Stress and Immunity Breast Cancer Project

Abstract

A biobehavioral model of cancer stress and disease course was proposed (see Andersen, Kiecolt Glaser, & Glaser, 1994) . We are testing the model with a clinical trial: 228 women with stage II or III breast cancer were randomized between assessment and intervention or assessment only (control) study arms. In addition to documenting the quality of life benefits of a psychological intervention, this study provides an experimental test of the psychological and behavioral variables which may influence health outcomes directly. Further, we test specific mechanisms--alteration in immune and endocrine functions--to achieve beneficial health effects for women with breast cancer. Our data indicate that psychological stress is instrumental in increasing a woman's risk for lower quality of life and depressive symptoms following surgery (Golden-Kreutz et al., under review; Golden-Kreutz et al., under review), and stress due to breast cancer surgery produces sexual and body image difficulties (Yurek et al, 2000) . Further, psychological stress has a down regulating effect on immunity (Andersen et al., 1998). However, data suggest that the psychological intervention results in lower stress, improved quality of life, reductions in negative health behaviors, and enhanced immunity (t cell blastogenesis)

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2001
Accession Number
ADA398948

Entities

People

  • Barbara L Andersen

Organizations

  • Ohio State University

Tags

DTIC Thesaurus Topics

  • Blood
  • Breast Cancer
  • Cells
  • Demography
  • Health Services
  • Human Behavior
  • Lymphocytes
  • Medical Personnel
  • Neoplasms
  • Oncology
  • Psychiatry
  • Psychology
  • Social Psychology

Readers

  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Women's Health and Cancer Risk Research: African American Women and Pregnancy Outcomes.