{"title":"Patient participation in treatment decision making and the psychological consequences of breast cancer surgery.","authors":"A Moyer, P Salovey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Women in the early stages of breast cancer can be treated effectively with either modified radical mastectomy or tumor excision plus postoperative radiation therapy. Thus, breast cancer patients may be given a choice between these two modes of treatment. In some states, physician disclosure of such treatment alternatives for breast cancer is mandated by law. Despite the belief that patient participation in decision making is beneficial, the evidence is preliminary, although generally supportive. This study examined the extent to which patient participation in the choice of surgical options was related to psychological functioning, fear of cancer recurrence, and aspects of treatment satisfaction 3 and 13 months postoperatively. Few associations with degree of participation in treatment decision making or type of surgical treatment emerged after 3 months. After 13 months, however, women with greater levels of input into their treatment plan were more satisfied with their medical care, although they were not better off in terms of psychological functioning or fear of cancer recurrence. The positive effects of shared treatment decision making may be more closely related to aspects of longer term treatment satisfaction rather than a buffer against psychological distress resulting from breast cancer.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 2","pages":"103-16"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20576913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Provision of mental health services in women's health centers.","authors":"B Curbow, A J Khoury, C S Weisman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Women's health centers are often associated with a comprehensive model of health care that treats the \"whole woman.\" Using data from a nationwide study of 467 women's health centers, we explored how the ideal of comprehensive care was implemented with respect to mental health services. Specifically, we examined the rates of screening and treatment for a subset of mental health and behavioral and social problems in women's health centers and the structural, staffing, philosophical, and patient factors associated with the provision of services. Across 12 services, the overall rates of provision ranged from 7.7% for screening for dementing disorders to 27.6% for smoking cessation counseling and treatment. In a series of logistic regressions, center type (primary care) and having a mental health staff person were consistently associated with service provision; other important variables were having a high percentage of women using the center as their usual source of care and having a belief in women-centered care. Findings indicate that the majority of women using women's health centers do not receive services in a comprehensive care environment that includes key mental health services.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 1","pages":"71-91"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20444511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The promise of a multiple roles paradigm for women's health research.","authors":"R L Repetti","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 4","pages":"273-80"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20822732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of work-family systems on women's psychological health: an introduction.","authors":"E M Ozer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 4","pages":"281-3"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20822733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Change in job conditions and change in psychological distress within couples: a study of crossover effects.","authors":"R C Barnett, R T Brennan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a random sample of 242 full-time employed men and women in dual-earner couples (N = 484), this study estimated the relations between (a) his experiences on the job over time and her distress over time and (b) her experiences on the job over time and his distress over time. In addition, we explored whether the crossover effects were due primarily to experiences with particular job conditions, and whether there were gender differences in the magnitude of these associations. The participants were interviewed 3 times over a 2-year period. After taking into account the relationship between each partner's own job conditions over time and her or his own psychological distress, there were significant associations between both the time-varying and the stable components of each partner's job conditions on the other partner's distress. The findings are discussed within the context of the need to expand the models used to study the job stress-illness relation to include longitudinal and within-couple crossover effects.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 4","pages":"313-39"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20822735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R W Wilsnack, S C Wilsnack, A F Kristjanson, T B Harris
{"title":"Ten-year prediction of women's drinking behavior in a nationally representative sample.","authors":"R W Wilsnack, S C Wilsnack, A F Kristjanson, T B Harris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study evaluates how well women's personal and social characteristics predict their drinking behavior over a 10-year period, using data from a national representative sample of 696 U.S. women interviewed in 1981 and 1991. Interviews obtained data on drinking behavior, personality characteristics, childhood and recent experiences, and perceptions of the social environment. Analyses using paired comparisons, correlations, and linear and logistic regression found that women's alcohol use and its adverse consequences in 1991 were predicted by age, 1981 drinking behavior, and many other aspects of their lives measured 10 years before. Heavier and riskier drinking patterns were associated in particular with adverse childhood experiences, missing interpersonal ties, and expected self-expressive benefits of drinking. However, no variables predicted all patterns of drinking behavior, and specific predictors of different drinking patterns showed little overlap. We conclude that many aspects of women's lives, and particularly their interpersonal relationships, have long-term influences on their drinking behavior, but different patterns of drinking behavior have different antecedents.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 3","pages":"199-230"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20699683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of alternative work arrangements on women's well-being: a demand-control model.","authors":"E K Kelloway, B H Gottlieb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The growth of women's participation in the labor force and evidence of the conflict they experience between job and family demands have spurred many employers to introduce alternative work arrangements such as flextime, job sharing, and telecommuting. Drawing on data gained from a sample of women (N = 998) in two large Canadian organizations, this study evaluates two mediational models of the impact of alternative work arrangements on women's stress and family role competence. Specifically, it tests and finds support for the hypotheses that (a) work arrangements involving scheduling flexibility (telecommuting and flextime) promote these aspects of women's well-being by increasing their perceived control over their time, and (b) arrangements involving reduced hours of employment (part-time employment and job sharing) promote well-being by reducing perceived job overload. Discussion of these findings centers on their implications for employed women, their employers, and future research.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20445115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substance use and social outcomes among participants in perinatal alcohol and drug treatment.","authors":"G Berkowitz, C Brindis, S Peterson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years comprehensive, woman-centered alcohol and other drug (AOD) treatment programs for pregnant and parenting women have increased in number, despite a scarcity of information about their effectiveness. In response, an evaluation study was undertaken to document the behavioral and social outcome among a sample of women enrolled in AOD treatment through a California network of perinatal treatment services. A sample of 591 women were interviewed shortly before leaving treatment about their pretreatment and current treatment experiences, and 460 of them completed a follow-up interview 6 months later. Areas of positive change observed included reductions in AOD use, maintenance of some kind of treatment contact after discharge from the perinatal treatment program, reductions in criminal activity, and reductions in social problems. These findings suggest that comprehensive programs are effective at promoting recovery and positive social changes for pregnant and parenting women and their children.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 3","pages":"231-54"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20698880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Naive beliefs about breast cancer risk.","authors":"K D McCaul, S M O'Donnell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We examined the beliefs women have about their risk of breast cancer. Participants were 86 women, ages 18 to 90, with and without a family history of breast cancer. They were interviewed individually about their risk and their beliefs about risk factors for breast cancer. The results showed that participants form their risk estimates primarily from the absence or presence of a family history of breast cancer. When asked to compare their risk with the risk of others, only participants without a family history viewed their chances of getting breast cancer as lower than the chances of others. On an absolute risk measure, all participants overestimated their risk. Different risk measures can lead to different conclusions about how women perceive their risk. In addition, the nearly exclusive focus of women on family history may create difficulties for genetic counselors providing information about breast cancer risk.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 1","pages":"93-101"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20444512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G E Wyatt, K A Desmond, P A Ganz, J H Rowland, K Ashing-Giwa, B E Meyerowitz
{"title":"Sexual functioning and intimacy in African American and white breast cancer survivors: a descriptive study.","authors":"G E Wyatt, K A Desmond, P A Ganz, J H Rowland, K Ashing-Giwa, B E Meyerowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examines ethnic differences in sexual socialization and attitudes, sexual history and current practices, and the effects of treatment in 147 African American and White breast cancer survivors. Sex-related research in younger healthy populations has shown that cultural values associated with ethnicity influence sexual functioning, but small numbers of African American participants in previous research in breast cancer survivors has limited what we know about that population. In this study, there were few differences between the 2 ethnic groups in a predominantly well-educated, high-income, highly functional sample. However, African American women were significantly less likely to be comfortable with and to practice oral sex, self-touching, and masturbatory behaviors. White women were more likely to report that breast cancer had a negative impact on their sex lives. These differences in sexual repertoire and functioning should be noted by health care practitioners treating the sexual sequelae of breast cancer treatment.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"4 4","pages":"385-405"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20821945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}