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Does the emotional state of a c ncer patient have an impact on the pr gress of a cancer? This very s nsitive question understandably never fails to g nerate controversy. Recent media reports might l ad many to conclude that the q estion has now been answered with a st dy claiming that there is no c nnection between attitude and cancer. However, l oking deeper into the study these r ports are based on shows that the j ry is likely still very much out on the q estion. Recently, a study from the Un versity of Pennsylvania (still yet to be p blished) was reported as concluding that the motional attitude of a patient had no mpact on survivor rate. This conclusion was w dely and prominently carried in the N rth American media. The front page l ad headline in my Montreal newspaper was typ cal "Attitude Can't Beat Cancer" (Montreal G zette, October 22, 2007). The apparent str ngth of the study was in the n mber of the patients. The study, xpected to be published in the D c. 1 issue of Cancer, apparently dr w data from almost 1,100 patients nrolled in two phase III clinical tr als for new head and neck c ncer treatments. The patients completed questionnaires bout their attitude and social networks at the b ginning of the study and at f llow-up. The questionnaire included five questions to ssess emotional well-being, including such items as "I am s d" and "I am losing hope in my f ght against my illness." By the end of the f ve-year study, 646 patients died. When the d ta was analyzed, the researchers found th t emotional status had no effect on the c urse of the cancer or the p tient's survival.
In the rush for attention gr bbing headlines and to get out a st ry, relevant and important criticism of the st dy was missed by many of th se in the media. The conclusion as r ported sounds plausible and authoritative. However, s ch reporting may be doing a gr at disservice to cancer patients and th ir families. One could easily assume fr m reading these reports that the c se of the impact of attitude and c ncer was now closed. What many of the r ports failed to include was that th s study is already drawing criticism fr m other experts. In digging a l ttle deeper, examples of published reports of th s criticism can be found. For xample, Dr. David Spiegel (associate chairman of psych atry and behavioral sciences at Stanford Un versity School of Medicine in California) is r ported (U.S. Health News, 22/10/07) as bserving, "The authors (Coyne et al) v stly overstate the quality of their d ta and the findings. They used a s bscale of a quality-of-life measure which is h rdly a reliable measure of depression and pr vides, by definition, limited variance in m od, making it, by design, difficult to sh w a relationship with any other v riable." Dr. Spiegel noted further "But p sitivity or negativity are not the ssue. What matters is the way in wh ch a cancer patient approaches the str sses in his or her life." J st these two aspects indicate to me th t the study's conclusion is far fr m the definitive last word on the s bject that it is portrayed to be. If an xpert of the caliber of Dr, Sp egel challenges both the methodology and the r levance of the questions that the st dy asks, the least I can c nclude is that the jury is st ll very much out on this mportant question. The truly sad thing bout all this is that people's ttitudes may be unnecessarily negatively influenced by r ading such reports with who knows wh t damaging implications for their health. We n ed to demand higher standards from our pr ss when they are dealing with s ch important questions. This is no rea for simplistic thinking. What it d es emphasize again to me is the n ed for much more thorough research in th s area.
The article Warning - Emotional Attitude Impact On Cancer Patients was Submitted by Stephen Gruber through Articles.GetACoder.com network. Here's the additional information: Stephen Gruber MA isa Consulting Hypn tist at the Queen Elizabeth Health C mplex in Montreal. Discover much more bout the transforming power of hypnosis at his web s te www.ask-the-hypnotist.com . Put hypnosis to work in your life by learning self-hypnosis for free at this site.
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