Psychosocial Issues (Part 9)

In: Pulmonary function

28 Feb 2013

Psychosocial Issues (Part 9)This observation was maintained when other risk factors such as age, alcohol and tobacco consumption, family history of cancer, and work situation were controlled statistically. No relationship was found between a high depression value on the MMPI and mortality from any other diseases. Whereas the association with incidence was apparent only during the first ten years of follow-up, the association with mortality was observed for the full 20 years of follow-up. The data from this study did not support the hypothesis that psychologic repression would be associated with an increased risk of cancer, as it might be interpreted from the summarized findings of other investigators in Table 2. However, recent prospective epidemiologic studies call into question the causal connection between depressive symptoms and cancer morbidity and mortality. antibiotics levaquin
As Table 2 shows, personality traits in lung cancer patients have been studied using many different psychologic and social variables. The studies are based on different theoretical concepts, and as a result, many different instruments have been used. The hypotheses are tested against different controls (healthy individuals and persons with other chest diseases). Therefore, it is difficult to use these findings to describe a consistent psychosocial risk profile for lung cancer patients, and comparison with similar studies in other cancer sites and chronic diseases does not show any specific psychosocial pattern for lung cancer. We find no consistent evidence to support the belief that there is a “lung cancer” or “cancer personality,” as some have claimed.

Table 2—”Personality Traits” Described in Lung Cancer Patients

Reference No.
Trait Confirmed NotConfirmed
Low neuroticism
Low neuroticism 26,27 23
Few psychosomatic symptoms 28
Low accident proneness 28
Little use of alcohol 28
Lack of nervousness 24
High extraversion
High extraversion 23, 26, 27
Repression/denial and poor emotional discharge
Few have dream recall 28
No admission of feeling of anger 24
Lack of excessive sensitivity 24 24
Low awareness of autonomic 27
activity
Poor emotional discharge 27,40
No expression of depression 24
Self-concept
High moral-ethical self-concept 22, 25
Poor personal integration 22
Low ego strength 24
No external control 24,25
Strong mistrust 25
Rationality 40
Rarely subjective complaints 24,25
Difficulties in self-assertion 28
Life-style
Social conformity 24
Rigid occupational 28 28
accomplishment
Job stability 29
Marriage stability 28 29
Impaired pair interaction and 28 28
dependency problems
Low frequency and satisfaction 28 28
with sexual relationship
Few social activities 28 28
Lack of plans for future 29
Life events
Reported childhood adversities 27,29
Reported adversities in adult life 27
Recent significant loss 29
Lasting depression, hopelessness 40

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