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研究生:吳雪菁
研究生(外文):Hsueh-Ching Wu
論文名稱:探討乳癌高危險群婦女之風險認知及心理困擾
論文名稱(外文):Association of risk perception and psychological distress among high risk women of breast cancer
指導教授:陳品玲陳品玲引用關係
指導教授(外文):Ping-Ling Chen
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:護理學系
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2003
畢業學年度:91
語文別:中文
論文頁數:1
中文關鍵詞:乳癌高危險群一級血親風險認知心理困擾
外文關鍵詞:high-risk of breast cancerfirst-degree relativesrisk perceptionpsychological distress
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本研究目的在探討乳癌高危險群婦女的風險認知及心理困擾程度,以曾參與陳品玲博士國科會研究案及北市某區域教學醫院確立乳癌診斷患者之一級女性血親為研究對象,採橫斷式調查研究法,以結構式問卷為研究工具,以電話邀請研究對象至門診或家訪方式進行資料收集,共有143人同意參與研究,參與率為50.0﹪。
研究結果顯示(一)乳癌高危險群婦女的相對風險認知情形,仍有四成多覺得和一般婦女相比為「較低或一樣」;絕對風險認知有近八成認為自己未來「有可能」罹患乳癌;而預估自己罹患乳癌機率的絕對風險認知顯示,有一半以上的高危險群婦女高估自己罹患乳癌機率的絕對風險。(二)在一般性心理困擾部分,乳癌高危險群婦女的焦慮狀況介於「有一點」及「頗為」之間;憂鬱狀況顯示有四分之一的乳癌高危險群婦女有憂鬱症狀。癌症特定性困擾部分,顯示有一半以上對乳癌有中等程度以上的特定性困擾,且有三成的高危險群婦女對乳癌有高程度的特定性困擾。(三)年齡在41歲(含)以下者、教育程度為高中職以上、無子女、未停經、及乳癌血親與個案的親屬關係為母親或姊妹者等其風險認知較高。(四)年齡在41歲(含)以下、教育程度為高中以上、單身、無子女、乳癌血親與個案之親屬關係為母親或女兒等其心理困擾程度較高。(五)相對風險認知為「比較高」者其特定性心理困擾較高;絕對風險認知為「有可能」者其焦慮程度有顯著較高。
根據研究結果可瞭解基本資料不同對乳癌高危險群婦女的風險認知及心理困擾程度的差異,以提供社區護理人員篩選出不同風險認知的高危險群婦女及不同心理困擾程度者,並能針對其需求提供適當的衛教、諮商及轉介服務等介入措施,而增加對乳癌的風險認知及減少乳癌高危險群婦女潛在心理疾病的發生。
The purpose of this study was to determine the association between risk perception and psychological distress among high-risk women of breast cancer. A cross-sectional design was conducted to examine first-degree female relatives of breast cancer patients. With a participation rate of 50%, data of 143 participants were collected via interviews in clinic or at home.
Study results were found as follows: (1) There were 44% high-risk female relatives perceived their risk of breast cancer “relatively lower than or as the same as” general population; 79% thought they are very likely to get breast cancer; However, more than 50% over-estimated their possibilities of getting breast cancer. (2) The anxiety among these high-risk female relatives was found in between “a little” and “some”; Around one fourth suffered depression; Over 50% had moderate and above degree of cancer specific distress; Approximately 30% carried high degree of cancer specific distress. (3) Female relatives with the following categories were found to carry higher risk perception: those with ages under 41, those with above high school education, those do not have child and those their menstrual cycles have not ended; Higher risk perception was also found in high-risk female relatives when their mothers or daughters have breast cancer. (4) Single and childless female relatives with ages under 41 and above high school education were found to carry higher psychological distress; Higher distress was also found in high-risk female relatives when their mothers or daughters have breast cancer. (5) Female relatives with “relatively higher” relative risk perception carried higher specific psychological distress; Female relatives with “likely” absolute risk perception were found to have significantly higher anxiety.
These findings can be useful in helping community nurses to screen high-risk women with different extents of risk perception and psychological distress. Community nurses can accordingly provide more appropriate health education and consulting, consolation and proper referral.
目 錄 頁數
致謝 I
中文摘要 II
英文摘要 IV
目錄 VI
圖表目次 VIII
第一章 緒論 1
第二章 文獻查證
第一節 乳癌 5
第二節 乳癌風險認知 14
第三節 乳癌高危險群婦女之心理困擾 23
第四節 研究架構 32
第五節 研究假設 33
第六節 名詞界定 34
第三章 研究方法
第一節 研究設計 36
第二節 研究對象 37
第三節 研究工具 39
第四節 研究步驟 48
第五節 資料處理與分析 51
第四章 研究結果 54
第一節 乳癌高危險群婦女之基本資料分佈 59
第二節 乳癌高危險群婦女之風險認知 62
第三節 乳癌高危險群婦女之心理困擾 64
第四節 乳癌高危險群婦女基本資料不同對風險認知之差異 66
第五節 乳癌高危險群婦女基本資料不同對心理困擾之差異 75
第六節 風險認知與心理困擾之相關性 83
第五章 討論
第一節 乳癌高危險群婦女風險認知之差異 87
第二節 乳癌高危險群婦女心理困擾之差異 91
目 錄 頁數
第三節 風險認知不同對心理困擾之差異 93
第六章 結論與建議
第一節 結論 95
第二節 建議 99
第三節 研究限制 102
參考資料
中文部分 103
英文部分 105
附件
附件一 問卷 116
附件二 癌症特定困擾量表使用同意書 122
附件三 專家名單 123
附件四 專家效度檢測結果 124
附件五 社經地位評估表 130
圖 表 目 次 頁數
圖一 探討乳癌高危險群婦女風險認知及心理困擾之研究概念架構 32
圖二 乳癌高危險群婦女之收案流程 50
表一 乳癌家族史罹患乳癌相對危險性之文獻比較 9
表二 乳癌高危險群婦女的相對風險認知之文獻比較 15
表三 乳癌高危險群婦女的絕對風險認知之文獻比較 18
表四 研究量表信度測試結果 47
表五 對應研究假設之描述統計法 52
表六 對應研究假設之推論統計法 53
表七 乳癌高危險群婦女同意參與研究之分佈 56
表八 35歲以上乳癌高危險群婦女不同意參與篩檢之原因分佈 57
表九 未參與乳房篩檢及35歲以下乳癌高危險群婦女不同意家訪評估風險認知及心理困擾之原因分佈 58
表十 乳癌高危險群婦女基本資料之分佈 60
表十一 乳癌高危險群婦女風險認知之分佈 63
表十二 乳癌高危險群婦女心理困擾之分佈 65
表十三 比較不同基本資料之乳癌高危險群婦女相對風險認知差異 67
表十四 比較不同基本資料之乳癌高危險群婦女自覺罹患乳癌的絕對風險認知差異 70
表十五 比較不同基本資料之乳癌高危險群婦女預估罹患乳癌機率的絕對風險認知差異 73
表十六 比較不同基本資料之乳癌高危險群婦女的焦慮程度差異 76
表十七 比較不同基本資料之乳癌高危險群婦女的憂鬱程度差異 78
表十八 比較不同基本資料之乳癌高危險群婦女的癌症特定困擾程度差異 81
表十九 乳癌高危險群婦女預估絕對風險認知與心理困擾之相關探討 84
表二十 不同風險認知之乳癌高危險群婦女心理困擾的差異比較 85
中文部分:
行政院衛生署 (民88)。 衛生統計。 台北:行政院衛生署編印。
行政院衛生署 (民91)。 衛生統計。 台北:行政院衛生署編印。
行政院衛生署 (民90)。 公共衛生概況。 台北:行政院衛生署編印。
阮玉梅、黃秋滿、武茂玲、吳淑貞 (民83)。 公共衛生護理概論。 台北:永大書局。
吳英璋(民72)。適應困難的發生─一種心理學的探討。 中國心理衛生學刊,26,48-54。
李執中 (民86)。 普通心理學概要。 台北:匯華。
李選 (民86)。 新編精神科護理學。 台北:永大書局。
林宗鴻 (民86)。人格心理學。 台北:楊智。
林瑞雄、張金堅、季瑋珠 (民82)。 乳癌之病例對照研究。 行政院衛生署82年委託研究計畫。 編號DoH82-HP-111。
季瑋珠、黃俊升、張金堅 (民86)。 台灣的乳癌。 中華衛誌,16 (1),62-76。
胡綾真 (民88)。居家照顧癌症轉移病患之主要照顧者的照顧負荷、憂鬱與生活品質之探討。 長庚大學護理學研究所碩士學位論文。
陳美伶 (民87)。 癌症疼痛病人憂鬱因果模式之研究。 87年國科會計畫。 編號NSC87-2314-13-182-117。
陳清芬、季瑋珠、李文宗、林瑞雄 (民83)。台灣地區癌症流行病學:乳癌。 醫學繼續教育,4,546-551。
游恆山 (民87)。 變態心理學。 台北:五南。
傅振宗、曾良達、李志成 (民77)。農村社區老人的CES-D憂鬱分數之相關因素探討。 台灣醫誌,87, 365-368。
鄭綺、楊小娟、蔡仁貞 (民89)。 輕中度和重度肺功能障礙慢性阻塞性肺疾病患者運動自我效能和運動測試結果比較之探討。 護理研究,8(1),13-23。
盧成皆 (民85)。 研究工具之信度與效度。 於李選總校閱,護理研究與應用(pp.253-270)。 台北:華杏。
鍾思嘉、龍長風 (民73)。 修訂情境與特質焦慮量表之研究。 中國測驗學會測驗年刊,31,27-36。
羅雪、陳品玲、陳靜敏、李從業、謝家明 (民90)。 應用健康信念模式探討影響乳癌高危險群婦女執行乳癌篩檢行為之因素. 護理雜誌, 48(6), 59-68。
英文部分:
American Cancer Society. (2002). Cancer facts and figures: 2002. Atlanta, GA: American Cancer Society.
Anderson, D. E., & Badzioch, M. D. (1985). Risk of familial breast cancer. Cancer, 56, 383-387.
Andrieu, N., Clavel, A., Gairard, B., Piana, L., Bremond, A., Lansac, J., Flamant, R., & Renaud, R. (1993). Variations in the risk of breast cancer associated with a family history of breast cancer according to age at onset and reproductive factors. Journal of Clinical Epidemiology, 46(9), 973-980.
Audrain, J., Rimer, B., Cella, D., Stefanek, M., Garber, J., Pennanen, M., Helzlsouer, K., Vogel, V., Lin, T.H., & Lerman, C. (1999). The impact of a brief coping skills intervention on adherence to breast self-examination among first-degree relatives of newly diagnosisd breast cancer patients. Psycho-Oncology, 8(3), 220-229.
Audrain, J., Schwartz, M. D., Lerman, C., Hughes, C., & Peshkin, B.N. (1997). Psychological distress in women seeking genetic counseling for breast-ovarian cancer risk:the contributions of personality and appraisal. Ann Behavior Medicine, 19(4), 370-377.
Baider, L., Ever-Hadani, P., & De-Nour, A.K. (1999). Psychological distress in healthy women with familial breast cancer : like mother, like daughter? The International Journal of Psychiatry in Medicine, 29(5), 4 11-420.
Bowen, D., McTiernan,A., Burke, W., Powers, D., Pruski, J., Durfy, S., Gralow, J., & Malone, K. (1999). Participation in breast cancer risk counseling among women with a family history. Cancer Epidemiological Biomarkers and prevention, 8, 581-585.
Brain, K., Gray, J., Norman, P., France, E., Anglim, C., Barton, G., Parsons, E., Clarke, A., Sweetland, H., Tischkowitz, M., Myring, J., Stansfield, K., Webster, D., Gower-Thomas, K., Daoud, R., Gateley, C., Monypenny, I., Singhal, H., Branston, L., Sampson, J., Roberts, E., Newcombe, R., Cohen, D., Rogers, C., Mansel, R., & Harper, P. (2000). Randomized trial of a specialist genetic assessment service for familial breast cancer. Journal of the National Cancer Institute, 92(14), 1345-1351.
Brain, K., Gray, J., Norman, P., Parsons, E., Clarke, A., Rogers, C., Mansel, R., & Harper, P. (2000). Why do women attend familial breast cancer clinics? Journal of Medicine Genetics, 37, 197-202.
Brain, K., Norman, P., Gray, J., & Mansel, R. (1999). Anxiety and adherence to breast self-examination in women with a family history of breast cancer. Psychosomatic Medicine, 61(2), 181-187.
Brinton, L. A., Hoover, R., & Fraumeni, J. F. (1982). Interaction of familial and hormonal risk factors for breast cancer. Journal of National Cancer Institute, 69(4), 817-822.
Burke, W., Culver, J. O., Bowen, D., Lowry, D., Durfy, S., McTiernan, A., & Andersen, M. R. (2000). Genetic counseling for women with an intermediate family history of breast cancer. American Journal of Medical Genetics, 90(4), 361-368.
Calle, E. E., Martin, L. M., Thun, M. J., Miracle, H. L., & Heath, C.W. (1993). Family history, age, and risk of fatal breast cancer. American Journal of Epidemiology, 138(9), 675-681.
Carroll, J. C., Heisey, R. E., Warner, E., Goel, V., McCready, D. R. (1999). Hereditary breast cancer : psychosocial issues and family physicians’ role. Canadian Family Physician, 45(2), 126-132.
Chen, P-L., Sellers, T. A., Rich, S. S., Potter, J. O., & Folsom, A. (1994). Examination of the effect of nongenetic risk facts on the familial risk of breast cancer among relatives of postmenopausal breast cancer patients. Cancer Epidemiology, Biomarkers and Prevention, 3, 549-555.
Chie, W. C., Chen, C. F., Lee, W. C., & Chen, C. J. (1996). Socioeconomic status, lactation and breast cancer risk of parous women in Taiwan. Oncology Reports, 3(5), 497-501.
Colditz, A., Willett, W. C., Hunter, D. J., Stampfer, M. J., Manson, E., Hennekens, C. H., Rosner, B. A., & Speizer, F. E. (1993). Family history, age, and risk breast cancer. JAMA, 270, 338-343.
Compas, B. E., Stoll, m.f., Thomsen, A. H., Oppedisano, G., Epping-Jordan, J. E., & Krag, D. N. (1999). Adjustment to breast cancer : age-related differences in coping and emotional distress. Breast Cancer Research and Treatment, 54(2), 195-203.
Coyne, J. C., Benazon, N. R., Gaba, C. G., Calzone, K., & Weber, B. I. (2000). Distress and psychiatry morbidty among women from high-risk breast and ovarian cancer families. Journal of Consulting & Clinical Psychology, 68(9), 864-874.
Cull, A., Anderson, E. D. C., Campbell, S., Mackay, J., Smyth, E., & Steel, M. (1999). The impact of genetic counseling about breast cancer risk on women’s risk perceptions and levels of distress. British Journal of Cancer, 79(6), 501-508.
Cull, A, Fry, A., Rush, R., & Steel, C. M. (2001). Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic. British Journal of Cancer, 84(6), 594-599.
Cungingham, L. L. C., Andrykowski, M. A., Wilson, J. F., McGrath, P. C., Sloan, D. A., & Kenady, D. E. (1998). Physical symptoms, distress, and breast cancer perceptions in women with benign breast problems. Health Psychology, 17(4), 371-375.
Dai, Q., Shu, X-O., Jin, F., Potter, J. D., Kushi, L. H., Teas, J., Gao, Y-T., & Zheng, W. (2001). Population-based case-control study of soyfood intake and breast cancer risk in Shanghai. British Journal of Cancer, 85(3), 372-378.
Diefenbach, M. A., Miller, S. M., & Daly, M. B. (1999). Specific worry about breast cancer predicts mammography use in women at breast and ovarian cancer. Health Psychology, 18(6), 532-536.
Drossaert, C. H., Boer, H., Seydel, E. R. (1996). Perceived risk, anxiety, mammogram uptake, and breast cancer: the role of knowing to be at increased risk. Cancer Detection and Prevention, 20(1), 76-85.
Dupont, W. D., & Page, D. L. (1991). Menopausal estrogen replacement therapy and breast cancer. Archives of Internal Medicine, 151(1), 62-72.
Esplen, M. J., Toner, B., Hunter, J., Glendon, G., Liede, A., Narod, S., Stuckless, N., Butler, K., & Field, B. (2000). A supportive-expressive group intervention for women with a family history of breast cancer : results of a phase II study. Psycho-Oncology, 9(3), 243-252.
Friedman, L. C., Webb, J. A., Richards, C. S., & Plon, S. E. (1999). Psychological and behavioral factors associated with colorectal cancer screening among Ashkenazim. Preventive Medicine 29(2), 119-125.
Ganz, P. A., Hirji, K., Sim, M. S., Schag, C. A., Fred, C., & Polinsky, M. L. (1993). Predicting psychosocial risk in patients with breast cancer. Medical Care, 31(5), 419-431.
Gilbar, O. (1998). Coping with threat:implications for women with a family history of breast cancer. Psychosomatics, 39(4), 329-339.
Gilbar, O. (1997). Women with high risk for breast cancer : psychological symptoms. Psychological Reports, 80(9), 800-802.
Helmrich, S. P., Sharpior, S., Rosenberg, L., Kaufman, D. E., Slone, D., Bain, C., Miettinen, O., Stolley, P. D., Rosenshein, N. B., Knapp, R.C., Leavitt, T., Schottenfeld, D., Engle, R., & Levy, M. (1983). Risk factors for breast cancer. American Journal of Epidemiology, 117(1), 35-45.
Henderson, I. C. (1993). Risk factors breast cancer development. Cancer supplement, 71, 2127-2140.
Hopwood, P., Keeling, F., Long, A., Pool, C., Evans, G., & Howell, A. (1998). Psychological support needs for women at high genetic risk of breast cancer : some preliminary indicators. Psycho-Oncology, 7(5), 402-412.
Hopwood, P., Shenton, A., Lalloo, F., Evans, D. G., & Howell, A. (2001). Risk perception and cancer worry : an exploratory study of impact of genetic risk counseling in women with a family history of breast cancer. Journal of Medical Genetics, 38, 139-143.
Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale : a measure of subjective stress. Psychosomatic Medicine, 14(3), 209-218.
Howe, H. L. (1981). Social factors associated with breast self-examination among high risk women. American Journal of Public Health, 71(3),251-255.
Hurt, G. J., McQuellon, R. P., Michielutte, R., Conrad, D. M., Carter, S., & Anderson, H. (2001). Risk assessment of first-degree of women with breast cancer : a feasibility study. Hurt, 28, 1097-1104.
Kash, K. M., & Dabney, M. K. (2001). Psychological aspects of cancer screening in high-risk population. Medical and Pediatric Oncology, 36(6), 519-524.
Kash, K. M., Holland, J. C., Halper, M. S., & Miller, D.G. (1992). Psychological distress and survillance behaviors of women with a family history of breast cancer. Journal of the National Cancer Institute, 8(1), 24-30.
Kropp, S., Becher, H., Nieters, A., & Chang-Claude, J. (2001). Low-to-moderate alcohol consumption and breast cancer risk by age 50 years among women in Germany. American Journal of Epidemiology, 154(7), 624-634.
Lauver, D., Nabholz, S., Scott, K., & Tak, Y. (1997). Testing theorectical explanations of mammography use. Nursing Research 46(1), 32-39.
Lehto, R. H., & Cimprich, B. (1999). Anxiety and directed attention in women awaiting breast cancer surgery. Oncology Nursing Forum, 26(8), 767-772.
Leggatt, V., Mackay, J., Marteau, T. M., & Yates, J. R. W. (2000). The psychological impact of a cancer family history questionnaire completed in general practice. Medicine Genetics, 37(5), 470-472.
Lerman, C., Daly, M., Sands, C., Balshem, A., Lustbader, E., Heggan, T., Goldstein, L., James, J., & Engstrom, P. (1993). Mammography adherence and psychological distress among women at risk for breast cancer. Journal of the National Cancer Institute, 85(11), 1074-1080.
Lerman, C., Hughes, C., Benkendorf, J. L., Biesecker, B., Kerner, J., Willison, J., Eads, N., Hadley, D., & Lynch, J. (1999). Racial differences in testing motivation and psychological distress following pretest education for BRCA1 gene testing. Cancer Epidemiology Biomarkers & Prevention, 8, 361-367.
Lerman, C., Kash, K., & Stefanek, M. (1994). Younger omem at increased risk for breast cancer : perceived risk, psychological well being, and surveillance behavior. Journal of the National Cancer Institute, 16(2), 171-176.
Lerman, C., Lustbader, E., Rimer, B., Daly, M., Miller, S., Sands, C., & Balshem, A. (1995). Effects of individualized breast cancer risk counseling : a randomized trail. Journal of National Cancer Institute, 87(3), 286-292.
Lloyd, S., Watson, M., Waites, B., Meyer, L., Eeles, R., Ebbs, S., & Talee, A. (1996). Familial breast cancer: a controlled study of risk perception, psychological morbidity and health beliefs in women attending for genetic counseling. British Journal of Cancer , 74(5), 482-487.
Lynch, H. T., Lynch, J., Conway, T., & Severin, M. (1994). Psychological aspects of monitoring high risk women for breast cancer. Cancer, 74(3 suppl), 1184-1192.
Lynn, M.R. (1986). Determination And quantification of content validity. Nursing Research, 35(4), 382-385.
Massie, M. J., Muskin, P. R., & Stewart, D. E. (1998). Psychotherapy with a woman at high risk for developing breast cancer. General Hospital Psychiatry, 20(2), 189-197.
Meiser, B., Butow, P., Barratt, A., Friedlander, M., Kirk, J., Gaff, C., Haan, E., Aittomaki, K., & Tucker, K. (2000). Breast cancer screening uptake in women at increased risk of developing hereditary breast cancer. Breast Cancer Research and Treatment. 59(2), 101-111.
Parazzini, F., Vecchia, C. L., Francesch, S., & Bocciolone, L. (1992). Menstrual and reproductive factors and breast cancer in women with family history of the disease. International Journal of Cancer, 51, 677-681.
Radloff, L. S. (1977). The CES-D scale : a self- report depression scale for research in the general population. Applied Psychological Measurement, 1(4), 385-401.
Robinson, G. E., Rosen, B. P., Bradley, L. N., Rockert, W. G., Carr M. L., Cole, D. E. C., & Murphy, K. J. (1997). Psychological impact of screening for familial ovarian cancer : reactions to initial assessment. Psycho-Oncology,65(2), 197-205.
Rossing M.A., Stanford J.L., Weiss N.S., Habel L.A. (1996). Oral contraceptive use and risk of breast cancer in middle-aged women. American Journal of Epidemiology, 144(2), 161-164.
Royak-Schaler, R., DeVellis, B. M., Sorenson, J. R., Willson, K. R., Lannin, D. R., Emerson, J. A. (1995). Breast cancer in African-American families : risk perception, cancer worry, and screening practices of first-degree relatives. Annals New York Academy of Sciences, (3), 281-285.
Sattin, R. W., Rubin, G. L., Webster, L. A., Huezo, C. M., Wingo, P. A., Ory, H. W., & Layde, P. M. (1985). Family history and the risk of breast cancer. JAMA, 253, 1908-1913.
Schwartz, M. D., Hughes, C., Roth, J., Main, D., Peshkin, B. N., Isaacs, C., Kavanagh, C., & Lerman, C. (2000). Spiritual faith and genetic testing decisions among high-risk breast cancer probands. Cancer Epidemiology Biomarkers & Prevention, 9, 381-385.
Schwartz M.D., Tatlor K.L., Willard K.S., Siegel J.E., Lamdan R.M., Moran K. (1999). Distress, personality, and mammography utilization among women with a family history of breast cancer. Health Psychology,18(4), 327-332.
Siskind, V., Schofield, F., Rice, D., & Bain, C. (1989). Breast cancer and breastfeeding: results from an Australian case-control study. American Journal of Epidemiology, 130(2), 229-236.
Slattery, M. L., & Kerber, R. A. (1993). Comprehensive evaluation of family history and breast cancer risk. JAMA, 270, 1563-1568.
Stefanek, M. E., Enger, C., Benkendorf, J., Honig, S.F., & Lerman, C. (1999). Bilateral prophylactic mastectomy decision making:a vignett study. Preventive Medicine, 29(3), 216-221.
Stefanek, M. E., & Wilcox, P. (1991). First degree relatives of breast cancer patients: screening practices and provision of risk information. Cancer Detection and Prevention,15(4), 379-384.。
Strya, R., Sakinofsky, I., Mahoney, L., Colapinto, N., & Currie, D. (1993). Coping styles in indentifiers and nonidentifiers of a breast lump as a problem. Psychosomatics, 34(1), 53-60.
Tryggvadottir, L., Tulinius, H., Eyfjord, J. E., & Sigurvinsson, T. (2001). Breastfeeding and reduced risk of breast cancer in an Icelandic cohort study. American Journal of Epidemiology, 154(1), 37-42.
Tulinius, H., Sigvaldason, H., Olafsdottir, G., & Tryggvadottir, L. (1992). Epidemiology of breast cancer in families in Iceland. Journal of Medicine Genetic, 29, 158-164.
Vernon, S. W., Vogel, V. G., Halabi, S., Bondy, M. L. (1993). Factors associated with perceived risk of breast cancer among women attending a screening program. Breast Cancer Research and Treatment, 28(2), 137-144.
Watson, M., Lloyd, S., Davidson, J., Eeles, R., Ebbs, S., & Murday, V. (1999). The impact of genetic counseling on risk perception and mental health in women with a family history of breast cancer. British Journal of Cancer. 79(9), 868-874.
Wellisch, D. K., Gritz, E. R., Schain, W., Wang, H., & Siau J. (1991). Psychological functioning of daughters of breast cancer patients. Part I:daughters and comparison subjects. Psychosomatics, 32(4), 324-336.
Wellisch, D. K., Hoffman, A., Goldman, S., Hammersten, J., Klein, K., & Bell, M. (1999). Depression and anxiety symptoms in women at high risk for breast cancer : pilot study of a group intervention. American Journal of Psychiatry, 156(9), 1644-1645.
Wellisch, D. K., & Lindberg, N. M. (2001). Psychological profile of depressed and nondepressed women at high risk for breast cancer. Psychosomatics, 42(4), 330-336.
White, E., Malon, K. E., Weiss, N. S., & Daling, J. R. (1994). Breast cancer among young U.S. women in relation to oral contraceptive use. Journal of National Cancer Institute, 86(6), 505-514.
Woloshin, S., Schwartz, L. M., Black, W. C., & Welch, H. G. (1999). Women’s perceptions of breast cancer risk : how you ask matters. Medical Decision Making, 19(3), 221-229.
Zakowski, S. G., Valdimarsdottir, H. B., Bovbjerg, D. H., Borgen, P., Holland, J., & Kash, K. (1997). Predictors of intrusive thoughts and avoidance in women with family histories of breast cancer. Annual Behavior Medicine, 19(4), 362-369.
Zheng, T., Holford, T. R., Mayne, S. T., Owens, P. H., Zhang, Y., Zhang, B., Boyle, P., & Zahm, S. H. (2001). Lactation and breast cancer risk : a case-control study in Connecticut. British Journal of Cancer, 84(11), 1472-1476.
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