EFFECTS OF BEHAVIORAL INTERVENTION ON PLASMA-CORTISOL AND LYMPHOCYTES IN BREAST-CANCER PATIENTS - AN EXPLORATORY-STUDY

被引:27
作者
SCHEDLOWSKI, M [1 ]
JUNG, C [1 ]
SCHIMANSKI, G [1 ]
TEWES, U [1 ]
SCHMOLL, HJ [1 ]
机构
[1] HANNOVER MED SCH,DIV HAEMATOL,D-30623 HANNOVER,GERMANY
关键词
D O I
10.1002/pon.2960030304
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In order to evaluate the effects of a behavioral intervention on endocrine and immunological parameters, 24 breast cancer patients were investigated after standard surgical treatment of their tumors and without adjuvant tumor treatment. Of these, 14 patients were allocated to the intervention group and 10 patients served as controls. Interventions were conducted once a week over a period of 10 weeks. To determine short- and longer-term intervention effects on plasma concentration of cortisol and lymphocyte numbers, blood samples were taken before and after the second and 10th session. Psychological variables such as illness-related coping showed no changes within the intervention period (10 weeks). However, there were short- (pre- versus post sessions) and longer-term (9 weeks) reductions in plasma levels of cortisol in the intervention group. In parallel to the reduced plasma concentration of cortisol, a short-term increase of lymphocyte numbers after the second and the 10th session, as well as an increase over a period of nine weeks in the intervention group, was observed. This data indicate that behavioral intervention influences endocrine and immunological functions in breast cancer patients.
引用
收藏
页码:181 / 187
页数:7
相关论文
共 36 条
[21]   PSYCHONEUROIMMUNOLOGY - CAN PSYCHOLOGICAL INTERVENTIONS MODULATE IMMUNITY [J].
KIECOLTGLASER, JK ;
GLASER, R .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1992, 60 (04) :569-575
[22]  
KLAUER T, 1989, DIAGNOSTICA, V35, P316
[23]   CORRELATION OF STRESS FACTORS WITH SUSTAINED DEPRESSION OF NATURAL-KILLER CELL-ACTIVITY AND PREDICTED PROGNOSIS IN PATIENTS WITH BREAST-CANCER [J].
LEVY, S ;
HERBERMAN, R ;
LIPPMAN, M ;
DANGELO, T .
JOURNAL OF CLINICAL ONCOLOGY, 1987, 5 (03) :348-353
[24]   PERCEIVED SOCIAL SUPPORT AND TUMOR ESTROGEN PROGESTERONE-RECEPTOR STATUS AS PREDICTORS OF NATURAL-KILLER-CELL ACTIVITY IN BREAST-CANCER PATIENTS [J].
LEVY, SM ;
HERBERMAN, RB ;
WHITESIDE, T ;
SANZO, K ;
LEE, J ;
KIRKWOOD, J .
PSYCHOSOMATIC MEDICINE, 1990, 52 (01) :73-85
[25]  
LINDEMANN H, 1975, UBERLEBEN STRESS AUT
[26]  
Moorey S., 1989, PSYCHOL THERAPY PATI
[27]   IMMUNOLOGICAL CHANGES IN YOUNG AND OLD ADULTS DURING BRIEF LABORATORY STRESS [J].
NALIBOFF, BD ;
BENTON, D ;
SOLOMON, GF ;
MORLEY, JE ;
FAHEY, JL ;
BLOOM, ET ;
MAKINODAN, T ;
GILMORE, SL .
PSYCHOSOMATIC MEDICINE, 1991, 53 (02) :121-132
[28]   DISCLOSURE OF TRAUMAS AND IMMUNE FUNCTION - HEALTH IMPLICATIONS FOR PSYCHOTHERAPY [J].
PENNEBAKER, JW ;
KIECOLTGLASER, JK ;
GLASER, R .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1988, 56 (02) :239-245
[29]   MOUSE MAMMARY-TUMORS - ALTERATION OF INCIDENCE AS APPARENT FUNCTION OF STRESS [J].
RILEY, V .
SCIENCE, 1975, 189 (4201) :465-467
[30]   CATECHOLAMINES INDUCE ALTERATIONS OF DISTRIBUTION AND ACTIVITY OF HUMAN NATURAL-KILLER (NK) CELLS [J].
SCHEDLOWSKI, M ;
FALK, A ;
ROHNE, A ;
WAGNER, TOF ;
JACOBS, R ;
TEWES, U ;
SCHMIDT, RE .
JOURNAL OF CLINICAL IMMUNOLOGY, 1993, 13 (05) :344-351