参加NCI LFS研究的兄弟姐妹组（n = 29，年龄18-66岁，每组2-3名兄弟姐妹）进行了16次半结构化访谈。主要结果测量：半结构化访谈指南包括针对家庭亲密关系，信息共享以及对筛查和癌症治疗的看法的问题。研究小组合作对逐字抄本进行专题分析。结果：参与者报告了他们试图影响兄弟姐妹在lfs相关基因检测和癌症筛查、预防和治疗方面的想法或行为。一些与会者表示尊重兄弟姐妹在风险管理决策方面的自主权。另一些人则表示，由于担心兄弟姐妹的健康，他们曾明确试图改变兄弟姐妹的观点或行为。结论：研究结果表明，参与者认为他们的影响对兄弟姐妹的LFS风险管理有意义，表明这种影响包括社会干预途径，有可能增加级联测试和支持风险管理。然而，对于一些兄弟姐妹来说，这样的努力会带来关系冲突的风险。未来的研究可能旨在帮助成年兄弟姐妹平衡社会影响策略和关系维护行为。

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

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.