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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.
文献关键词:
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
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:
Searching,emotional,roots,breast,cancer,cross,analysis,integrating,psychology,Chinese,medicine,oncology,biomarkers,Objective,We,employed,multidisciplinary,approach,incorporating,theoretical,ideas,clinical,experience,physiology,traditional,CM,modern,practice,explore,effect,patients,repression,negative,emotions,traumatic,events,BC,pathogenesis,Methods,female,older,than,years,age,available,pathology,reports,who,were,trea,Rabin,Medical,Center,recruited,All,participants,completed,questionnaires,regarding,medical,history,behavioral,tendencies,symptoms,from,spective,Data,characteristics,collected,associations,examined,using,hierarchical,binary,logistic,regressions,Results,total,enrolled,median,was,range,mothers,had,estrogen,receptor,ER,progesterone,PR,human,epidermal,growth,antigen,Ki,reported,tumors,Statistically,significant,found,between,sense,failure,lack,self,fulfillment,avoidance,physical,that,are,related,Significant,also,variables,associated,which,involves,duction,accumulation,substantial,phlegm,lipid,Qi,microscopic,unconsciously,uses,order,achieve,parameters,including,grade,status,Patients,higher,levels,more,likely,have,worse,prognosis,Conclusion,demonstrated,relationship,oncologic,Additional,research,warranted,these,their,relevance
AB值:
0.540313
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