Background:Although fear of cancer recurrence(FCR)is the most important factor affecting the life quality of young breast cancer patients,and it may be affected by the patient’s personality,marital relationship and c...Background:Although fear of cancer recurrence(FCR)is the most important factor affecting the life quality of young breast cancer patients,and it may be affected by the patient’s personality,marital relationship and communication,there is a lack of research on the relationship between adult attachment,self-disclosure and FCR in patients.This study investigated the current situation of FCR in young breast cancer patients,its correlation with adult attachment and self-disclosure and its influencing factors,in order to predict the impact of adult attachment and self-disclosure of patients to spouse on FCR.Methods:A survey was conducted on 126 breast cancer patients at our hospital using the General Information Questionnaire(GIQ),Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Experiences in Close Relationships inventory(ECR),and Distress Disclosure Index(DDI).The study analyzed the status of FCR among young breast cancer patients and its correlation with adult attachment and self-disclosure,along with its influencing factors.Results:Among the 126 young breast cancer patients,50 had a FoP-Q-SF score<34(normal group),while 76 had a FoP-Q-SF score≥34(FCR positive group),with an FCR incidence rate of 60.32%.Univariate analysis showed statistically significant differences between the two groups in terms of FoP-Q-SF score,ECR score,attachment anxiety score,attachment avoidance score,DDI score,age,educational level,employment status,per capita monthly income,and treatment method(p<0.05).Correlation analysis revealed that FoP-Q-SF scores were positively correlated with attachment anxiety score,attachment avoidance score,ECR scores and negatively correlated with DDI scores(p<0.05).Linear regression analysis indicated that age,per capita monthly income,treatment method,attachment anxiety,attachment avoidance and self-disclosure level were negative predictors of FoP-Q-SF scores in young breast cancer patients(p<0.05).Conclusion:The incidence rate of FCR among young breast cancer patients is high.There is a positive correlation between adult attachment and the level of FCR,and a negative correlation between the level of self-disclosure and FCR.Patients with lower per capita monthly income,more complex treatment methods,higher level of attachment anxiety,higher level of attachment avoidance and lower DDI scores had higher FoP-Q-SF scores.展开更多
Attachment style,which has been theorized to be rooted in childhood bonding experiences,influences adult cognitive,emotional and interpersonal functioning.Despite its relationship with early experiences,research indic...Attachment style,which has been theorized to be rooted in childhood bonding experiences,influences adult cognitive,emotional and interpersonal functioning.Despite its relationship with early experiences,research indicates that the continuity of attachment style across childhood and adulthood is only partial,being a malleable tendency that is shaped throughout development,with an increasing influence of genetics,as it occurs in other cognitive and behavioral phenotypes.Genetic research indicates that up to 45% of the variability in anxious and 39% in avoidant adult attachment style could be explained by genetic causes,but the precise mechanisms remain unclear.A narrative review is conducted analyzing the existing literature regarding the implication of candidate genes related to oxytocin,dopaminergic pathways,serotonergic pathways and brainderived neurotrophic factor in adult attachment,with both vulnerability and differential susceptibility approaches,yielding mixed results.We highlight the lack of genome-wide studies and the scarcity of epigenetic investigation.Based on the existing data,we conclude that the genetics of adult attachment is an area that requires further research to clarify its etiological role and that it should be preferably approached as an interaction between nature and nurture.展开更多
The question of the existence of long-term psychological effects of the Holocaust on the survivors and their offspring still keeps the scientific and clinical literature divided. Whereas clinically based reports on of...The question of the existence of long-term psychological effects of the Holocaust on the survivors and their offspring still keeps the scientific and clinical literature divided. Whereas clinically based reports on offspring of Holocaust survivors pointed to intergenerational transmission of traumatic experiences, more controlled studies did not find much psychopathology, except when second generation subjects were confronted with life-threatening situations. Recently, a number of studies have used attachment theory as a conceptual framework for exploring the intergenerational effects of traumatic experiences. The purpose of this study is to understand the way in which the process of trauma transmission can be investigated from an attachment perspective. The hypothesis is that the intergenerational transmission of the ＂shadow＂ of the Holocaust has weighed on the ＂second generation＂, through the mechanism of ＂frightening/frightened＂ responses given by the parent. Participants to the study, 26 Jewish Italian offspring of Concentration Camps survivors and 26 Jewish Italian offspring of Jewish parents who did not experience the Concentration Camps, were interviewed with the AAI （Adult Attachment Interview） in order to detect thought processes indicative of unresolved traumatic experiences. The distribution of the main classifications for the AAI for both the EG （experimental group） and the comparison groups did not show a significant difference between the two groups. Moreover the EG is not strongly ＂traumatized＂. These results are in-line with others similar researches. The data suggests that the presence of mediating factors may mitigate the trans-generational impact of trauma.展开更多
文摘Background:Although fear of cancer recurrence(FCR)is the most important factor affecting the life quality of young breast cancer patients,and it may be affected by the patient’s personality,marital relationship and communication,there is a lack of research on the relationship between adult attachment,self-disclosure and FCR in patients.This study investigated the current situation of FCR in young breast cancer patients,its correlation with adult attachment and self-disclosure and its influencing factors,in order to predict the impact of adult attachment and self-disclosure of patients to spouse on FCR.Methods:A survey was conducted on 126 breast cancer patients at our hospital using the General Information Questionnaire(GIQ),Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Experiences in Close Relationships inventory(ECR),and Distress Disclosure Index(DDI).The study analyzed the status of FCR among young breast cancer patients and its correlation with adult attachment and self-disclosure,along with its influencing factors.Results:Among the 126 young breast cancer patients,50 had a FoP-Q-SF score<34(normal group),while 76 had a FoP-Q-SF score≥34(FCR positive group),with an FCR incidence rate of 60.32%.Univariate analysis showed statistically significant differences between the two groups in terms of FoP-Q-SF score,ECR score,attachment anxiety score,attachment avoidance score,DDI score,age,educational level,employment status,per capita monthly income,and treatment method(p<0.05).Correlation analysis revealed that FoP-Q-SF scores were positively correlated with attachment anxiety score,attachment avoidance score,ECR scores and negatively correlated with DDI scores(p<0.05).Linear regression analysis indicated that age,per capita monthly income,treatment method,attachment anxiety,attachment avoidance and self-disclosure level were negative predictors of FoP-Q-SF scores in young breast cancer patients(p<0.05).Conclusion:The incidence rate of FCR among young breast cancer patients is high.There is a positive correlation between adult attachment and the level of FCR,and a negative correlation between the level of self-disclosure and FCR.Patients with lower per capita monthly income,more complex treatment methods,higher level of attachment anxiety,higher level of attachment avoidance and lower DDI scores had higher FoP-Q-SF scores.
文摘Attachment style,which has been theorized to be rooted in childhood bonding experiences,influences adult cognitive,emotional and interpersonal functioning.Despite its relationship with early experiences,research indicates that the continuity of attachment style across childhood and adulthood is only partial,being a malleable tendency that is shaped throughout development,with an increasing influence of genetics,as it occurs in other cognitive and behavioral phenotypes.Genetic research indicates that up to 45% of the variability in anxious and 39% in avoidant adult attachment style could be explained by genetic causes,but the precise mechanisms remain unclear.A narrative review is conducted analyzing the existing literature regarding the implication of candidate genes related to oxytocin,dopaminergic pathways,serotonergic pathways and brainderived neurotrophic factor in adult attachment,with both vulnerability and differential susceptibility approaches,yielding mixed results.We highlight the lack of genome-wide studies and the scarcity of epigenetic investigation.Based on the existing data,we conclude that the genetics of adult attachment is an area that requires further research to clarify its etiological role and that it should be preferably approached as an interaction between nature and nurture.
文摘The question of the existence of long-term psychological effects of the Holocaust on the survivors and their offspring still keeps the scientific and clinical literature divided. Whereas clinically based reports on offspring of Holocaust survivors pointed to intergenerational transmission of traumatic experiences, more controlled studies did not find much psychopathology, except when second generation subjects were confronted with life-threatening situations. Recently, a number of studies have used attachment theory as a conceptual framework for exploring the intergenerational effects of traumatic experiences. The purpose of this study is to understand the way in which the process of trauma transmission can be investigated from an attachment perspective. The hypothesis is that the intergenerational transmission of the ＂shadow＂ of the Holocaust has weighed on the ＂second generation＂, through the mechanism of ＂frightening/frightened＂ responses given by the parent. Participants to the study, 26 Jewish Italian offspring of Concentration Camps survivors and 26 Jewish Italian offspring of Jewish parents who did not experience the Concentration Camps, were interviewed with the AAI （Adult Attachment Interview） in order to detect thought processes indicative of unresolved traumatic experiences. The distribution of the main classifications for the AAI for both the EG （experimental group） and the comparison groups did not show a significant difference between the two groups. Moreover the EG is not strongly ＂traumatized＂. These results are in-line with others similar researches. The data suggests that the presence of mediating factors may mitigate the trans-generational impact of trauma.
