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respuesta al tratamiento
Psichological factors in the development of cancer and in the response
to treatment
J.P. Arbizu
RESUMEN ABSTRACT
En este trabajo se seala la relacin de los aspectos This paper draws attention to the relationship of
psicolgicos y la aparicin y evolucin del cncer. Hay psychological aspects and the appearance and
una influencia clara de la conducta humana en la apari- evolution of cancer. The incidence of the disease would
cin del cncer. La incidencia de la enfermedad se redu- be considerably reduced if there was an increase in
cira considerablemente si aumentaran las conductas de healthy behaviour life-styles. Different studies conclude
salud. Diversas investigaciones concluyen que el estrs that stress affects the immunological system and
afecta al sistema inmunolgico y en consecuencia al consequently cancer. Similarly, the influence of
cncer. Asimismo se discute la influencia de la persona- personality on the evolution of the disease is discussed.
lidad en la evolucin de la enfermedad. Se est investi- Research is being done on psychological therapies and
gando sobre las terapias psicolgicas y una mayor increased survival. Caution must be exercised so as not
supervivencia. Hay que ser precavido con la interpreta- to place excessive demands and responsibility on the
cin de los resultados para no generar una excesiva exi- patient, with the difficulties that might be created for his
gencia y responsabilidad al paciente, con las dificulta- adaptation to the disease.
des que puede ocasionar para su adaptacin a la Key words: Psycho-immunology. Stress.
enfermedad. Personality. Psycho-oncology.
Palabras clave: Psicoinmunologa. Estrs. Persona-
lidad. Psicooncologa.
dos por los familiares, incluso por los sani- integrative model. Cancer Surv 1987; 6: 545-
tarios, por tener una actitud optimista y 567.
poner de su parte cuando la extensin 13. KUNE GA, KUNE S, WATSON LF, BAHNSON CB.
de la enfermedad o el estado fsico ocasio- Personality as a risk factor in largue bowel
na otro tipo de respuesta. Hay que permi- cancer. Psychol Med 1991; 21: 29-41.
tir al paciente responder con sus propias 14. GROSSARTH-MATICEK R, EYSENCK HJ. Personality,
estrategias de adaptacin, coherentes a su stress and disease: Description and
estilo de personalidad y sin reprimir las validation of a new inventory. Psychol
emociones que pueda sentir. Reports 1990; 66: 355-373.
15. CARVER CS. Optimist versus pessimisms
BIBLIOGRAFA predicts the quality of womens adjustment
1. BAYES R. Psicologa y cncer: prevencin. En: to early stage breast cancer. Cancer 1994; 73:
Martnez Roca, editor. Psicologa 1213-1220.
Oncolgica. Barcelona, 1990: 47-111. 16. GREEN J, SHELLENBERGER R. The dynamics of
2. GONZLEZ A, GONZALEZ MJ, GARCA P. Control health and wellness. A byopsychosocial
del cncer. En: Noticias de Salud Approach. En: Holt, Rinehart, Winston,
Monogrficos: Cncer, Madrid: Consejera de editores. Filadelfia 1991: 235-249.
Salud 1994. 17. SPIEGEL D, BLOOM JR, KRAEMER HC, GOTTHEIL E.
3. HOUSE JS, LANDIS KR, UMBERSON D. Social Effects of psychosocial treatment on
relationship and health. Science 1998; 241: survival of patients with metastasic breast
540-545. cancer. Lancet 1989; 2: 888-892.
4. BOVBJERG D. Psychoneuroinmunology and 18. BARINAGA M. Can psychotherapy delay cancer
cancer. En: JC Holland JH Rowland, editor. deaths?. Science 1989; 246: 448-449.
Handbook of Psychooncology. New York,
1990: 727-734. 19. GREER S, MORRIS T, PETFINGALE KW.
Psychological response to breast cancer and
5. KIECOLT-GLASER JK, GLASER R. Stress and 15 year outcome. Lancet 1990; 335: 49-50.
inmune function. En: Ader R, Felten DL,
Cohen N editores. Psychoneuroinmunology. 20. FAWZY FL, FAWZY NW, HYUN A. Malignant
New York, Academic Press, 1991: 849-868. melanoma: Effect of an early structured
psychiatric intervention, copyng, and
6. LEXANDER M, FURST CJ, ROTSTEIN S, HURSTI RJ,
affective state on recurrence and survival 6
FREDRIKSON M. Inmune effects of relaxation
years later. Arch Gen Psychiatry 1993; 50:
during chemotherapy for ovarian cancer.
681-689.
Psychother Psychosom 1997; 66: 185-191.
7. GRUBER BL, HALL NR, HERSH SP, DUBOIS P. 21. RATCLIFFE MA, DAWSON AA, WALKER LG. Eysenck
Inmune system and psychological changes personality inventory 2-scores in patients
in metastatic cancer patients using with Hodkins disease and non Hodgkins
relaxation and guided imagery: a pilot study. lymphoma. Psycho-Oncology 1995; 4: 39-45.
Scand Behav Ther 1988; 17: 153-156. 22. BUTOW P, COATES A, DUNN S. Psychosocial
8. FALLER H, BULZEBRUCK H, DRINGS P, LANG H. predictors of survival in metastasic
Coping, distress, and survival among melanoma. J Clin Oncol 1999; 17: 2256-2260.
patients with lung cancer. Arch Gen 23. BUTOW P, COATES A, DUNN S. Psychosocial
Psychiatry 1999; 56: 756-762. predictors of survival: metastasic breast
9. SKLAR LS, ANISMAN H. Stress and cancer. cancer. Ann Oncol 2000; 11: 469-474.
Psychol Bull 1981; 89: 369-406.
24. EDELMAN S, LEMON J, BELL DR, KIDMAN AD.
10. WAYNER L, COX T. MACKAY C. Stress, inmunity Effects of group CBT on the survival time of
and cancer. En: Oborne M, Gruneberg M. patients with metastasic breast cancer.
Eiser JR, editores. Res Psychol Med. Londres Psycho-Oncology 1999; 8: 474-481.
1979: 253-259.
25. BAYES R. Influencia de los factores
11. MORRIS T, GREER S. A type C for cancer?. psicolgicos en la longitud de vida de los
Cancer Detect Prev 1980; 3: 102. enfermos oncolgicos. En: Martnez Roca
12. TEMOSHOK L. Personality, copyng style, editor. Psicologa Oncolgica. Barcelona,
emotion and cancer: Towards and 1990: 182-184.