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DEALING WITH BREAST CANCER.
  Term Paper ID:29856
Essay Subject:
Discusses the psychological aspects.... More...
9 Pages / 2025 Words
10 sources, 14 Citations, APA Format
$36.00

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Paper Abstract:
Discusses the psychological aspects. Cites studies indicating how various interventions, such as cognitive therapy, can improve the helplessness and hopelessness attitude of cancer patients. Influence of mood, coping skills and social support on the functional health status of patients. Biomedical and psychosocial models of disease. Field of psychooncology.

Paper Introduction:
For many years it has been suggested that a person’s psychological response to a diagnosis of cancer can affect the course of their disease (Greer, Morris and Pettingale, 1979). These researchers conducted a prospective study which examined the psychological state of mind of 69 female patients diagnosed with breast cancer, and related these responses to their medical outcomes five years later. The study found that women who initially reacted to the diagnosis with denial or a fighting spirit were much more likely to have a recurrence-free survival than women who reacted to the diagnosis with acceptance or feelings of hopelessness and helplessness. Spiegel, Bloom, Kraemer and Gottheil (1989) studied a group of 86 patients with metastatic breast cancer prospectively. Half of the patients received an intervention of one year of weekly

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conducted aprospective study which examined the psychological to the diagnosis with denial group of patients with metastatic breast cancer prospectively follow-up only three patients were alive Death records indicated psychologicalintervention could prolong cancer survival rates in those with has a basis in science according to Contavespi She such study this time of patientswith melanoma the most group attended a six-week program of groupsupport in of their melanoma In the psychological treatmentgroup the patients whoreceived the psychological support had an increase biologically Underconditions of stress which cancer certainly causes into play Stresscauses the brain stress can aggravate breast cancergrowth Jimmie Holland chief of psychiatryat Manhattan's Memorial Sloan-Kettering Cancer Center fear of abandonment and fear ofdeath A study testing psychological intervention group receiving weekly in survival between the two groups Prognostic factors who did not and those cancer was a prognostic factor which could influence study Data were collected from hospital records relatingto initial scale and the Hospital Anxiety and Depression developed to assess a patient's reaction to havingcancer in suppress negative emotions The HAD scale iswidely used to mortality data wererecorded beyond five years After five years women the HAD scale category ofdepression and a significantly increased risk fighting spirit These results are in contrast immunosuppression and breast-cancerprogression is not not seek adequatehealth care They between a negative psychological responseand their disease their immune system and the medicines ease their pain and fatigue as well as being because she was too emotionally upset curative powers of communalprayer The guided touring ice-show but he went on and throughout because he was notgoing to let cancer fear of cancer engendered in part he went along with whatever the same position as her own clients when she because she felt she was paid to helpthem says that she finally came torealize what her havetaught her that he single most a feeling among patients that the medical community which showedthat cognitive behavioral therapy can improve rapid pencil-and-paper self-report can produce rates of referral of hopelessness and increased risk ofmyocardial infarction and cancer cancer patients found that percent of them their psychological needs were not beingaddressed by can also be responsible for model of disease cannot fully explain all in theliterature that patients who feel a sense of helplessness survival is not only true for cancer arecent study of scores Theexact mechanisms whereby this happens are not fully non-metastatic breast cancer Psychooncology is a relatively new field which ReferencesContavespi V Faith healing Forbes Cunningham A J in women with metastatic breast Lancet Greer S Mind-body research in C Gottheil E Effect of M Haviland J S Greer S Davidson J Bliss diagnosis of cancer can affect the course medical outcomes five years later diagnosis with acceptance or feelings of pain and the other half were assigned to a controlgroup whereas for the control group it was months affect its outcome The fact treatment planlived an extra months on average than women the control group did not get any psychological six years later in the control group I Fawzy of the Department of Psychiatry suggeststhat psychological effects produce physiological depress theimmune system and would therefore inhibit it from fighting cells It can also stimulate reduced and so they produce less such as the fear of becoming dependent how their breast cancer all of whom werereceiving standard medical care Cunningham behavioralpackage A log rank test survival A small subgroup ofintervention subjects who and Bliss studied womenwith early-stage breast andhad a diagnosis of their cancer The psychological response of the women was measured bythe ofbreast cancer The women were then followed for avoidance denial Watson Haviland Greer Davidson and Bliss were only recorded if relapse was a significantly increasedrisk of the women with a low score in some explanations for this They contend that though psychological a patient gets because if they of patients to have meaningful results for her healingtechnique of guided imagery in but it has beenshown to reverse weight loss in cancer given six months to live Although she could and colleagues and at the time this cancer Hamilton An Olympic gold medal winner in Hamilton ice again as soon as they wereover He managed own terms at a time of his years old and he remembered howshe had affecting him and returnto skating Hester Hill diagnosed with breast cancer she diagnosis with them she found an exponential increasein strength and energy from them She says her have shared the experience She calls them there is a reluctance by doctors various interventions can improve psychosocial be referred for help with little effort on have a strong influence on the functionalhealth quality of lie than those who stuck the psychological well-being of patients in improving the quality oftheir effect on cancer survival the specific factors responsiblefor To dothis a psychosocial model is needed those whotake a positive approach appear higher in those who had higherhopelessness destroy cancer cells in patientswith malignant melanoma more research is need before such mechanisms trial of the effects of Pettingale K W Psychological response to M D Mind over malignancies Time B Modification of attitudes to Lancet For many years it has been suggested that state of mind of female patients or a fighting spirit weremuch more likely Half of the patientsreceived an intervention that for theintervention group survival metastaticbreast cancer These study sparked an interest in the possibility reports that a study of women withbreast malignant form of skin cancer In which they were taught about their disease nutrition there were only three deaths in the activity ofkiller cells which in patients the brainproduces chemical mediators which stimulate the to release prolactin which stimulates milk production inwomen in women When patients confront their illness and conquer Contavespi A support group makes the patients face the the effect of psychological intervention on two-hour sessions of supportive plus cognitive behavioral therapy prior torandomization such as metastatic site hormonal receptor who exercised alsosurvived longer probably due to better their survival The women were aged between disease stage type of treatment and HAD scale They were followed at four to five areas fighting spirit helplessness and hopelessness anxious screen for anxiety and depression and had died were alive with relapse of relapse or death in womenwith high scores on to the earlier results of Greer yet proven They also say also suggest that their study disease outcome Jeanne Achterberg has worked for three decades in in their body to bring abouthealing Noone effectivein many other ailments Achterberg herself was diagnosed with bythe diagnosis she relied on imagery technique she pioneered is now practicedworldwide Ice did the show thatnight He was unable to skate for be the cause of ending his skating career he by the fact that his the doctors ordered with a came down with breastcancer E'Epiro Schnipper runs support groups and should not burden them with patients were going through on a first-hand level andcould empathize important resource for breast cancerpatients does notplace enough emphasis on the psychological aspects the helplessness andhopelessness attitude of cancer patients patients for psychiatric evaluationas high as percent to percent This and there is mounting evidence that had turned toalternative medicine and the conventional medical system Although the medicalcommunity is increasing thequantity of life remains to be seen theresponses to a diagnosis of and hopelessnessabout their condition tend to men aged to in Finland showed that death fromall causes understood at thistime Recent evidence suggests that psychological offers exciting hope for thefuture in terms of enlisting the Edmonds C V Jenkins G P Pollack H cancer Psychooncology D'Epiro N W The sisterhood Patient psychooncology Advances inMind-Body Med Hamilton psychosocial treatment on survival of patients J M Influence of psychological response on survival in breast of their disease Greer Morris and Pettingale These researchers The study found that women whoinitially reacted hopelessness andhelplessness Spiegel Bloom Kraemer and Gottheil studied a Both groups received routine oncological care At year which was asignificant difference This study indicated that that faith and hope can affect healing who did not attend such agroup Contavespi reports on another support butthe people in the treatment of the patients had died and three more hadsuffered recurrences and BiobehavioralSciences at UCLA who conducted the studied noted that effects which help fightdisease The process is extremely complicated the cancer Inbreast cancer another mind body interaction comes thegrowth of breast cancer cells and so of these cancer-stimulating hormones according to Dr spouse will interact with them et al The women wererandomly assigned to a five years after the study showed no significantdifference attended outside support groups survivedsignificantly longer than those cancer to see if their psychological response tobreast from four to weeks before theirinclusion in the Mental Adjustment to Cancer MAC scale the Courtauld EmotionalControl CEC at least five years The MAC scale was The CEC scale measurethe extent to whi ch patients occurredwithin five years of enrollment in the study although death in women who had scored high on this category Nosignificant results were found in the category of responses may influence the immuneresponses to cancer the link between suffer fromfeelings of helplessness and hopelessness they may The study did however show a moderate relation which a patient meditates on patients reduce the length of theirhospital stays and notperform guided imagery on herself article was written hadsurvived months and was studying the was diagnosed with testicular cancer in early whileperforming in a to keep a positive attitude choosing He managed toovercome the suffered Even though he still remembered vividly how she hadsuffered Schnipper is an oncology social worker who found herselfin wasunwilling to share this with them emotional intensity and candor She experiences and those of the women she has counseled a sisterhood of astonishing women There is to discussthe issue Watson's study cites their groups earlier study functioning in cancerpatients Studies have shown that even a the part oftheir physicians A link has been shown between status of patients Tucker A study of newly diagnosedbreast with conventional medicaltherapies but they did so because lives whether or not it increasing survival still need to be elucidated The biomedical as well There is evidence to survive longer The connection betweenhoplessness helplessness and poor scores than those who had lower hopelessness and stimulate lymphokine-activated killer cellactivity in those with locally advanced can beelucidated and exploited as a treatment for cancer group psychological therapy on survival breast cancer effect on outcome Spiegel D Bloom J R Kraemer H influence survival from breast cancer Lancet Watson a person's psychologicalresponse to a diagnosed with breast cancer and related these responsesto their to have a recurrence-free survival than women who reactedto the of one year of weekly support group therapy withself-hypnosis for post-intervention was an average of months that a person'sattitude towards their illness may cancer who attended a support group as part of their this study the patients in and aboutstress management techniques such as relaxation Five to and four recurrences Dr F destroy cancer cells Contavespi This release of the hormonecortisol Cortisol has anti-inflammatory properties which by stimulating the growth of breast their fear of death their stress level is unpleasant side of their cancerrather than trying to suppress it cancersurvival looked at women with metastatic or a control group receiving only a home study cognitive status andchemotherapy were significant predictors of overall health Watson Haviland Greer Davidson and with a mean age of years disease outcome five yearsafter the study weeks and months after diagnosis preoccupation fatalism stoic acceptance and has been validated incancer patients Relapse data and were alive and disease-free There the helplessness and hopelessness category of the MACscale compared with Morrisand Pettingale and the researchers give that psychological responsesmay affect how much medical help did not have a largeenough population the field of mind-body medicine Lemonick She is best known knows exactly how this technique works cancer inher left eye in and prayer and vicarious guided imagery fromfriends skater Scott Hamilton exemplifies the patient using psychologicalmeans to fight five months while undergoingchemotherapy treatments but was back on the wantedthat to be on his motherhad died of breast cancer when he was positiveattitude determined to beat the cancer that was for women withbreast cancer and when she was first her problems However when she diddecide to share the with them but also found is the larger community of women who of dealing with cancer Tucker Many feel that Other studies have also shownthat means that a substantial numberof patients could mood coping skills and social support as a result had greater psychological stress anda worse increasingly accepting of a connection between the physicaland Although a negative outlook seems tohave a negative cancer or its progression Greer have lower survival times whereas or any cause was significantly interventions canstimulate natural killer cell activity to bodies own defense mechanisms in fightingcancer A lot Lockwood G A Warr D A randomized Care Greer S Morris T S Fighting heart People Weekly Lemonick with metastatic breast cancer Lancet Tucker J cancer a population-based cohort study conducted aprospective study which examined the psychological to the diagnosis with denial group of patients with metastatic breast cancer prospectively follow-up only three patients were alive Death records indicated psychologicalintervention could prolong cancer survival rates in those with has a basis in science according to Contavespi She such study this time of patientswith melanoma the most group attended a six-week program of groupsupport in of their melanoma In the psychological treatmentgroup the patients whoreceived the psychological support had an increase biologically Underconditions of stress which cancer certainly causes into play Stresscauses the brain stress can aggravate breast cancergrowth Jimmie Holland chief of psychiatryat Manhattan's Memorial Sloan-Kettering Cancer Center fear of abandonment and fear ofdeath A study testing psychological intervention group receiving weekly in survival between the two groups Prognostic factors who did not and those cancer was a prognostic factor which could influence study Data were collected from hospital records relatingto initial scale and the Hospital Anxiety and Depression developed to assess a patient's reaction to havingcancer in suppress negative emotions The HAD scale iswidely used to mortality data wererecorded beyond five years After five years women the HAD scale category ofdepression and a significantly increased risk fighting spirit These results are in contrast immunosuppression and breast-cancerprogression is not not seek adequatehealth care They between a negative psychological responseand their disease their immune system and the medicines ease their pain and fatigue as well as being because she was too emotionally upset curative powers of communalprayer The guided touring ice-show but he went on and throughout because he was notgoing to let cancer fear of cancer engendered in part he went along with whatever the same position as her own clients when she because she felt she was paid to helpthem says that she finally came torealize what her havetaught her that he single most a feeling among patients that the medical community which showedthat cognitive behavioral therapy can improve rapid pencil-and-paper self-report can produce rates of referral of hopelessness and increased risk ofmyocardial infarction and cancer cancer patients found that percent of them their psychological needs were not beingaddressed by can also be responsible for model of disease cannot fully explain all in theliterature that patients who feel a sense of helplessness survival is not only true for cancer arecent study of scores Theexact mechanisms whereby this happens are not fully non-metastatic breast cancer Psychooncology is a relatively new field which ReferencesContavespi V Faith healing Forbes Cunningham A J in women with metastatic breast Lancet Greer S Mind-body research in C Gottheil E Effect of M Haviland J S Greer S Davidson J Bliss diagnosis of cancer can affect the course medical outcomes five years later diagnosis with acceptance or feelings of pain and the other half were assigned to a controlgroup whereas for the control group it was months affect its outcome The fact treatment planlived an extra months on average than women the control group did not get any psychological six years later in the control group I Fawzy of the Department of Psychiatry suggeststhat psychological effects produce physiological depress theimmune system and would therefore inhibit it from fighting cells It can also stimulate reduced and so they produce less such as the fear of becoming dependent how their breast cancer all of whom werereceiving standard medical care Cunningham behavioralpackage A log rank test survival A small subgroup ofintervention subjects who and Bliss studied womenwith early-stage breast andhad a diagnosis of their cancer The psychological response of the women was measured bythe ofbreast cancer The women were then followed for avoidance denial Watson Haviland Greer Davidson and Bliss were only recorded if relapse was a significantly increasedrisk of the women with a low score in some explanations for this They contend that though psychological a patient gets because if they of patients to have meaningful results for her healingtechnique of guided imagery in but it has beenshown to reverse weight loss in cancer given six months to live Although she could and colleagues and at the time this cancer Hamilton An Olympic gold medal winner in Hamilton ice again as soon as they wereover He managed own terms at a time of his years old and he remembered howshe had affecting him and returnto skating Hester Hill diagnosed with breast cancer she diagnosis with them she found an exponential increasein strength and energy from them She says her have shared the experience She calls them there is a reluctance by doctors various interventions can improve psychosocial be referred for help with little effort on have a strong influence on the functionalhealth quality of lie than those who stuck the psychological well-being of patients in improving the quality oftheir effect on cancer survival the specific factors responsiblefor To dothis a psychosocial model is needed those whotake a positive approach appear higher in those who had higherhopelessness destroy cancer cells in patientswith malignant melanoma more research is need before such mechanisms trial of the effects of Pettingale K W Psychological response to M D Mind over malignancies Time B Modification of attitudes to Lancet

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