Repressiveness: Cause or result of cancer?

Psycho-Oncology - Tập 2 Số 1 - Trang 43-54 - 1993
Shulamith Kreitler1, Samario Chaitchik2, Hans Kreitlers3,4
1Department of Psychology, Tel Aviv University, and Institute of Oncology, Ichilov Hospital, Tel Aviv, Israel
2Director, Institute of Oncology, Ichilov Hospital Tel Aviv, and Sackler School of Medicine Tel Aviv University, Tel Aviv, Israel
3Department of Psychology, Tel Aviv University, Tel Aviv, Israel
4Died 7 January 1993.

Tóm tắt

AbstractRepression is commonly assumed to be a major characteristic of the cancer‐prone personality. Main supporting evidence includes studies showing that cancer patients are low in emotional expression and that repressives have shorter survival. The evidence did not seem compelling, mainly because of contrary findings, overlooking the age factor and the assessment instruments. Thus, we examined whether repression is a response to the threat posed by the cancer diagnosis and whether cancer patients are more repressive, using a new assessment method combining anxiety and defensiveness scores and controlling age. The subjects were 98 women comprising three groups comparable in demographic characteristics: (a) breast biopsy showed they were healthy (n = 40), (b) biopsy showed they had breast cancer (n = 32), and (c) underwent surgery unrelated to cancer (n = 26). Only post‐surgery groups a and b knew the diagnosis. Questionnaires of information and repression were administered to all women pre‐ and post‐surgery. Before surgery, the groups did not differ in repression, anxiety and defensiveness. Post‐surgery, there were no differences in anxiety but MANOVA and X2 analyses showed that, in the malignancy group, defensiveness and the number of repressors increased more than in the other groups. The results indicate that repression could be a response to the threat posed by the cancer diagnosis and a means for keeping anxiety at a tolerable level rather than a personality trait of cancer patients.

Từ khóa


Tài liệu tham khảo

Achte K., 1970, Psychic factors in cancer. Cancer and Psyche, Monogr. from the Psychiat, Clin. of Helsinki, 1, 3

Achterberg J., 1977, Psychological factors and blood chemistries as disease outcome predictors for cancer patients, Multivariate Exp. Clin. Res., 3, 107

Anderson B. L., 1985, Psychological reactions to radiation therapy: reconsideration of the adaptive aspects of anxiety, J. Pers. Soc. Psychol., 48, 1024, 10.1037/0022-3514.48.4.1024

10.1097/00006842-195211000-00003

10.1111/j.1749-6632.1969.tb14047.x

10.1111/j.1749-6632.1966.tb45434.x

10.1097/00006842-195407000-00001

Bonnano G. A., 1990, Repression and Dissociation: Implications for Personality Theory, Psychopathology, and Health

10.1037/0003-066X.40.11.1275

10.1080/0097840X.1984.9934953

10.1002/smi.2460020314

10.1016/0277-9536(82)90048-X

Crowne D. P., 1964, The Approval Motive: Studies in Evaluative Dependence

10.1037/0022-006X.48.3.388

Davis P. J., 1987, Repression and the inaccessibility of affective memories, J. Pers. Soc. Psycho., 53, 585, 10.1037/0022-3514.53.3.585

Derogatis L., 1979, Psychological coping mechanism and survival time in metastatic breast cancer, J. Ann. Med. Assoc., 242, 1504, 10.1001/jama.1979.03300140020016

Devlin H. B., 1985, Psychological Aspects of Cancer, 65

Dixon W. J., 1990, BMDP Statistical Software Manual

10.1001/archpsyc.1981.01780280095011

10.1016/0277-9536(84)90158-8

Garcia R. H.(1980).Cancer a Psychogenetic Illness: Psychoanalytic and Gastroenterological Research in the Origin of Cancer Carried out since 1946. Psychoanalysis and Medicine Mexico D.F. (translated by R. E. Pollack).

10.1037/0022-006X.50.3.381

10.1192/bjp.143.6.535

10.1016/0022-3999(75)90062-8

Greer S., 1978, The study of psychological factors in breast cancer: problems of method, Soc. Sci. Med., 12, 129

10.1016/S0140-6736(79)92127-5

10.1111/j.1749-6632.1966.tb45435.x

Holland J. C., 1989, Handbook of Psychooncology, 705

Hun D.‐S., 1988, Stress and Breast Cancer, 27

10.1200/JCO.1987.5.5.768

10.1016/0022-3999(84)90038-2

10.1093/oxfordjournals.annonc.a057666

10.1111/j.1467-6494.1987.tb00439.x

10.1111/j.2044-8341.1963.tb01262.x

10.1111/j.1749-6632.1966.tb45433.x

10.1111/j.2044-8341.1967.tb00553.x

10.1016/0022-3999(84)90008-4

10.1016/0191-8869(90)90038-S

10.1002/per.2410050205

LeShan L., 1959, Psychological states as factors in the development of malignant disease: a critical review, J. Natl Cancer Inst., 22, 1

10.1111/j.2044-8341.1956.tb01188.x

Lonnqvist J.et al.(1981).Adaptation to cancer. Psychiat. Fennica; Supplement 179–188.

Morris T., 1985, Psychological Aspects of Cancer, 55

10.1016/0022-3999(81)90098-2

10.1097/00006842-198709000-00001

10.1016/S0140-6736(85)91283-8

10.1016/0022-3999(89)90049-4

Prohaska T., 1987, Influence of symptom characteristics and aging attribution on coping with illness, Hlth Psychol., 6, 496, 10.1037/0278-6133.6.6.495

Sackheim H. A., 1983, Empirical Studies of Psychoanalytical Theories, 101

10.1016/0022-3999(75)90018-5

10.1007/BF00846143

10.1097/00006842-198104000-00003

10.1037/h0033982

10.1016/0022-3999(68)90080-9

Stoll B. A., 1985, Psychological Aspects of Cancer, 20

10.1037/0278-6133.4.3.249

10.1097/00006842-195103000-00005

Taylor J. S., 1953, A personality scale of manifest anxiety, J. Abnorm. Soc. Psychol., 92, 39

Taylor S. E., 1989, Positive Illusions: Creative Self‐Deception and the Healthy Mind

10.1111/j.2044-8341.1988.tb02777.x

10.1016/0277-9536(85)90338-7

Temoshok L., 1984, Impact of Psychoendocrine Systems on Cancer and Immunity, 258

10.1159/000288134

10.1111/j.2044-8341.1978.tb02462.x

Viitamaäki R. O., 1970, Psychological determinants of cancer. Cancer and Psyche Monogr. From the Psychiat, Clin. of Helsinki, 1, 45

10.1177/0146167288144008

Watson M., 1985, Psychological Aspects of Cancer, 31

Weinberger D. A., 1990, Repression and Dissociation: Implications for Personality Theory Psychopathology and Health

10.1037/0021-843X.88.4.369

10.2190/EJ73-TL4W-5GK7-XMH0

Wirsching M., 1988, Stress and Breast Cancer, 97

Ziegler E., 1986, A Developmental Approach to Adult Psychopathology