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

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 v...

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Detalles Bibliográficos
Autores: Veronica Neri-Flores, Juan Alejandro Torres-Domínguez, Alejandro Mohar-Betancourt, María Dolores Rodríguez-Ortiz, Andrea Castro-Sánchez, Carmen Lizette Gálvez-Hernández
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:México
Institución:Universidad Nacional Autónoma de México
Repositorio:Redalyc-UNAM
OAI Identifier:oai:redalyc.org:58261086003
Acceso en línea: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
Access Level:acceso abierto
Palabra clave:Medicina
stress
comorbidity
Breast cancer
psychophysiology
clinical psychology
Descripción
Sumario: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.