title: The family's functioning with newly diagnosed breast cancer in the mother: the development of an explanatory model.
abstract: Despite the high rates of breast cancer in the child-rearing mother, there is extremely limited research on the effects of the illness on the children, marriage, and parent-child relationship. The current study tested an explanatory model of family functioning with breast cancer based on data obtained from standardized questionnaires from 80 diagnosed mothers and partners with young school-age children. Path analysis results for data obtained from both the mothers and the partners revealed a similar pattern. More frequently experienced illness demands were associated with higher levels of parental depressed mood which negatively affected the marriage. When the marriage was less well adjusted, it negatively affected the family's coping behavior. Household functioning was positively affected by heightened coping activity and by higher levels of marital adjustment. Children functioned better when the non-ill parent more frequently interacted with them and their families coped more frequently with their problems.
authors.affiliation: Community Health Care Systems, University of Washington, Seattle 98195.
authors.forename: F M
authors.initials: FM
authors.lastname: Lewis
authors.forename: M A
authors.initials: MA
authors.lastname: Hammond
authors.forename: N F
authors.initials: NF
authors.lastname: Woods
mesh_terms: D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology*; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology*; D003863:Depression / Q000523:psychology; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008393:Marriage / Q000523:psychology; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D010287:Parent-Child Relations; D010553:Personality Development; D012803:Sick Role; D012917:Social Adjustment; D012944:Social Support