Affective differentiation in breast cancer patients.

Department of Psychology, University of Delaware, Newark, DE 19716, USA.
Journal of Behavioral Medicine (Impact Factor: 3.1). 12/2010; 33(6):441-53. DOI: 10.1007/s10865-010-9274-8
Source: PubMed

ABSTRACT Fifty-three breast cancer patients completed an Internet-based diary measuring daily negative affect and positive affect and daily negative and positive events for seven consecutive evenings shortly after surgery. The authors used Hierarchical Linear Modeling (Raudenbush and Bryk in Hierarchical linear models: applications and data analysis methods. Sage, Thousand Oaks, CA, 2002) to examine moderators of affective differentiation, or the daily relationship between the patients' negative affect and positive affect. Strong affective differentiation is characterized by the relative independence of negative and positive affect. There were no significant Level 1 (within-subject) moderators of affective differentiation. However, at Level 2 (between-subject), as predicted, increased age was associated with stronger affective differentiation, as was greater use of planning to cope with breast cancer. Also as predicted, increased anxiety and greater use of behavioral disengagement and denial coping were associated with weaker affective differentiation. The results suggest the value of the affective differentiation construct, and a daily diary methodology, for research on the daily lives of breast cancer patients.

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    ABSTRACT: Aim The international literature rarely concerns itself with the refusal of treatment. We have studied the adaptation and subconscious defence mechanisms triggered in patients at the time of proposing adjuvant chemotherapy after cancer surgery. Materials and methods This longitudinal clinical study based on 50 breast cancer patients compares the psychological factors involved in the making of decisions following oncological consultation. Results Eighty-two percent of patients accepted chemotherapy while 18% refused it. The Accepting group usually exhibits depression in its reaction whereas the Refusing group generally has more hostile traits. Anxiety, significantly higher in the Accepting group than in the Refusing group, seems to be linked to feelings that are repressed by the patient that submits to the medical advice. Conversely, patients refusing the treatment tend to exhibit their hostility towards doctors and medicine verbally. Conclusion Changes in doctor- patient communication, coupled with a greater knowledge of the personality of patients, may help encourage patients to accept the treatment offered to them.
    Oncologie 15(1). · 0.10 Impact Factor

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