Personality, Emotions and Coping StylesPredictive Value for the Evolution of Cancer Patients

  1. Cardenal Hernáez, Violeta 1
  2. Cerezo Guzmán, María Victoria 2
  3. Martínez Rodríguez, Joaquina 3
  4. Ortiz Tallo Alarcón, Margarita 2
  5. Blanca Mena, María José 2
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  2. 2 Universidad de Málaga
    info

    Universidad de Málaga

    Málaga, España

    ROR https://ror.org/036b2ww28

  3. 3 Clínica Nuestra Señora de Belén de Murcia
Mostrar afiliaciones +
Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2012

Volumen: 15

Número: 2

Páginas: 756-767

Tipo: Artículo

DOI: 10.5209/REV_SJOP.2012.V15.N2.38887 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

Este estudio tiene un doble objetivo: describir las diferencias en los aspectos psicológicos entre los pacientes con cáncer y un grupo control,y explorar el posible valor predictivo de estos aspectos en la evolución de la enfermedad dos años más tarde. En primer lugar, se evaluaron en ambos grupos variables de personalidad, ansiedad, ira y depresión. Los resultados de los análisis t mostraron diferencias significativas entre los dos grupos. En personalidad, los pacientes con cáncer mostraron niveles más altos de neuroticismo y niveles más bajos de extraversión, afabilidad y concienciación que el grupo control. En variables emocionales, los pacientes con cáncer presentaron puntuaciones más elevadas en ansiedad y en algunos aspectos de la ira, pero no hubo diferencias entre los grupos en los niveles de depresión. En segundo lugar, aplicando un diseño cuasi-prospectivo, se analizó el valor predictivo de la personalidad, las emociones y los estilos de afrontamiento en la evolución del cáncer (favorable o desfavorable), mediante modelos lineales generalizados y de regresión logística. Se ajustó un modelo logístico de cuatro predictores: Ira interna, Resignación, Autoculpación y Concienciación, indicando que altas puntuaciones en Ira interna, Resignación, Autoculpación, junto con puntuaciones bajas en Concienciación, presentaban mayor probabilidad de relacionarse con una evolución desfavorable del cáncer. Estos resultados apoyan el papel crucial de los aspectos psicológicos en la evolución de la enfermedad y la necesidad de incluirlos en el diseño de las intervenciones clínicas.

€ Ver financiación

Información de financiación

This study forms part of the “Personality, Chronic Stress, and Health” research project, funded by the Spanish Ministerio de Ciencia y Tecnología (Reference Number BSO2002-00910).

Financiadores

Referencias bibliográficas

  • Afifi, A. A., & Clark, V. (1996). Computer-aided multivariate analysis (3rd Ed.). London, England: Chapman & Hall.
  • Andersen, B. L., Yang, H-C., Farrar, W. B., Golden-Kreutz, D. M., Emery, C. F., Thornton, Carson, III W. E. (2008). Psychological intervention improves survival for breast cancer patients. A randomized clinical trial. Cancer, 113, 3450-3458. http://dx.doi.org/10.1002/cncr.23969
  • Ato, M., Losilla, J. M., Navarro, J. B., Palmer, A., & Rodrigo, M. F. (2005). Análisis de datos: Modelo lineal generalizado [Data analysis: Generalized linear model]. Girona, Spain: Documenta Universitaria.
  • Augustine, A. A., Larsen, R. J., Walker, M. S., & Fisher, E. B. (2008). Personality predictors of the time course for lung cancer onset. Journal of Research in Personality, 42, 1448-1455. http://dx.doi.org/10.1016/j.jrp.2008.06.006
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561-71. http://dx.doi.org/10.1001/archpsyc.1961.01710120031004
  • Bewick, V., Cheek, L., & Ball, J. (2005). Statistics review 14: Logistic regression. Critical Care, 9, 112-118. http://dx.doi.org/10.1186/cc3045
  • Blasco, T., Pallarés, C., Alonso, C., & López López, J. J. (2000). The role of anxiety and adaptation to illness in the intensity of postchemotherapy nausea in cancer patients. The Spanish Journal of Psychology, 3, 47-52.
  • Bleiker, E. M. A., Hendriks, J. H. C. L., Otten, J. D. M., Verbeek, A. L. M., & van der Ploeg, H. M. (2008). Personality factors and breast cancer risk: A 13-year follow-up. Journal of the!ational Cancer Institute, 100, 213-218. http://dx.doi.org/10.1093/jnci/djm280
  • Block, C. A., Erickson, B., Carney-Doebbling, C., Gordon, S., Fallon, B., & Konety, B. R. (2007). Personality, treatment choice and satisfaction in patients with localized prostate cancer. International Journal of Urology, 14, 1013-1018. http://dx.doi.org/10.1111/j.1442-2042.2007.01875.x
  • Butler, L. D., Koopman, C., Neri, E., Giese-Davis, J., Palesh, O., Thorne-Yocam, K. A.,Spiegel, D. (2009). Effects of supportive-expressive group therapy on pain in women with metastatic breast cancer. Health Psychology, 28, 579-587. http://dx.doi.org/10.1037/a0016124
  • Buttow, P. N., Hiller, J. E., Price, M. A., Thackaway, S. V., Kircker, A., & Tennant, C. C. (2000). Epidemiological evidence for a relationship between life events, coping style, and personality factors in the development of breast cancer. Journal Psychosomatic Research, 49, 169-181.
  • Cardenal, V. (2001). Estilos psicológicos y enfermedad física: Variables psicosociales-el estilo de evitación emocional-y su influencia en el cáncer [Psychological styles and physical illness: Psychosocial variables-the emotionally avoidant style-and its influence on cancer]. Escritos de Psicología, 5, 36-52.
  • Cardenal, V., Ortiz-Tallo, M., Martín, I., & Martínez, J. (2008). Life stressors, emotional avoidance and breast cancer. The Spanish Journal of Psychology, 11, 522-530.
  • Cerezo, M. V., Ortiz-Tallo, M., & Cardenal, V. (2009). Expresión de emociones y bienestar en un grupo de mujeres con cancer de mama: Una intervención psicológica [Emotional expression and well-being in a group of women with breast cancer: A psychological intervention]. Revista Latinoamericana de Psicología, 41, 131-140.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd Ed.). Hillsdale, NJ: Erlbaum.
  • Conde, V., Esteban, T., & Useros, E. (1976). Revisión crítica de la adaptación castellana del Cuestionario de Beck [Critical review of the Spanish adaptation of Beck' Questionnaire]. Revista de Psicología General y Aplicada, 31, 469-497.
  • Cordero, A., Pamos, A., & Seisdedos, N. (1999). Inventario de personalidad!EO revisado (!EO PI-R): Inventario!EO reducido de cinco factores (!EO-FFI) [Revised NEO Personality Inventory (NEO PI-R): Reduced NEO Five-Factor Inventory (NEO-FFI)]. Madrid, Spain: TEA Ediciones.
  • Costa, P. T. Jr., & McCrae, R. R. (1992). The!EO-PI-R personality inventory manual. Odessa, FL: Psychological Assessment Resources.
  • Cousson-Gélie, F., Bruchon-Schweitzer, M., Dilhuydy, J. M., & Mutand, M. (2007). Do anxiety, body image, social support and coping strategies predict survival in breast cancer? A tenyear follow-up study. Psychosomatics, 48, 211-216. http://dx.doi.org/10.1176/appi.psy.48.3.211
  • Dahl, A. A. (2010). Link between personality and cancer. Future Oncology, 6, 691-707. http://dx.doi.org/10.2217/fon.10.31
  • Evans, E. (1926). A psychological study of cancer. Oxford, England: Dodd Mead.
  • Folkman, S., & Lazarus, R. S. (1998). Manual for the Ways of Coping Questionnaire. Palo Alto, CA: Consulting Psychologist Press.
  • Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, and psychological symptoms. Journal of Personality and Social Psychology, 50, 571-579. http://dx.doi.org/10.1037//0022-3514.50.3.571
  • Font, A., & Cardoso, A. (2009). Afrontamiento en cáncer de mama: Pensamientos, conductas y reacciones emocionales [Coping with breast cancer: Thoughts, behaviours and emotional reactions]. Psicooncología, 6, 27-42.
  • Giese-Davis, J., Conrad, A., Nouriani, B., & Spiegel, D. (2008). Exploring emotion-regulation and autonomic physiology in metastatic breast cancer patients: Repression, suppression, and restraint of hostility. Personality and Individual Differences, 44, 226-237. http://dx.doi.org/10.1016/j.paid.2007.08.002
  • Giese-Davis, J., DiMiceli, S., Sephton, S., & Spiegel, D. (2006). Emotional expression and diurnal cortisol slope in women with metastatic breast cancer in supportive-expressive group therapy: A preliminary study. Biological Psychology, 73, 190-198. http://dx.doi.org/10.1016/j.biopsycho.2006.04.003
  • Graves, K. D., Schmidt, J. E., Bollmer, J., Fejfar, M., Langer, S., Blonder, L. X., & Andrykowski, M. A. (2005). Emotional expression and emotional recognition in breast cancer survivors: A controlled comparison. Psychology & Health, 5, 579-595. http://dx.doi.org/10.1080/0887044042000334742
  • Greer, S. (1991). Psychological response to cancer and survival. Psychological Medicine, 21, 43-49. http://dx.doi.org/10.1017/S003329170001463X
  • Hansen, P. E., Floderus, B., Frederiksen, K., & Johansen, C. (2005). Personality traits, health behavior, and risk for cancer: A prospective study of a Swedish twin cohort. Cancer, 103, 1082-1091.
  • Hardt, J., Gillitzer, R., Schneider, S., Fischbeck, S., & Thüroff, J. W. (2010). Coping styles as predictors of survival time in bladder cancer. Health 2, 429-434. http://dx.doi.org/10.4236/health.2010.25064
  • Härtl, K., Engel, J., Herschbach, P., Reinecker, H., Sommer, H., & Friese, K. (2010). Personality traits and psychosocial stress: Quality of life over 2 years following breast cancer diagnosis and psychological impact factors. Psycho-Oncology, 19, 160-169. http://dx.doi.org/10.1002/pon.1536
  • Heffner, K. L., Loving, T. J., Robles, T. F., & Kiecolt-Glaser, J. K. (2003). Examining psychosocial factors related to cancer incidence and progression: In search of the silver lining. Brain, Behavior, and Immunity 17, 109-111. http://dx.doi.org/10.1016/S0889-1591(02)00076-4
  • Hopko, D. R., Bell, J. L., Armento, M. E. A., Robertson, S. M. C., Hunt, M. K., Wolf, N. J., & Mullane, C. (2007). The phenomenology and screening of clinical depression in cancer patients. Journal of Psychosocial Oncology, 26, 31-51. http://dx.doi.org/10.1300/J077v26n01_03
  • Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York, NY: Wiley & Sons.
  • Hou, W. K., Law, C. C., & Fu, Y. T. (2010). Does change in positive affect mediate and/or moderate the impact of symptom distress on psychological adjustment after cancer diagnosis? A prospective analysis. Psychology & Health, 25, 417-431. http://dx.doi.org/10.1080/08870440802559375
  • Lieberman, M., & Goldstein, B. (2006). Not all negative emotions are equal: The role of emotional expression in online support groups for women with breast cancer. Psycho-Oncology, 15, 160-168.
  • Lillberg, K., Verkasalo, P. K., Kaprio, J., Teppo, L., Helenius, H., & Koskenvuo, M. (2002). A prospective study of life satisfaction, neuroticism and breast cancer risk (Finland). Cancer Causes & Control, 13, 191-198.
  • López-Martínez, A. E. (2003). Hacer frente al cáncer [Coping with cancer]. Málaga, Spain: Aljibe.
  • McGregor, B. A., & Antoni, M. H. (2009). Psychological intervention and health outcomes among women treated for breast cancer: A review of stress pathways and biological mediators. Brain, Behavior, and Immunity, 23, 159-166. http://dx.doi.org/10.1016/j.bbi.2008.08.002
  • Merz, E. L., Malcarne, V. L., Ko, C. M., Sadler, M., Kwack, L., Varni, J. W., & Sadler, G. R. (2010). Dyadic concordance among prostate cancer patients and their partners and healthrelated quality of life: Does it matter? Psychology & Health, 6, 651-666. http://dx.doi.org/10.1080/08870441003721251
  • Miguel-Tobal, J. J., & Cano-Vindel, A. (1994). Inventario de Situaciones y Respuestas de Ansiedad (ISRA) [Inventory of Situations and Responses of Anxiety]. Madrid, Spain: Tea Ediciones.
  • Miguel-Tobal, J. J., Casado, M. I., Cano-Vindel, A., & Spielberger, C. D. (2001). Inventario de Expresión de Ira Estado-Rasgo- STAXI [State-Trait Anger Expression Inventory-STAXI]. Madrid, Spain: TEA Ediciones.
  • Nagano, J., Kono, S., Toyomura, K., Mizoue, T., Yin, G., Mibu, R., Imaizumi, N. (2008). Personality and colorectal cancer: The Fukuoka Colorectal Cancer Study. Japanese Journal of Clinical Oncology, 38, 553-561. http://dx.doi.org/10.1093/jjco/hyn067
  • Nakaya, N., Bidstrup, P. E., Eplov, L. F., Saito-Nakaya, K., Kuriyama, S., Tsuji, I., Johansen, C. (2009). Mental vulnerability and survival after cancer. Epidemiology, 20, 916-920. http://dx.doi.org/10.1097/EDE.0b013e3181b5f3b0
  • Nakaya, N., Bidstrup, P. E., Saito-Nakaya, K., Frederiksen, K., Koskenvuo, M., Pukkala, E., Johansen, C. (2010). Personality traits and cancer risk and survival based on Finnish and Swedish registry data. American Journal of Epidemiology, 172, 377-385. http://dx.doi.org/10.1093/aje/kwq046
  • Nakaya, N., Saito-Nakaya, K., Akechi, T., Kuriyama, S., Inagaki, M., Kikuchi, N.,Uchitomi, Y. (2008). Negative psychological aspects and survival in lung cancer patients. Psycho-Oncology, 17, 466-473. http://dx.doi.org/10.1002/pon.1259
  • Nakaya, N., Tsubono, Y., Hosokawa, T., Nishino, Y., Ohkubo, T., Hozawa, A.,lab ENGLHisamichi, S. (2003). Personality and the risk of cancer. Journal of the National Cancer Institute, 95, 799-805. http://dx.doi.org/10.1093/jnci/95.11.799
  • Palesh, O., Butler, L. D., Koopman, C., Giese-Davis, J., Carlson, R., & Spiegel, D. (2007). Stress history and breast cancer recurrence. Journal of Psychosomatic Research, 63, 233-239. http://dx.doi.org/10.1016/j.jpsychores.2007.05.012
  • Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., & Feinstein, A. R. (1996). A simulation study of the number of events per variable in logistic regression analysis. Journal of Clinical Epidemiology, 49, 1373-1379. http://dx.doi.org/10.1016/S0895-4356(96)00236-3
  • Peng, C. J., Lee, K. L., & Ingersoll, G. M. (2002). An introduction to logistic regression analysis and reporting. Journal of Educational Research 96, 3-14. http://dx.doi.org/10.1080/00220670209598786
  • Petticrew, M., Bell, R., & Hunter, D. (2002). Influence of psychological coping on survival and recurrence in people with cancer: Systematic review. British Medical Journal, 325, 1066-1076. http://dx.doi.org/10.1136/bmj.325.7372.1066
  • Pinquart, M., & Duberstein, P. R. (2010). Depression and cancer mortality: A meta-analysis. Psychological Medicine, 40, 1797-1810. http://dx.doi.org/10.1017/S0033291709992285.
  • Prasertsri, N., Holden, J., Keefe, F. J., & Wilkie, D. J. (2011). Repressive coping style: Relationships with depression, pain, and pain coping strategies in lung cancer out patients. Lung Cancer, 71, 235-240. http://dx.doi.org/10.1016/j.lungcan.2010.05.009
  • Rando, B. (2010). La participación de profesionales sanitarios portugueses en la detección de donantes de órganos [The participation of Portuguese healthcare professionals in detecting organ donors]. Escritos de Psicología, 3, 8-14. http://dx.doi.org/10.5231/psy.writ.2010.1803
  • Rando, B., Blanca, M. J., & Frutos, M. A. (2000). Modelo de regresión logística para la intención de hacerse el carné de donante de órganos y tejidos [Logistic regression model for the intention to take out an organ- and tissues-donor card]. Psicothema, 12, 464-469.
  • Rodríguez-Marín, J., Terol, M. C., López-Roig, S., & Pastor, M. A. (1992). Evaluación del afrontamiento del estrés: Propiedades psicométricas del Cuestionario de Formas de Afrontamiento de Acontecimientos Estresantes [Stress coping assessment: Psychometric properties of the Ways of Coping with Stressful Events Questionnaire]. Revista de Psicología de la Salud, 4, 59-84.
  • Schapiro, I. R., Ross-Petersen, L., Sælan, H., Garde, K., Olsen, J. H., & Johansen, C. (2001). Extroversion and neuroticism and the associated risk of cancer: A Danish cohort study. American Journal of Epidemiology, 153, 757-763. http://dx.doi.org/10.1093/aje/153.8.757
  • Sebastián, J., León, M., & Hospital, A. (2009). Variables psicosociales y cáncer de mama: Un estudio cuasiprospectivo de la personalidad tipo C [Psychosocial variables and breast cancer: A quasi-prospective study of type C personality]. Revista Latinoamericana de Psicología, 4, 461-479.
  • Sephton, S. E., Dhabhar, F. S., Keuroghlian, A. S., Giese-Davis, J., McEwen, B. S., Ionan, A. C., & Spiegel, D. (2009). Depression, cortisol, and suppressed cell-mediated immunity in metastatic breast cancer. Brain, Behavior, and Immunity, 23, 1148-1155. http://dx.doi.org/10.1016/j.bbi.2009.07.007
  • Shigehisa, T., & Honda, H. (2006). Cancer patients' morbidity (I): Immunological status varies with psychological intervention in relation to personality. Annals of Cancer Research and Therapy, 14, 28-38. http://dx.doi.org/10.4993/acrt.14.28
  • Spiegel, D., & Giese-Davis, J. (2003). Depression and cancer: Mechanisms and disease progression. Biological Psychiatry, 54, 269-282. http://dx.doi.org/10.1016/S0006-3223(03)00566-3
  • Spielberger, C. D. (1988). State-Trait Anger Expression Inventory (STAXI). Odessa, FL: Psychological Assessment Resources.
  • Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., & Sworowski, L. A. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68, 875-882. http://dx.doi.org/10.1037//0022-006X.68.5.875
  • Stefanek, M. E., Palmer, S. C., Thombs, B. D., & Coyne, J. C. (2009). Finding what is not there: Unwarranted claims of an effect of psychosocial intervention on recurrence and survival. Cancer, 115, 5612-5616. http://dx.doi.org/10.1002/cncr.24671
  • Stephen, J. E., Rahn, M., Verhoef, M., & Leis, A. (2007). What is the state of the evidence on the mind-cancer survival question, and where do we go from here? A point of view. Support Care Cancer, 15, 923-930. http://dx.doi.org/10.1007/s00520-007-0281-4
  • Talley, A., Molix, L., Schlegel, R. J., & Bettencourt, A. (2010). The influence of breast cancer survivors' perceived partner social support and need satisfaction on depressive symptoms: A longitudinal analysis. Psychology & Health, 25, 433-449. http://dx.doi.org/10.1080/08870440802582682
  • Turner-Cobb, J. M., Sephton, S. E., & Spiegel, D. (2001). Psychosocial effects on immune function and disease progression in cancer: Human studies. In R. Ader, D. L. Felton, & N. Cohen (Eds.), Psychoneuroimmunology (3rd Ed.). San Diego, CA: Academic Press.
  • Vissoci E. M., Vargas, S. O., & Morimoto, H. K. (2004). Stress, depression, the immune system, and cancer. The Lancet Oncology, 5, 617-25.
  • Vittinghoff, E., & McCulloch, C. E. (2007). Relaxing the rule of ten events per variable in logistic and Cox regression. American Journal of Epidemiology, 165, 710-718. http://dx.doi.org/10.1093/aje/kwk052
  • Wasylkiw, L., & Fekken, G. C. (2002). Personality and selfreported health: Matching predictors and criteria. Personality and Individual Differences, 33, 607-620. http://dx.doi.org/10.1016/S0191-8869(01)00175-1
  • Weihs, K. L., Enright, T. M., Simmens, S. J., & Reiss, D. (2000). Negative affectivity, restriction of emotions, and site of metastases predict mortality in recurrent breast cancer. Journal of Psychosomatic Research, 49, 59-68. http://dx.doi.org/10.1016/S0022-3999(00)00143-4
Fuente de los datos: Dialnet