|Reference code: ||PT/FB/BL-2010-119.09|
|Location: ||Arquivo PCA - Pasta 21/2010|
|Distress, attachment styles and psychophysiological indicators of stress reactivity in breast cancer patients|
|Publication year: ||2014|
According to literature on the impact of stress in health, negative emotions, or its suppression, can be adverse factors in disease outcomes. Attachment styles, relatively stable throughout life, seem to influence how individuals respond to stress in adulthood and how they acquire emotion regulation strategies through development. The aim of this research is to characterize and relate emotional distress, attachment styles, cortisol and psychophysiological reactivity, in recently diagnosed breast cancer patients compared to control subjects.
METHOD: Breast cancer patients and controls were evaluated after their informed consent. Assessment included socio-demographic and medical data, the Distress Thermometer (DT), the Adult Attachment Scale, the Brief Symptom Inventory
and the State Trait Anger Inventory (STAXI). In what concerns psychophysiological measures, heart rate, respiratory frequencies and electrodermic activity (EDA) were recorded during the interview, including neutral and activation moments. Salivary cortisol samples were collected at five different times during a 24 hours period.
Preliminary results in 86 females, (51 patients and 35 control subjects) showed that patients mean age was 41.9 years, and the majority of the subjects had no family history of breast cancer. Patients mean value of DT was significantly higher than controls and cortisol levels at waking, 1 hour after and at 4 pm were higher in patients, but not significantly facing controls. Insecure attachment patterns seem to be related to less effective emotion regulation strategies and increased physiological reactivity and to negative adjustment outcomes.
These results highlight the association between psychological distress, cortisol and autonomic measures, pointing to the relevance of emotion regulation in biological reactivity and probably in disease evolution and prognosis.
RESEARCH IMPLICATIONS: Facing breast cancer, the characterization of the impact of the diagnosis and the relationship between psychological and biological dimensions, may reinforce a psychosomatic approach in current investigation.
A better knowledge of the processes involved in disease adaptation can assume relevant implications in clinical intervention, promoting the identification of the most vulnerable patients and improving the quality of care, in a multidisciplinary perspective.
|Accessibility: ||Document exists in file|
|Secondary author(s): |
|Eusébio, S., Torrado, M., Nabais, I., Gonçalves, G., Lopes, L.|
|Document type: |
|Number of reproductions: |
|Ouakinin, S., Eusébio, S., Torrado, M., Nabais, I., Gonçalves, G., & Lopes, L. (2014). Distress, attachment styles and psychophysiological indicators of stress reactivity in breast cancer patients. Psycho-Oncology, 23(Suppl. 3), 328-329. doi: 10.1111/j.1099-1611.2014.3696|
|Indexed document: ||Yes|
|Keywords: ||Attachment style / Breast cancer / Emotional distress|
Distress, attachment styles and psychophysiological indicators of stress reactivity in breast cancer patients