Gundy, C.

partner distress level family spouse support cancer study signi ficantly score worry signi member syndrome sf -36 scales family members individual netherland impact disease tumor vhl-related scale ficantly vhl-related distress health vhl family members relationship patient variable psycho-oncology sample genetic table children wiley department univariate level range -36 centre von hippel-lindau disease mutation questionnaire breast copyright 10.1002/ pon distress li-fraumeni syndrome problem e ffect breast cancer 631–638 carrier 10.1002/ syndrome-related status lammen feeling quality result hrqol university women factor analysis percent education bu ffer population hospital education level hippel-lindau syndrome-related distress breast /ovarian cancer sample size dutch distress level amsterdam gender vhl-related worries