Psychophysiological stress response of newly-diagnosed breast cancer patients with and without risk of metabolic syndrome

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Main Author: Veronica Neri-Flores
Format: Artículo científico
Language:en
Published: Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz 2019
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author Veronica Neri-Flores
author_facet Veronica Neri-Flores
contents Psychophysiological stress response of newly-diagnosed breast cancer patients with and without risk of metabolic syndrome Veronica Neri-Flores Juan Alejandro Torres-Domínguez Alejandro Mohar-Betancourt María Dolores Rodríguez-Ortiz Andrea Castro-Sánchez Carmen Lizette Gálvez-Hernández Medicina stress comorbidity Breast cancer psychophysiology clinical psychology Introduction Little is known about how metabolic comorbidity affects stress response during breast cancer (BRCa) after a recent diagnosis.Objective To evaluate the physiological and psychological differences between the BRCa-RSxM groups and those with BRCa alone, and the influence of psychological variables and comorbidity in terms of stress response.Method Comparative non-experimental causal-descriptive study. Fifty patients recently diagnosed with BRCa (25 with BRCa and 25 with BRCa-RSxM) in a convenience sample participated. Frontal muscle activity and skin conductance were recorded in response to stressful conditions. Quality of life, perceived stress, and coping strategies scales were used.Results The presence of comorbidity (p = .001; p = .02), perceived stress (p = .004; p = .03), and social quality of life (p = .01; p = .01) influenced muscle activation and conductance during the emotional stressor (ES). Putting the stressful situation into perspective as a cognitive coping strategy was related to a decrease in activation (p = .04). An increase in physiological activation during the cognitive stressor (CS) was influenced by comorbidity (p = .05) and quality of social life (p = .01; p = .01). In turn, a decrease was influenced by the increase in age (p = .02).Discussion Physiological vulnerability, coping strategies (behavioral and cognitive), and prior learning influenced the resulting reaction during the stressful situation. Conclusion A metabolic disease, as a prelude to an oncological, may cause physiological vulnerability to respond adequately to stressful conditions. 2019 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58261086003 https://www.redalyc.org/journal/582/58261086003/ https://www.redalyc.org/journal/582/58261086003/html/ https://www.redalyc.org/journal/582/58261086003/58261086003.epub https://www.redalyc.org/journal/582/58261086003/movil 10.17711/SM.0185-3325.2019.015 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.3 Vol.42
format Artículo científico
id redalyc_58261086003
institution Redalyc
language en
publishDate 2019
publisher Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
spellingShingle Psychophysiological stress response of newly-diagnosed breast cancer patients with and without risk of metabolic syndrome
Veronica Neri-Flores
Medicina
stress
comorbidity
Breast cancer
psychophysiology
clinical psychology
Psychophysiological stress response of newly-diagnosed breast cancer patients with and without risk of metabolic syndrome Veronica Neri-Flores Juan Alejandro Torres-Domínguez Alejandro Mohar-Betancourt María Dolores Rodríguez-Ortiz Andrea Castro-Sánchez Carmen Lizette Gálvez-Hernández Medicina stress comorbidity Breast cancer psychophysiology clinical psychology Introduction Little is known about how metabolic comorbidity affects stress response during breast cancer (BRCa) after a recent diagnosis.Objective To evaluate the physiological and psychological differences between the BRCa-RSxM groups and those with BRCa alone, and the influence of psychological variables and comorbidity in terms of stress response.Method Comparative non-experimental causal-descriptive study. Fifty patients recently diagnosed with BRCa (25 with BRCa and 25 with BRCa-RSxM) in a convenience sample participated. Frontal muscle activity and skin conductance were recorded in response to stressful conditions. Quality of life, perceived stress, and coping strategies scales were used.Results The presence of comorbidity (p = .001; p = .02), perceived stress (p = .004; p = .03), and social quality of life (p = .01; p = .01) influenced muscle activation and conductance during the emotional stressor (ES). Putting the stressful situation into perspective as a cognitive coping strategy was related to a decrease in activation (p = .04). An increase in physiological activation during the cognitive stressor (CS) was influenced by comorbidity (p = .05) and quality of social life (p = .01; p = .01). In turn, a decrease was influenced by the increase in age (p = .02).Discussion Physiological vulnerability, coping strategies (behavioral and cognitive), and prior learning influenced the resulting reaction during the stressful situation. Conclusion A metabolic disease, as a prelude to an oncological, may cause physiological vulnerability to respond adequately to stressful conditions. 2019 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58261086003 https://www.redalyc.org/journal/582/58261086003/ https://www.redalyc.org/journal/582/58261086003/html/ https://www.redalyc.org/journal/582/58261086003/58261086003.epub https://www.redalyc.org/journal/582/58261086003/movil 10.17711/SM.0185-3325.2019.015 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.3 Vol.42
title Psychophysiological stress response of newly-diagnosed breast cancer patients with and without risk of metabolic syndrome
topic Medicina
stress
comorbidity
Breast cancer
psychophysiology
clinical psychology
url https://www.redalyc.org/articulo.oa?id=58261086003
https://www.redalyc.org/journal/582/58261086003/
https://www.redalyc.org/journal/582/58261086003/html/
https://www.redalyc.org/journal/582/58261086003/58261086003.epub
https://www.redalyc.org/journal/582/58261086003/movil