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The Role of Anxiety and Adaptation to Illness in the Intensity of Postchemotherapy Nausea in Cancer Patients

Published online by Cambridge University Press:  10 April 2014

Tomás Blasco ,
Cinta Pallarés ,
Carmen Alonso  and
Juan José López López
Tomás Blasco*
Affiliation:
Autonomous University of Barcelona
Cinta Pallarés
Affiliation:
Hospital of Santa Creu i Sant Pau
Carmen Alonso
Affiliation:
Hospital of Santa Creu i Sant Pau
Juan José López López
Affiliation:
Hospital of Santa Creu i Sant Pau
*
Correspondence concerning this article should be addressed to Tomás Blasco, Área de Psicologia Bàsica. Apartado 29.Universitat Autònoma de Barcelona. 08193 Bellaterra (Barcelona), Spain. Fax: 34 93 581 33 29. E-mail: tomas.blasco@uab.es
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Abstract

The aim of this work was to assess whether cancer patients presenting high anxiety levels or poor adaptation to cancer experience higher levels of postchemotherapy nausea, regardless of the emetogenicity of the chemotherapy schedule. Sixty-three patients were interviewed before receiving their chemotherapy schedule and some psychological variables were assessed. Nausea intensity was also assessed after treatment. The results showed that patients with relatively higher levels of nausea reported higher levels of anxiety prior to chemotherapy and lower levels of adaptation to cancer. Thus, evidence for a modulating effect of psychological factors in postchemotherapy emesis is suggested.

El objetivo del presente trabajo fue evaluar si los pacientes de cáncer que muestran altos niveles de ansiedad o una escasa adaptación a la enfermedad experimentan también una elevada náusea postquimioterapia independientemente del potencial emetizante del tratamiento. Se entrevistó a 63 pacientes antes de que recibieran uno de los ciclos de quimioterapia y se evaluaron diferentes variables psicológicas. Asimismo, se registró la intensidad de náusea postratamiento. Los resultados indican que los pacientes con mayores niveles de náusea muestran unos niveles de ansiedad previos a la quimioterapia más elevados y unos niveles de adaptación al cáncer más bajos. Se sugiere la posibilidad de que los factores psicológicos tengan un efecto modulador de la intensidad de la náusea postquimioterapia.

Keywords

chemotherapynauseaanxietyadaptation to illnessquimioterapianáuseaansiedadadaptación a la enfermedad
Type
Articles
Information
The Spanish Journal of Psychology , Volume 3 , May 2000 , pp. 47 - 52
Copyright
Copyright © Cambridge University Press 2000

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References

Andrykowski, M.A. (1990). The role of anxiety in the development of anticipatory nausea in cancer chemotherapy: A review and synthesis. Psychosomatic Medicine, 52, 458–475.CrossRefGoogle ScholarPubMed
Andrykowski, M.A., & Gregg, M.E. (1992). The role of psychological variables in post-chemotherapy nausea: Anxiety and expectation. Pyschosomatic Medicine, 54, 48–58.CrossRefGoogle ScholarPubMed
Andrykowski, M.A., Redd, W.H., & Hatfield, A.K. (1985). Development of anticipatory nausea: A prospective analysis. Journal of Consulting and Clinical Psychology, 53, 447–454.CrossRefGoogle ScholarPubMed
Blasco, T. (1992) Relación entre pensamientos de molestia y efectos secundarios de la quimioterapia en pacientes de cáncer. Clínica y Salud, 3, 273–279.Google Scholar
Blasco, T. (1994). Anticipatory nausea and vomiting: Are psychological factors adequately investigated? British Journal of Clinical Psychology, 33, 85–100.CrossRefGoogle ScholarPubMed
Blasco, T., & Bayés, R. (1992). Adaptation to illness in cancer patients: A preliminary report. European Journal of Psychological Assessment, 8, 207–211.Google Scholar
Bovbjerg, D.H, Redd, W.H., Jacobsen, P.B., Manne, S.L., Taylor, K.L., Surbone, A., Crown, J.P., Norton, L., Gilewski, T.A., Hudis, C.A., Reichman, B.S., Kaufman, R.J., Currie, V.E., & Hakes, T.B. (1992). An experimental analysis of classically conditioned nausea during cancer chemotherapy. Psychosomatic Medicine, 54, 623–637.CrossRefGoogle ScholarPubMed
Burish, T.G., & Carey, M.P. (1986). Conditioned aversive responses in cancer chemotherapy patients: Theoretical and developmental analysis. Journal of Consulting and Clinical Psychology, 54, 593–600.CrossRefGoogle ScholarPubMed
Burish, T.G., Carey, M.P., Krozely, M.K., & Greco, F.A. (1987). Conditioned side effects induced by cancer chemotherapy: Prevention through behavioral treatment. Journal of Consulting and Clinical Psychology, 55, 42–48.CrossRefGoogle ScholarPubMed
Burish, T.G., Snyder, S.L., & Jenkins, R.A. (1991). Preparing patients for cancer chemotherapy: Effect of coping preparation and relaxation interventions. Journal of Consulting and Clinical Psychology, 59, 518–525.CrossRefGoogle ScholarPubMed
Burish, T.G., & Tope, D.M. (1992). Psychological techniques for controlling the adverse side effects of cancer chemotherapy: Findings from a decade of research. Journal of Pain and Symptom Management, 7, 287–301.CrossRefGoogle ScholarPubMed
Carey, M.P., & Burish, T.G. (1988). Etiology and treatment of the psychological side- effects associated with cancer chemotherapy: A critical review and discussion. Psychological Bulletin, 104, 307–325.CrossRefGoogle ScholarPubMed
Challis, G.B., & Stam, H.J. (1992). A longitudinal study of the development of anticipatory nausea and vomiting in cancer chemotherapy patients: The role of absorption and autonomic perception. Health Psychology, 11, 181–189.CrossRefGoogle Scholar
Cimprich, B. (1992). Attentional fatigue following breast cancer surgery. Research Nursing and Health, 15, 199–207.CrossRefGoogle ScholarPubMed
Coates, A. (1986). Coping with cytotoxic therapy. In Stoll, B.A. & Weisman, B.D. (Eds.), Coping with cancer stress (pp. 39–44). Dordrecht, Holland: Martinus Nijhoff.CrossRefGoogle Scholar
Coscarelli, C.A., Heinrich, R.L., Aadland, R.L., & Ganz, P.A. (1990). Assessing problems of cancer patients: Psychometric properties of the Cancer Inventory of Problem Situations. Health Psychology, 9, 83–102.Google Scholar
Fawzy, F.I., & Fawzy, N.W. (1998). Group therapy in the cancer setting. Journal of Psychosomatic Research, 45, 191–200.CrossRefGoogle ScholarPubMed
Fawzy, F.I., Fawzy, N.W., Arndt, L.A., & Pasnau, R.O. (1995). Critical review of psychosocial interventions in cancer care. Archives of General Psychiatry, 52, 100–113.CrossRefGoogle ScholarPubMed
Fawzy, F.I., Fawzy, N.W., Hyun, C.S., Elashoff, R., Guthrie, R., Fahey, J.L., & Morton, D.L. (1993). Malignant melanoma: Effects of an early structured psychiatric intervention, coping and affective state on recurrence and survival 6 years later. Archives of General Psychiatry, 50, 681–689.CrossRefGoogle ScholarPubMed
Font, A. (1988). Valoración de la calidad de vida en pacientes de cáncer. Unpublished doctoral dissertation, Universitat Autònoma de Barcelona, Bellaterra, Spain.Google Scholar
Fredrikson, M., Hursti, T., Salmi, P., Johansson, S., Fürst, C.J., Peterson, C., & Steineck, G. (1993). Conditioned nausea after cancer chemotherapy and autonomic nervous system conditionability. Scandinavian Journal of Psychology, 34, 318–327.CrossRefGoogle ScholarPubMed
Gralla, R.J. (1987). Antiemetic therapy and cancer chemotherapy. In Hellman, K., Phil, D., & Carter, S. K. (Eds.), Fundamentals of cancer chemotherapy (pp. 387–396). New York: McGraw Hill.Google Scholar
Hitch, P.J., Fielding, R.G., & Llewelyn, S P. (1994). Effectiveness of self-help and support groups for cancer patients: A review. Psychology and Health, 9, 437–448.CrossRefGoogle Scholar
Hursti, T., Fredrikson, M., Börjeson, S., Fürst, C.J., Peterson, C., & Steineck, G. (1992). Association between personality characteristics and the prevalence and extinction of conditioned nausea after chemotherapy. Journal of Psychosocial Oncology, 10, 59–77.CrossRefGoogle Scholar
Hursti, T., Fredrikson, M., Steineck, G., Börjeson, S., Fürst, C.J., & Peterson, C. (1994). Factors modifying the risk of acute and conditioned nausea and vomiting in ovarian cancer patients. International Journal of Oncology, 4, 695–701.Google ScholarPubMed
Jacobsen, P.B., Andrykowski, M.A., Redd, W.H., Die-Trill, M., Hakes, T.B., Kaufman, R.J., Currie, V., & Holland, J.C. (1988). Nonpharmacologic factors in the development of posttreatment nausea with adjuvant chemotherapy for breast cancer. Cancer, 61, 379–385.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Jacobsen, P.B., Bovbjerg, D.H., & Redd, W.H. (1993). Anticipatory anxiety in women receiving chemotherapy for breast cancer. Health Psychology, 12, 469–475.CrossRefGoogle ScholarPubMed
Jacobsen, P.B., Bovbjerg, D.H., Schwartz, M.D.Andrykowski, M.A., Futterman, A.D., Gilewski, T., Norton, L., & Redd, W.H. (1993). Formation of food aversions in cancer patients receiving repeated infusions of chemotherapy. Behavior Research and Therapy, 31, 739–748.CrossRefGoogle ScholarPubMed
Jacobsen, P.B., Bovbjerg, D.H., Schwartz, M.D., Hudis, C.A., Gilewski, T.A., & Norton, L. (1995). Conditioned emotional distress in women receiving chemotherapy for breast cancer. Journal of Consulting and Clinical Psychology, 63, 108–114.CrossRefGoogle ScholarPubMed
Jenkins, R.A., & Burish, T.G. (1995). Health locus of control, chemotherapy related distress, and response to behavioral intervention in cancer patients. Psychology and Health, 10, 463–475.CrossRefGoogle Scholar
Juan, E., Blasco, T., Font, A., Pallarés, C. & Sanz, A. (1999) Un nuevo instrumento para valorar la calidad de vida en cáncer de pulmón: estudio preliminar. Oncología, 22, 125–129.Google Scholar
Kvale, G., Hughdal, K., Asbjornsen, A., Rosengren, B., Lote, K., & Norby, H. (1991). Anticipatory nausea and vomiting in cancer patients. Journal of Consulting and Clinical Psychology, 59, 894–898.CrossRefGoogle ScholarPubMed
Kvale, G., Psychol, C., & Hugdahl, K. (1994). Cardiovascular conditioning and anticipatory nausea and vomiting in cancer patients. Behavioral Medicine, 20, 78–83.CrossRefGoogle ScholarPubMed
Lewis, R.A., Lewis, M.N., & Tattersfield, A.E. (1984). Asthma induced by suggestion: Is it due to airway cooling? American Review of Respiratory Diseases, 129, 691–695.CrossRefGoogle ScholarPubMed
Lindley, C.M., Hirsch, J.D., O'Neill, C.V., Transau, M.C., Gilbert, C.S., & Osterhaus, J.T. (1992). Quality of life consequences of chemotherapy-induced emesis. Quality of Life Research, 1, 331–340.CrossRefGoogle ScholarPubMed
Love, R.R., Leventhal, H., Easterling, D.V., & Nerenz, D.R. (1989). Side effects and emotional distress during cancer chemotherapy. Cancer, 63, 604–612.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Meyer, T.J., & Mark, M.M. (1995). Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychology, 14, 101–108.CrossRefGoogle ScholarPubMed
Mock, V. (1993). Body image in women treated for breast cancer. Nursing Research, 42, 153–157.CrossRefGoogle ScholarPubMed
Morrow, G.R., Asbury, R., Hammon, S., Dobkin, P., Caruso, L., Pandya, K., & Rosenthal, S. (1992). Comparing the effectiveness of behavioral treatment for chemotherapy-induced nausea and vomiting when administered by oncologists, oncology nurses, and clinical psychologists. Health Psychology, 11, 250–256.CrossRefGoogle ScholarPubMed
Morrow, G.R., Lindke, J., & Black, P.M. (1991). Anticipatory nausea development in cancer patients: Replication and extension of a learning model. British Journal of Psychology, 82, 61–72.CrossRefGoogle ScholarPubMed
Pallarés, C., Maroto, P., Andrés, L., Gómez-Segura, G., Huidobro, G., Valentí, V. (1996). Relationship between quality of life (QL) and clinical outcome in advanced non-small cell lung cancer (NSCLC): Prospective randomized trial of best supportive care (BSC) vs. BSC plus chemotherapy (CT). Annals of Oncology, 7, 89–90.Google Scholar
Redd, W.H., Burish, T.G., & Andrykowski, M.A. (1985). Aversive conditioning and cancer chemotherapy. In Burish, T.G., Levy, S.M., & Meyerowitz, B.E. (Eds.), Cancer, nutrition and eating behavior: A biobehavioral perspective (pp. 117–132). Hillsdale, NJ: Erlbaum.Google Scholar
Spiegel, D., Bloom, J.R., Kraemer, H.C., & Gottheil, E. (1989). Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet, October 14, 888–891.CrossRefGoogle Scholar
Stam, H.J., & Challis, G.B. (1989). Ratings of cancer chemotherapy toxicity by oncologists, nurses and pharmacists. Journal of Pain and Symptom Management, 4, 7–12.CrossRefGoogle ScholarPubMed
Vasterling, J., Jenkins, R.A., Tope, D.M., & Burish, T.G. (1993). Cognitive distraction and relaxation training for the control of side effects due to cancer chemotherapy. Journal of Behavioral Medicine, 16, 65–80.CrossRefGoogle ScholarPubMed
Watson, M., & Marvell, C. (1992). Anticipatory nausea and vomiting among cancer patients: A review. Psychology and Health, 6, 97–106.CrossRefGoogle Scholar