The relationship of psychosocial factors to prognostic indicators

University of California, Berkeley, Berkeley, California, United States
Journal of Psychosomatic Research (Impact Factor: 2.74). 02/1985; 29(2):139-53. DOI: 10.1016/0022-3999(85)90035-2
Source: PubMed


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.

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    • "In addition to these two types, Type C and D have been suggested in the literature. A Type C personality shows some associations with developing cancer or delaying seeing a doctor (Temoshok et al., 1985). Type C personality is characterized as introverted, neurotic , and not tough-minded. "
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    ABSTRACT: Recent studies have shown that cancer survivors experience severe psychological distress, but some also experience personal growth, known as posttraumatic growth (PTG). Help-seeking behavior (HSB) is critical for cancer survivors to better cope with stress and possibly experience PTG. The existing theoretical models of PTG and HSB assume that cancer survivors, regardless of their cultural background or personality, will receive benefit from actively interacting with others. The purpose of this review article is to critically examine this assumption and to propose that the role of distal and proximate cultures need to be considered in further understanding the psychological mechanisms of PTG and HSB. Future studies should identify the culture specific meanings and implications of experiencing PTG and engaging in HSB.
    No preview · Article · Jan 2016 · Japanese Psychological Research
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    • "The possibility that personality may be a risk factor for the development of malignant tumors has been suggested [2,7,8]. Eysenck et al. [2] mentioned that personality, rather than smoking, may be strongly associated with the development of lung cancer. "
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    ABSTRACT: Background There have been scarce large-scale studies investigating the personality of patients with malignant tumors. The purpose of this study is to determine the characteristic personality in malignant tumors outpatients. Methods Three thousand and three among 5013 consecutive outpatients who consented to answer the Japanese Maudsley Personality Inventory questionnaires were divided into two groups. 603 outpatients diagnosed with malignant tumors (M group) and the other 2400 outpatients (non-M group) were enrolled in this study. We determined three scores such as introversion/extroversion (E-score), neuroticism (N-score), and lie detection (L-score). All data were used to compare the two groups. Results Average E-score was slightly higher, and average N-score was slightly lower in M group than that in non-M group, and no significant differences between the two groups. However, the average L-score in M group was significant higher than that in non-M group (p < 0.01). Conclusion Outpatients with malignant tumors showed a significantly higher L-score on MPI when compared with patients with non-malignant tumors. These results stress the importance of taking the mentality of patients with cancer into consideration when conducting treatment and care.
    Full-text · Article · Sep 2012 · World Journal of Surgical Oncology
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    • "Specifically, studies involving patients with malignant melanomas indicate that personality type predicts neither recurrence nor survival time (Canada et al., 2005). However, a greater progression of the disease was found in patients who claimed to have accepted their illness or who expressed feelings of impotence/desperation (Temoshok et al., 1985) and a positive relationship was observed between the manifestation of active coping strategies and a higher survival rate (Fawzy et al., 1993). "

    Full-text · Chapter · Sep 2011
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