However, most patients do not acknowledge the close relationship between their smoking behavior and the development of their lung cancer. The neglect of this relationship may be aimed at restoring their self-esteem rather than denying the seriousness of the disease. For the individual lung cancer patient, smoking cessation is important for relief of dyspnea and cough. Clinically, each physician must individualize the approach to the lung cancer patient and determine if a smoking cessation program is appropriate. Buy Advair Diskus Online Direct Psychosocial Effects
The literature suggests two main hypotheses related to direct psychosocial risk factors in cancer. The first hypothesis is that there is a “cancer personality”: certain personality traits predispose to cancer. The second hypothesis relates to loss: severe personal losses lead to disorders of physical function via psychologic changes. Both of these factors are presumed to favor the development of cancer. Most investigations in lung cancer have explored the first hypothesis, ie, comparing personality traits in lung cancer patients with healthy controls or patients with other chronic diseases.212S These articles build on studies in the 1960s in which Kissen and colleagues evaluated 930 men presenting at a chest clinic for a diagnostic workup. These investigators found that the clinically assessed phenomenon of “poor outlet for emotional discharge” and its equivalent low “neuroticism” scores (Eysenck Personality Inventory) were associated with the diagnosis of lung cancer as opposed to benign chest disease.