The relationship of psychosocial factors to prognostic indicators in cutaneous malignant melanoma.
ABSTRACT This study investigated the relationship between prognosis (estimated by histopathologic indicators) in cutaneous malignant melanoma and a comprehensive set of physical risk, demographic, psychosocial, and situational variables. These variables were derived from the medical examination, the pathology report, psychosocial self-report measures, and an hour-long videotaped interview with 59 patients from two melanoma clinics in San Francisco. Variables significantly correlated with tumor thickness were: darker skin/hair/eye coloring, longer patient delay in seeking medical attention, two correlated dimensions within an operationally defined 'Type C' constellation of characteristics, two character style measures, and less previous knowledge of melanoma and understanding of its treatment. Of these variables, delay was the most significant in a hierarchical multiple regression analysis in which tumor thickness was the dependent variable. Associations between tumor thickness and psychosocial measures of Type C were considerably stronger and more significant for subjects less than age 55, suggesting that the role of behavioral and psychosocial factors in the course of malignant melanoma is more potent for younger than for older subjects.
- [Show abstract] [Hide abstract]
ABSTRACT: Research on emotional (non-)expression is characterized by two facets; it has mainly focused on healthy individuals and it has failed to explore the relationships between the different concepts describing expression and non-expression. A meta-analysis was conducted in order to identify the differential effects of emotional expression and non-expression in patient samples. Results showed that neither expression, nor non-expression of emotions was related to perception of disease severity. Psychological distress increased in relation to emotional non-expression, but no effect was shown for emotional expression. Emotional non-expression was also related to adopting a helpless attitude towards the disease. The conceptual and methodological disparities identified in the retrieved studies undermined the validity of the emerged relationships. Reported changes in physical and psychological outcomes were related to the kind of research design, operationalization of (non-)expression and the clinical and psychological condition of the recruited samples. Implications for improving future research are discussed.Psychology and Health 10/2010; 17(5):529-545. · 2.13 Impact Factor
- Minerva Psichiatrica. 01/2006; 4(1):79-87.
- [Show abstract] [Hide abstract]
ABSTRACT: We found, in an empirical study on 53 people affected by cancer, of both sexes, that, according to previous researches, they take on a peculiar defensive style. The defensive styles differences between cancer patients and the comparison group resulted, by the mean of State Trait Anger Expression Inventory (STAXI) and Defense Mechanism Inventory (DMI), statistically significant. The cancer patients resulted to be “controlling-introverted”. These results can be considered an additional evidence of a tie, till obscure, between the somatic disease, even in its extreme form, and the subjective psychodynamic organisation. Such evidences are often the result of a research activity referred to traditional studies leading to the different meanings of “psychosomatics”. As we can see from the epistolary relation between Freud and Groddeck and the latter and Ferenczi, this tradition crossed lot of times the path of psychoanalysis. In some cases, such crosses seem to produce a deviation, evident in the frequent simplification of the potential senses of the same crosses. We think with no doubt that the link body-mind can be studied with advantage starting from the same idea of the unconscious presented by Freud in the famous letter to Groddeck (1917) as the possible “missing link” between the physical and the psychical. However, we think that a study starting from such a point should not limit itself to seeing in the unconscious collocation of the link an almost nominalistic entity, pushing the knowledge towards the “more” implied in the unconscious nature of the link. Starting from those empirical data we propose a representation of the elements in transit on the bridge linking the mind to the body affected by cancer. We want to consider the relationship between the self-conservative body and the libidinal body in the light of a “critic” to the anaclisis (Anlehnung) theory.Journal of Psychology and Psychotherapy,. 10/2014; 4(4).