Trauma History as a Predictor of Psychologic Symptoms in Women With Breast Cancer

Green, Bonnie L.; Krupnick, J.L.; Rowland, Julia H.; Epstein, Steven A.; Stockton, Patricia; Spertus, Ilyse L; Stern, Nicole M.

doi:10.1200/jco.2000.18.5.1084

Cited by 132 publications

(115 citation statements)

References 44 publications

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“…There was no significant association between PTSD symptoms, general psychological distress and previous trauma. These results were in part contrary to our hypotheses and also contradicted several studies that showed that previous trauma is a risk factor for mental health 13,14 . One possible explanation is set within the dose-response model for traumatic stress 36 which postulates that the level of the stressor yields a stress response as a function of exposure magnitude.…”

Section: Discussioncontrasting

confidence: 57%

“…Previous trauma is a determinant for lower mental health among cancer patients in comparison to cancer patients without a history of trauma [13][14][15][16] . Moreover, a different study showed that a history of stressful or traumatic life events was associated with a shorter disease-free interval, indicating a potential harmful effect of these experiences on host resistance to tumor growth 17 .…”

Section: Introductionmentioning

confidence: 99%

“…Another important issue related to cancer diagnosis, is the history of trauma which serves as a risk factor for subsequent mental disorders, especially posttraumatic stress disorder (PTSD) and depression 13 . Previous trauma is a determinant for lower mental health among cancer patients in comparison to cancer patients without a history of trauma [13][14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

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The association between previous psychological trauma and mental health among gastric cancer patients

et al. 2011

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-Background and Objectives: This study explores the association between previous trauma and psychiatric symptoms and well-being among gastric cancer patients. Based on the vulnerability model, it was hypothesized that cancer patients who report a history of trauma would exhibit higher level of psychiatric symptoms and lower well-being.Methods: A sample of 123 consecutive cancer patients was interviewed and administered a battery of questionnaires in order to assess their psychiatric symptoms, well-being along with demographics and health behaviors in a cross-sectional design. The patients were divided based on previous exposure to psychological trauma. A set of hierarchical linear regressions was conduced in order to learn the association between previous trauma and mental health.Results: Patients who reported previous exposure to trauma did not differ in the level of psychiatric symptoms from patients who did not report previous history of psychological trauma. However, the former had significantly lower future life satisfaction and lower level of perceived social support. After controlling for covariates, patients who reported previous exposure also had higher levels of depressive symptoms.Conclusions: The study results may suggest that the association between previous trauma and mental health of gastric cancer patients is more complex. Cancer patients who report a history of psychological trauma and who face an immediate threat to life do not differ on most indices, but they do show specific vulnerabilities: they are more susceptible to depressive symptoms and to lower future life satisfaction.

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Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The association between previous psychological trauma and mental health among gastric cancer patients

et al. 2011

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“…Some studies only include patients with early stages of breast cancer [35,36], while others have investigated more advanced breast cancer [11,23,37]. Stage of disease and tumor grade have been reported inconsistently related to psychological problems in cancer and is generally uncorrelated with depression in breastcancer [38][39][40][41].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk of depressive symptoms 3–4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer

Christensen

Zachariae

Jensen

et al. 2008

Breast Cancer Res Treat

132

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“…Finally, a cancer history can also result in financial difficulties, jeopardize insurance coverage, and narrow employment options, as one fifth of cancer survivors report these chronic, stressful, economic difficulties (Hewitt, Breen, & Devesa, 1999). In sum, when left untreated, stress and lowered quality of life conspire to produce a difficult trajectory on the road to cancer survivorship (Gotay & Muraoka, 1998;Green et al, 2000). communication training.…”

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confidence: 99%

Biobehavioral outcomes following psychological interventions for cancer patients.

Andersen¹

2002

Journal of Consulting and Clinical Psychology

188

132

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Psychological interventions for adult cancer patients have primarily focused on reducing stress and enhancing quality of life. However, there has been expanded focus on biobehavioral outcomeshealth behaviors, compliance, biologic responses, and disease outcomes-consistent with the Biobehavioral Model of cancer stress and disease course. The author reviewed this expanded focus in quasi-experimental and experimental studies of psychological interventions, provided methodologic detail, summarized findings, and highlighted novel contributions. A final section discussed methodologic issues, research directions, and challenges for the coming decade.Cancer remains a significant national problem, with over 1 million Americans diagnosed each year. The adjustment process for cancer survivors may be burdensome and lengthy, and deteriorations in quality of life are underscored if they also have adverse health effects. A previous review noted the significant quality-of-life gains that can be achieved with psychological interventions (Andersen, 1992), a conclusion echoed here. In this review, I look more broadly and include biobehavioral responses and disease outcomes as areas important for intervention efforts. Although there are proportionately fewer studies that have included the latter, multimodal interventions and assessment of psychological, behavioral, and biologic mechanisms are the pathways for future research.The Biobehavioral Model of cancer stress and disease course (Andersen, Kiecolt-Glaser, & Glaser, 1994) provides the organizational framework for the discussion. Represented in Figure 1, the model includes psychological (e.g., stress and quality of life), behavioral (e.g., health behaviors and compliance), and biologic (e.g., neuroendocrine and immune) components and specifies the pathways by which health outcomes (e.g., disease endpoints-recurrence, disease free interval) might be affected. A complete discussion of the model is available elsewhere , as only brief summaries are provided prior to each section.Studies conducted since 1992 with adult cancer patients are reviewed; selected investigations prior to that period are included because of their importance, novelty, or absence from the earlier article focusing on quality of life (Andersen, 1992). Each component of the model is considered as an outcome following psychological interventions. Prior to each, I review descriptive findings and highlight prominent correlational investigations. For all experimental studies, accrual and retention rates and patient characteristics are provided, as these areas are in need of methodologic attention, as discussed later in the article. Although tedious at times, specific techniques of interventions are provided to enable the reader to distinguish among those with similar labels. Quasi-experimental designs are included for emerging areas. With few exceptions, all studies included psychological outcomes, but in the first section, I focus on studies with only these endpoints. Figure 1). Cancer survivors report con...

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Trauma History as a Predictor of Psychologic Symptoms in Women With Breast Cancer

Abstract: The findings highlight the important roles of trauma history and recent life events in adjustment to cancer and have implications for screening and treatment.

Cited by 132 publications

References 44 publications

The association between previous psychological trauma and mental health among gastric cancer patients

The association between previous psychological trauma and mental health among gastric cancer patients

Prevalence and risk of depressive symptoms 3–4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer

Biobehavioral outcomes following psychological interventions for cancer patients.

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