典型文献
Searching for the emotional roots of breast cancer:A cross-disciplinary analysis integrating psychology,Chinese medicine,and oncology biomarkers
文献摘要:
Objective:We employed a multidisciplinary approach incorporating theoretical ideas,clinical experience,psychology,physiology,traditional Chinese medicine (CM),modern practice of CM,and oncology to explore the effect of patients' repression of negative emotions and traumatic events on breast cancer(BC) pathogenesis.Methods:BC female patients,older than 18 years of age,with available pathology reports who were trea-ted at Rabin Medical Center were recruited.All participants completed questionnaires regarding medical history,behavioral tendencies,negative emotions,trauma,symptoms,and pathology (from a CM per-spective).Data on tumor characteristics were collected from the pathology reports.The associations were examined using hierarchical binary logistic regressions.Results:A total of 155 BC patients were enrolled.The median age was 52 years,with a range of 26-79;95% were mothers;28% had estrogen receptor (ER)-negative BC,52% had progesterone receptor (PR)-negative BC,48% had human epidermal growth factor receptor 2-negative BC,and antigen Ki-67 ≥ 20%was reported for 52% of tumors.Statistically significant associations were found between the emotional markers (sense of motherhood failure,and lack of self-fulfillment),avoidance behavior,and physical symptoms that are related to emotional repression based on CM.Significant associations were also found between variables associated with physical symptoms of emotional repression,which involves the pro-duction and accumulation of non-substantial phlegm (i.e.,"high-lipid Qi-like microscopic phlegm"),avoidance behavior which unconsciously uses "high-lipid Qi-like microscopic phlegm" in order to achieve emotional repression,and tumor parameters including tumor grade,PR status,and Ki-67.Patients with higher levels of "high-lipid Qi-like microscopic phlegm" were more likely to have tumors with worse prognosis (PR-negative,higher grade,and higher Ki-67).Conclusion:We demonstrated a relationship between emotional parameters,behavioral tendencies,CM parameters,and oncologic parameters in BC.Additional research is warranted to explore these associa-tions and their relevance to clinical practice.
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中图分类号:
作者姓名:
Ofer Baranovitch;Meirav Wolff-Bar;Meora Feinmesser;Chen Sade-Zaltz;Ilan Tsarfaty;Victoria Neiman
作者机构:
Integrative Unit,Davidoff Cancer Center,Rabin Medical Center,Petach Tikva 4941492,Israel;Maccabi Tivi (Maccabi Health Organization),Tel Aviv 6801294,Israel;Department of Pathology,Rabin Medical Center,Petach Tikva 4941492,Israel;Sackler Faculty of Medicine,Tel Aviv University,Tel Aviv 6997801,Israel;Department of Clinical Microbiology and Immunology,Sackler School of Medicine,Tel Aviv University,Tel Aviv 6997801,Israel;Institute of Oncology,Davidoff Cancer Center,Rabin Medical Center,Petach Tikva 4941492,Israel
文献出处:
引用格式:
[1]Ofer Baranovitch;Meirav Wolff-Bar;Meora Feinmesser;Chen Sade-Zaltz;Ilan Tsarfaty;Victoria Neiman-.Searching for the emotional roots of breast cancer:A cross-disciplinary analysis integrating psychology,Chinese medicine,and oncology biomarkers)[J].结合医学学报(英文版),2022(01):57-64
A类:
motherhood
B类:
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AB值:
0.540313
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