Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort
[ABSTRACT READ IN FULL AT SOURCE, an institutional repository record which prints it entire; THE FULL TEXT WAS NOT READ, and the 1999 Lancet paper from the same cohort was NOT READ either] Watson, M., Homewood, J., Haviland, J. S., & Bliss, J. M. (2005). 'Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort.' European Journal of Cancer 41(12), 1710-1714. doi:10.1016/j.ejca.2005.01.012. THE ASYMMETRY ARRIVING FROM THE CANCER LITERATURE. Psychological response, including helplessness and hopelessness, fighting spirit and depression, was assessed in women with early-stage breast cancer and set against disease-free and overall survival at ten years. Verbatim from the abstract: 'After 10 years, there is a continuing effect of helplessness/hopelessness on disease-free survival (adjusted hazard ratio (HR) 1.53, 95% confidence interval (CI) 1.11-2.11) but not of depression (adjusted HR for overall survival for "cases" 2.43, 95% CI 0.97-6.10). Longer follow-up also indicates that a high fighting spirit confers no survival advantage.' Their recommendation: 'Clinicians may wish to screen for helplessness around the time of diagnosis in order to target psychological care resources. Further large studies, with similarly prolonged follow-up, are needed to replicate this effect and clarify its mechanism of action.' HOW THIS MAY BE USED, AND IT IS BINDING: the positive pole did not predict survival, and something at the negative pole predicted worse disease-free survival. That is an observational association which establishes no direction and cannot exclude undetected differences in disease severity at assessment. NOTHING HERE IMPLIES THAT A PATIENT'S ATTITUDE DETERMINES WHETHER THEY RECOVER, that a positive attitude improves cancer outcomes, or that anyone whose illness progressed did not try hard enough. The author's own recommendation is about directing psychological support, not about adjusting attitude. The 1999 Lancet paper from the same cohort is recorded for its existence only, at 578 women with early breast cancer, with nothing attributed to it.
[ABSTRACT READ IN FULL AT SOURCE, an institutional repository record which prints it entire; THE FULL TEXT WAS NOT READ, and the 1999 Lancet paper from the same cohort was NOT READ either] Watson, M., Homewood, J., Haviland, J. S., & Bliss, J. M. (2005). 'Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort.' European Journal of Cancer 41(12), 1710-1714. doi:10.1016/j.ejca.2005.01.012. THE ASYMMETRY ARRIVING FROM THE CANCER LITERATURE. Psychological response, including helplessness and hopelessness, fighting spirit and depression, was assessed in women with early-stage breast cancer and set against disease-free and overall survival at ten years. Verbatim from the abstract: 'After 10 years, there is a continuing effect of helplessness/hopelessness on disease-free survival (adjusted hazard ratio (HR) 1.53, 95% confidence interval (CI) 1.11-2.11) but not of depression (adjusted HR for overall survival for "cases" 2.43, 95% CI 0.97-6.10). Longer follow-up also indicates that a high fighting spirit confers no survival advantage.' Their recommendation: 'Clinicians may wish to screen for helplessness around the time of diagnosis in order to target psychological care resources. Further large studies, with similarly prolonged follow-up, are needed to replicate this effect and clarify its mechanism of action.' HOW THIS MAY BE USED, AND IT IS BINDING: the positive pole did not predict survival, and something at the negative pole predicted worse disease-free survival. That is an observational association which establishes no direction and cannot exclude undetected differences in disease severity at assessment. NOTHING HERE IMPLIES THAT A PATIENT'S ATTITUDE DETERMINES WHETHER THEY RECOVER, that a positive attitude improves cancer outcomes, or that anyone whose illness progressed did not try hard enough. The author's own recommendation is about directing psychological support, not about adjusting attitude. The 1999 Lancet paper from the same cohort is recorded for its existence only, at 578 women with early breast cancer, with nothing attributed to it.
Written from the aBSTRACT READ IN FULL AT SOURCE, an institutional repository record which prints it entire; THE FULL TEXT WAS NOT READ, and the 1999 Lancet paper from the same cohort was NOT READ either.
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Watson, M., Homewood, J., Haviland, J. S., & Bliss, J. M. (2005). Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort. European Journal of Cancer, 41(12), 1710-1714. doi:10.1016/j.ejca.2005.01.012