Skip to main content
Erschienen in: Journal of Behavioral Medicine 1/2006

01.02.2006 | Original Research

A Model of Disease-Specific Worry in Heritable Disease: The Influence of Family History, Perceived Risk and Worry About Other Illnesses

verfasst von: Terry A. DiLorenzo, Julie Schnur, Guy H. Montgomery, Joel Erblich, Gary Winkel, Dana H. Bovbjerg

Erschienen in: Journal of Behavioral Medicine | Ausgabe 1/2006

Einloggen, um Zugang zu erhalten

Abstract

Disease-related worry is associated with family history and perceived risk of that disease; however, the influences of general risk perceptions and tendencies to worry about diseases have been neglected in the literature. This study investigates a model of disease-specific worry which includes family history, disease-specific perceived risk, and perceived risk for and worry about other diseases. Participants completed a survey assessing these variables in relation to several heritable diseases. Structural equation modeling found that family history predicted disease-specific perceived risk but not perceived risk for other diseases. Disease-specific perceived risk predicted disease-specific worry and worry about other diseases. Perceived risk for other diseases predicted worry about other diseases and disease-specific perceived risk but not disease-specific worry. Disease-specific worry predicted worry about other diseases. This model was supported across several diseases and indicates that disease-specific and general considerations of risk influence worry about a disease and should be considered in interventions.
Literatur
Zurück zum Zitat Andersen, M., Smith, R., Meischke, H., Bowen, D., and Urban, N. (2003). Breast cancer worry and mammography use by women with and without a family history in a population-based sample. Cancer Epidemiol. Biomarkers Prev. 12: 314–320.PubMed Andersen, M., Smith, R., Meischke, H., Bowen, D., and Urban, N. (2003). Breast cancer worry and mammography use by women with and without a family history in a population-based sample. Cancer Epidemiol. Biomarkers Prev. 12: 314–320.PubMed
Zurück zum Zitat Baron, R., and Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J. Pers. Soc. Psychol. 51: 1173–1182.CrossRefPubMed Baron, R., and Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J. Pers. Soc. Psychol. 51: 1173–1182.CrossRefPubMed
Zurück zum Zitat Bentler, P. (1990). Comparative fit indexes in structural models. Psychol. Bull. 107: 38–42.CrossRef Bentler, P. (1990). Comparative fit indexes in structural models. Psychol. Bull. 107: 38–42.CrossRef
Zurück zum Zitat Bentler, P., and Bonnett, D. (1980). Significance tests and goodness of fit in the analysis of covarince structures. Psychol. Bull. 88: 588–606.CrossRef Bentler, P., and Bonnett, D. (1980). Significance tests and goodness of fit in the analysis of covarince structures. Psychol. Bull. 88: 588–606.CrossRef
Zurück zum Zitat Biswas, M., Calhoun, P., Bosworth, H., and Bastian, L. (2002). Are women worrying about heart disease? Women's Health Issu. 12: 204–211.CrossRef Biswas, M., Calhoun, P., Bosworth, H., and Bastian, L. (2002). Are women worrying about heart disease? Women's Health Issu. 12: 204–211.CrossRef
Zurück zum Zitat Bollen, K., and Long, J. (1993). Testing Structural Equation Models, Sage, Newbury Park, CA. Bollen, K., and Long, J. (1993). Testing Structural Equation Models, Sage, Newbury Park, CA.
Zurück zum Zitat Bowen, D., Hickman, K., and Powers, D. (1997). Importance of psychological variables in understanding risk perceptions and breast cancer screening of African American women. Women's Health Res. Gender Behav. Policy 3: 227–242. Bowen, D., Hickman, K., and Powers, D. (1997). Importance of psychological variables in understanding risk perceptions and breast cancer screening of African American women. Women's Health Res. Gender Behav. Policy 3: 227–242.
Zurück zum Zitat Bratt, O., Damber, J., Emanuelsson, M., Kristoffersson, U., Lundgren, R., Olsson, H., and Gronberg H. (2000). Risk perception, screening practice and interest in genetic testing among unaffected men in families with hereditary prostate cancer. Eur. J. Cancer 36: 235–241.CrossRefPubMed Bratt, O., Damber, J., Emanuelsson, M., Kristoffersson, U., Lundgren, R., Olsson, H., and Gronberg H. (2000). Risk perception, screening practice and interest in genetic testing among unaffected men in families with hereditary prostate cancer. Eur. J. Cancer 36: 235–241.CrossRefPubMed
Zurück zum Zitat Brenes, G., and Paskett, E. (2000). Predictors of stage of adoption for colorectal cancer screening. Prev. Med. 31: 410–416.CrossRefPubMed Brenes, G., and Paskett, E. (2000). Predictors of stage of adoption for colorectal cancer screening. Prev. Med. 31: 410–416.CrossRefPubMed
Zurück zum Zitat Browne, M., and Cudek, R. (1993). Alternative ways of assessing model fit. In Bollen, K. A., and Long, J. S. (Eds.), Testing Structural Equation Models, Sage, Newbury Park, CA. Browne, M., and Cudek, R. (1993). Alternative ways of assessing model fit. In Bollen, K. A., and Long, J. S. (Eds.), Testing Structural Equation Models, Sage, Newbury Park, CA.
Zurück zum Zitat Cohen, L., Fouladi, R. T., Babaian, R. J., Bhadkamkar, V. A., Parker, P. A., Taylor, C. C., Smith, M. A., Gritz, E. R., and Basen-Engquist, K. (2003). Cancer worry is associated with abnormal prostate-specific antigen levels in men participating in a community screening program. Cancer Epidemiol. Biomarkers Prev. 12: 610–617.PubMed Cohen, L., Fouladi, R. T., Babaian, R. J., Bhadkamkar, V. A., Parker, P. A., Taylor, C. C., Smith, M. A., Gritz, E. R., and Basen-Engquist, K. (2003). Cancer worry is associated with abnormal prostate-specific antigen levels in men participating in a community screening program. Cancer Epidemiol. Biomarkers Prev. 12: 610–617.PubMed
Zurück zum Zitat Daly, M., Farmer, J., Harrop-Stein, C., Montgomery, S., Itzen, M., Costalas, J., Rogatko, A., Miller, S., Balshem, A., and Gillespie, D. (1999). Exploring family relationships in cancer risk counseling using the genogram. Cancer Epidemiol. Biomarkers Prev. 8: 393–398.PubMed Daly, M., Farmer, J., Harrop-Stein, C., Montgomery, S., Itzen, M., Costalas, J., Rogatko, A., Miller, S., Balshem, A., and Gillespie, D. (1999). Exploring family relationships in cancer risk counseling using the genogram. Cancer Epidemiol. Biomarkers Prev. 8: 393–398.PubMed
Zurück zum Zitat Drossaert, C., Boer, H., and Seydel, E. (1996). Perceived risk, anxiety, mammogram uptake, and breast self-examination of women with a family history of breast cancer: The role of knowing to be at increased risk. Cancer Detect. Prevent. 20: 76–85.PubMed Drossaert, C., Boer, H., and Seydel, E. (1996). Perceived risk, anxiety, mammogram uptake, and breast self-examination of women with a family history of breast cancer: The role of knowing to be at increased risk. Cancer Detect. Prevent. 20: 76–85.PubMed
Zurück zum Zitat Durfy, S., Bowen, D., McTiernan, A., Sporleder, J., and Burke, W. (1999). Attitudes and interest in genetic testing for breast and ovarian cancer susceptibility in diverse groups of women in western Washington. Cancer Epidemiol. Biomarkers Prev. 8: 369–375.PubMed Durfy, S., Bowen, D., McTiernan, A., Sporleder, J., and Burke, W. (1999). Attitudes and interest in genetic testing for breast and ovarian cancer susceptibility in diverse groups of women in western Washington. Cancer Epidemiol. Biomarkers Prev. 8: 369–375.PubMed
Zurück zum Zitat Erblich, J., Bovbjerg, D., Norman, C. Valdimarsdottir, H., and Montgomery, G. (2000). It won't happen to me: Lower perception of heart disease risk among women with family histories of breast cancer. Prev. Med. 31: 714–721.CrossRefPubMed Erblich, J., Bovbjerg, D., Norman, C. Valdimarsdottir, H., and Montgomery, G. (2000). It won't happen to me: Lower perception of heart disease risk among women with family histories of breast cancer. Prev. Med. 31: 714–721.CrossRefPubMed
Zurück zum Zitat Forsyth, L., and Goetsch, V. (1997). Perceived threat of illness and health protective behaviors in offspring of adults with non-insulin-dependent diabetes mellitus. Behav. Med. 23: 112–121.PubMedCrossRef Forsyth, L., and Goetsch, V. (1997). Perceived threat of illness and health protective behaviors in offspring of adults with non-insulin-dependent diabetes mellitus. Behav. Med. 23: 112–121.PubMedCrossRef
Zurück zum Zitat Friedman, L., Webb, J., Richards, S., and Plon, S. (1999). Psychological and behavioral factors associated with colorectal cancer screening. Prev. Med. 29: 119–125.CrossRefPubMed Friedman, L., Webb, J., Richards, S., and Plon, S. (1999). Psychological and behavioral factors associated with colorectal cancer screening. Prev. Med. 29: 119–125.CrossRefPubMed
Zurück zum Zitat Gerend, M., Aiken, L., and West, S. (2004a). Personality factors in older women's perceived susceptibility to diseases of aging. J. Pers. 72: 243–270.CrossRefPubMed Gerend, M., Aiken, L., and West, S. (2004a). Personality factors in older women's perceived susceptibility to diseases of aging. J. Pers. 72: 243–270.CrossRefPubMed
Zurück zum Zitat Gerend, M., Aiken, L., West, S., and Erchull, M. (2004b). Beyond medical risk: investigating the psychosocial factors underlying women's perceptions of susceptibility to breast cancer, heart disease, and osteoporosis. Health Psychol. 33: 247–258.CrossRef Gerend, M., Aiken, L., West, S., and Erchull, M. (2004b). Beyond medical risk: investigating the psychosocial factors underlying women's perceptions of susceptibility to breast cancer, heart disease, and osteoporosis. Health Psychol. 33: 247–258.CrossRef
Zurück zum Zitat Harwell, T., Dettori, N., Flook, B., Priest, L., Williamson, D., Helgerson, S., and Gohdes, D. (2001). Preventing type 2 diabetes: Perceptions about risk and prevention in a population-based sample of adults > or = 45 years of age. Diabetes Care 24: 2007–2008.PubMedCrossRef Harwell, T., Dettori, N., Flook, B., Priest, L., Williamson, D., Helgerson, S., and Gohdes, D. (2001). Preventing type 2 diabetes: Perceptions about risk and prevention in a population-based sample of adults > or = 45 years of age. Diabetes Care 24: 2007–2008.PubMedCrossRef
Zurück zum Zitat Hay, J., Buckley, T., and Ostroff, J. (2005). The role of cancer worry in cancer screening: a theoretical and empirical review of the literature. Psycho-Oncology 14:517–534. Hay, J., Buckley, T., and Ostroff, J. (2005). The role of cancer worry in cancer screening: a theoretical and empirical review of the literature. Psycho-Oncology 14:517–534.
Zurück zum Zitat Joreskog, K., and Sorbom, D. (1996). Lisrel 8: User's Reference Guide, Scientific Software International, Chicago. Joreskog, K., and Sorbom, D. (1996). Lisrel 8: User's Reference Guide, Scientific Software International, Chicago.
Zurück zum Zitat Kent, G., Howie, H., Fletcher, M., Newbury-Ecob, R., and Hosie, K. (2000). The relationship between perceived risk, thought intrusiveness and emotional well-being in women receiving counseling for breast cancer risk in a family history clinic. Br. J. Health Psychol. 5: 15–26.CrossRef Kent, G., Howie, H., Fletcher, M., Newbury-Ecob, R., and Hosie, K. (2000). The relationship between perceived risk, thought intrusiveness and emotional well-being in women receiving counseling for breast cancer risk in a family history clinic. Br. J. Health Psychol. 5: 15–26.CrossRef
Zurück zum Zitat Lerman, C., and Schwartz, M. (1993). Adherence and psychological adjustment among women at high risk for breast cancer. Breast Cancer Res. Treat. 28: 145–155.CrossRefPubMed Lerman, C., and Schwartz, M. (1993). Adherence and psychological adjustment among women at high risk for breast cancer. Breast Cancer Res. Treat. 28: 145–155.CrossRefPubMed
Zurück zum Zitat Lerman, C., Schwarz, M., Miller, S., Daly, M., Sands, C., and Rimer, B. (1996). A randomized trial of breast cancer risk counseling interacting effects of counseling, educational level, and coping style. Health Psychol. 15: 75–83.CrossRefPubMed Lerman, C., Schwarz, M., Miller, S., Daly, M., Sands, C., and Rimer, B. (1996). A randomized trial of breast cancer risk counseling interacting effects of counseling, educational level, and coping style. Health Psychol. 15: 75–83.CrossRefPubMed
Zurück zum Zitat Leventhal, H., Leventhal, E. A., and Cameron, L. (2001). Representations, procedures, and affect in illness self-regulation: A perceptual-cognitive model. In Baum A., and Revenson, T. (Eds.), Handbook of Health Psychology, Erlbaum, Mahwah, NJ. Leventhal, H., Leventhal, E. A., and Cameron, L. (2001). Representations, procedures, and affect in illness self-regulation: A perceptual-cognitive model. In Baum A., and Revenson, T. (Eds.), Handbook of Health Psychology, Erlbaum, Mahwah, NJ.
Zurück zum Zitat Lipkus, I., Kuchibhatla, M., McBride, C., Bosworth, H., Pollak, K., Siegler, I., and Rimer, B. (2000). Relationships among breast cancer perceived absolute risk, comparative risk, and worries. Cancer Epidemiol. Biomarkers Prev. 9: 973–975.PubMed Lipkus, I., Kuchibhatla, M., McBride, C., Bosworth, H., Pollak, K., Siegler, I., and Rimer, B. (2000). Relationships among breast cancer perceived absolute risk, comparative risk, and worries. Cancer Epidemiol. Biomarkers Prev. 9: 973–975.PubMed
Zurück zum Zitat Lloyd, S., Watson, M., Waites, B., Meyer, L., Eeles, R., Ebbs, S., and Tylee, A. (1996). Familial breast cancer: A controlled study of risk perception, psychological morbidity and health beliefs in women attending for genetic counseling. Br. J. Cancer 74: 482–487.PubMed Lloyd, S., Watson, M., Waites, B., Meyer, L., Eeles, R., Ebbs, S., and Tylee, A. (1996). Familial breast cancer: A controlled study of risk perception, psychological morbidity and health beliefs in women attending for genetic counseling. Br. J. Cancer 74: 482–487.PubMed
Zurück zum Zitat Loescher, L. (2003). Cancer worry in women with hereditary risk factors for breast cancer. Oncol. Nurs. Forum 30: 767–772.PubMedCrossRef Loescher, L. (2003). Cancer worry in women with hereditary risk factors for breast cancer. Oncol. Nurs. Forum 30: 767–772.PubMedCrossRef
Zurück zum Zitat MacCallum, R., Roxnowski, M., and Necowitz, L. (1992). Model modifications in covariance structure analysis: The problem of capitalization on chance. Psychol. Bull. 111: 490–504.CrossRefPubMed MacCallum, R., Roxnowski, M., and Necowitz, L. (1992). Model modifications in covariance structure analysis: The problem of capitalization on chance. Psychol. Bull. 111: 490–504.CrossRefPubMed
Zurück zum Zitat Martin, J., Smith, B., Matthews, M., and Ventura, S. (1999). Births and deaths: Preliminary data for (1998). Natl. Vital Stat. Rep. 47: 25, 1–45. Martin, J., Smith, B., Matthews, M., and Ventura, S. (1999). Births and deaths: Preliminary data for (1998). Natl. Vital Stat. Rep. 47: 25, 1–45.
Zurück zum Zitat McCaul, K., Branstetter, A., Schroeder, D., and Glasgow, R. (1996a). What is the relationship between breast cancer risk and mammography screening? A meta-analytic review. Health Psychol. 15: 423–429.CrossRefPubMed McCaul, K., Branstetter, A., Schroeder, D., and Glasgow, R. (1996a). What is the relationship between breast cancer risk and mammography screening? A meta-analytic review. Health Psychol. 15: 423–429.CrossRefPubMed
Zurück zum Zitat McCaul, K., Schroeder, D., and Reid, P. (1996b). Breast cancer worry and screening: Some prospective data. Health Psychol. 15: 430–433.CrossRefPubMed McCaul, K., Schroeder, D., and Reid, P. (1996b). Breast cancer worry and screening: Some prospective data. Health Psychol. 15: 430–433.CrossRefPubMed
Zurück zum Zitat McGregor B., Bowen D., Ankerst, D., Andersen, M., Yasui, Y., and McTiernan, A. (2004). Optimism, perceived risk of breast cancer and cancer worry among a community-based sample of women. Health Psychol. 23: 339–344.CrossRefPubMed McGregor B., Bowen D., Ankerst, D., Andersen, M., Yasui, Y., and McTiernan, A. (2004). Optimism, perceived risk of breast cancer and cancer worry among a community-based sample of women. Health Psychol. 23: 339–344.CrossRefPubMed
Zurück zum Zitat Meiser, B., Butow, P., Barratt, A., Friedlander, M., Kirk, J., Gaff, C., Haan, E., Aittomaki, K., and Tucker, K. (2000a). Breast cancer screening uptake in women at increased risk of developing hereditary breast cancer. Breast Cancer Res. Treat. 59: 101–111.CrossRefPubMed Meiser, B., Butow, P., Barratt, A., Friedlander, M., Kirk, J., Gaff, C., Haan, E., Aittomaki, K., and Tucker, K. (2000a). Breast cancer screening uptake in women at increased risk of developing hereditary breast cancer. Breast Cancer Res. Treat. 59: 101–111.CrossRefPubMed
Zurück zum Zitat Meiser, B., Tiller, K., Gleeson, M., Andrews, L., Robertson, G., and Tucker, K. (2000b). Psychological impact of prophylactic oophorectomy in women at increased risk for ovarian cancer. Psycho-Oncology 9: 496–503.CrossRefPubMed Meiser, B., Tiller, K., Gleeson, M., Andrews, L., Robertson, G., and Tucker, K. (2000b). Psychological impact of prophylactic oophorectomy in women at increased risk for ovarian cancer. Psycho-Oncology 9: 496–503.CrossRefPubMed
Zurück zum Zitat Montgomery, G., Erblich, J., DiLorenzo, T., and Bovbjerg, D. (2003). Family and friends with disease: their impact on perceived risk. Prev. Med. 37: 242–249.CrossRefPubMed Montgomery, G., Erblich, J., DiLorenzo, T., and Bovbjerg, D. (2003). Family and friends with disease: their impact on perceived risk. Prev. Med. 37: 242–249.CrossRefPubMed
Zurück zum Zitat Moran, M., Mazzocco, V., Fiscus, W., and Koza, E. (1989). Coronary heart disease risk assessment. Am. J. Prev. Med. 5: 330–336.PubMed Moran, M., Mazzocco, V., Fiscus, W., and Koza, E. (1989). Coronary heart disease risk assessment. Am. J. Prev. Med. 5: 330–336.PubMed
Zurück zum Zitat Mouchawar, J., Byers, T., Cutter, G., Dignan, M., and Michael, S. (1999). A study of the relationship between family history of breast cancer and knowledge of breast cancer genetic testing prerequisites. Cancer Detect. Prevent. 23: 22–30.CrossRefPubMed Mouchawar, J., Byers, T., Cutter, G., Dignan, M., and Michael, S. (1999). A study of the relationship between family history of breast cancer and knowledge of breast cancer genetic testing prerequisites. Cancer Detect. Prevent. 23: 22–30.CrossRefPubMed
Zurück zum Zitat Neise, C., Rauchfuss, M., Paepke, S., Beier, K., and Lichtenegger, W. (2001). Risk perception and psychological strain in women with a family history of breast cancer. Onkilogie 24: 470–475.CrossRef Neise, C., Rauchfuss, M., Paepke, S., Beier, K., and Lichtenegger, W. (2001). Risk perception and psychological strain in women with a family history of breast cancer. Onkilogie 24: 470–475.CrossRef
Zurück zum Zitat Ransford, H., (1986). Race, heart disease worry and health protective behavior. Soc. Sci. Med. 22: 1335–1362.CrossRef Ransford, H., (1986). Race, heart disease worry and health protective behavior. Soc. Sci. Med. 22: 1335–1362.CrossRef
Zurück zum Zitat Steiger, J., Shapiro, A., and Browne, M. (1985). On the multivariate asymptotic distribution of sequential Chi-Square statistics. Psychometrika 50: 253–264.CrossRefMathSciNet Steiger, J., Shapiro, A., and Browne, M. (1985). On the multivariate asymptotic distribution of sequential Chi-Square statistics. Psychometrika 50: 253–264.CrossRefMathSciNet
Zurück zum Zitat Stefanek, M., and Wilcox, P. (1991). First degree relatives of breast cancer patients: Screening practices and provision of risk information. Cancer Detect. Prevent. 15: 379–384.PubMed Stefanek, M., and Wilcox, P. (1991). First degree relatives of breast cancer patients: Screening practices and provision of risk information. Cancer Detect. Prevent. 15: 379–384.PubMed
Zurück zum Zitat Taylor, K., DiPlacido, J., Redd, W., Faccenda, K., Greer, L., and Perlmutter, A. (1999). Demographics, family histories, and psychological characteristics of prostate carcinoma screening participants. Cancer 85: 1305–1312.CrossRefPubMed Taylor, K., DiPlacido, J., Redd, W., Faccenda, K., Greer, L., and Perlmutter, A. (1999). Demographics, family histories, and psychological characteristics of prostate carcinoma screening participants. Cancer 85: 1305–1312.CrossRefPubMed
Zurück zum Zitat Trask, T., Paterson, A., Wang, C., Hayasaks, S., Milliron, K., Blumberg, L., Gonzalex, R., Murray, S., and Merajver, S. (2001). Cancer-specific worry interference in women attending a breast and ovarian cancer risk evaluation program: Impact on emotional distress and health functioning. Psycho-Oncology 10: 349–360.CrossRefPubMed Trask, T., Paterson, A., Wang, C., Hayasaks, S., Milliron, K., Blumberg, L., Gonzalex, R., Murray, S., and Merajver, S. (2001). Cancer-specific worry interference in women attending a breast and ovarian cancer risk evaluation program: Impact on emotional distress and health functioning. Psycho-Oncology 10: 349–360.CrossRefPubMed
Zurück zum Zitat Van Dijk, S., Otten, W., Zoeteweij, M., Timmermans, D., van Asperen, C., and Breuning, M. (2003). Genetic counseling and the intention to undergo prophylactic mastectomy: Effects of a breast cancer risk assessment. Br. J. Cancer 88: 1675–1681.CrossRefPubMed Van Dijk, S., Otten, W., Zoeteweij, M., Timmermans, D., van Asperen, C., and Breuning, M. (2003). Genetic counseling and the intention to undergo prophylactic mastectomy: Effects of a breast cancer risk assessment. Br. J. Cancer 88: 1675–1681.CrossRefPubMed
Zurück zum Zitat Valdimarsdottir, H., Bovbjerg, D., Kash, K., Holland, J., Osborne, M., and Miller, D. (1995). Psychological distress in women with a familial risk of breast cancer. Psycho-Oncology 4: 133–141.CrossRef Valdimarsdottir, H., Bovbjerg, D., Kash, K., Holland, J., Osborne, M., and Miller, D. (1995). Psychological distress in women with a familial risk of breast cancer. Psycho-Oncology 4: 133–141.CrossRef
Zurück zum Zitat Vernon, S., Myers, R., Tilley, B., and Li, S. (2001). Factors associated with perceived risk in automotive employees at increased risk of colorectal cancer. Cancer Epidemiol. Biomarkers Prev. 10: 35–43.PubMed Vernon, S., Myers, R., Tilley, B., and Li, S. (2001). Factors associated with perceived risk in automotive employees at increased risk of colorectal cancer. Cancer Epidemiol. Biomarkers Prev. 10: 35–43.PubMed
Zurück zum Zitat Weinstein, N. (1987). Unrealistic optimism about susceptibility to health problems: Conclusions from a community-wide sample. J. Behav. Med. 10: 481–500.CrossRefPubMed Weinstein, N. (1987). Unrealistic optimism about susceptibility to health problems: Conclusions from a community-wide sample. J. Behav. Med. 10: 481–500.CrossRefPubMed
Zurück zum Zitat Zakowski, S., Valdimarsdottir, H., Bovbjerg, D., Borgen, P., Holland, J., Kash, K., Holland, J., Osborne, M., and Miller, D. (1998). Predictors of intrusive thoughts and avoidance in women with family histories of breast cancer. Ann. Behav. Med. 19: 362–369.CrossRef Zakowski, S., Valdimarsdottir, H., Bovbjerg, D., Borgen, P., Holland, J., Kash, K., Holland, J., Osborne, M., and Miller, D. (1998). Predictors of intrusive thoughts and avoidance in women with family histories of breast cancer. Ann. Behav. Med. 19: 362–369.CrossRef
Metadaten
Titel
A Model of Disease-Specific Worry in Heritable Disease: The Influence of Family History, Perceived Risk and Worry About Other Illnesses
verfasst von
Terry A. DiLorenzo
Julie Schnur
Guy H. Montgomery
Joel Erblich
Gary Winkel
Dana H. Bovbjerg
Publikationsdatum
01.02.2006
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 1/2006
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-005-9039-y

Weitere Artikel der Ausgabe 1/2006

Journal of Behavioral Medicine 1/2006 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.