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A positive approach to chemotherapy.

This article deals with the care of patients receiving chemotherapy for breast cancer. Using a case study, it highlights the importance of supporting patients and helping them to cope with their fears and anxieties about the treatment and its possible side-effects by considering not only their physical but also their psychological needs.

Adaptation, Psychological↗

[Individual reaction to stress with former concentration camp immates (author's transl)].

The individual disposition to react to different stressors to play an important role in an extreme stress situation, i.e. the incarceration in concentration camps. Ten to fourteen years after their liberation, 219 former concentration camp inmates now living in Bavaria, New York and Israel were given semi-structured interviews. Since no statistically significant correlations between psychic and somatic complaints and incarceration could be found, we computed a factor analysis on illness dimensions. We found high correlations between these and the stress induced by concentration camp incarceration. An important answer to the above mentioned questions was the fact that there was no homogeneous reaction syndrome, such as it has always been described in the literature on concentration camp syndromes. We found four patterns of delayed reaction to stress. According to the contribution of somatic and psychic complaints, the factors were named as follows: 1. psycho-physical syndrome, 2. internal disease, 3. gynaecological illness, 4. psychic (social) syndrome. Personality factors played an important role in the development of these syndromes, because they modified the degree of stress endured. Personality factors were shown to be dependent on life history. The importance of these results for mastering stressors is being discussed.

Adaptation, Psychological↗

Psychosocial adjustment and quality of life in women with breast cancer and benign breast problems: a controlled comparison.

Comparison of psychosocial adjustment in women with breast cancer (BC) and women with benign breast problems (BBP) has been hampered by a failure to control for age differences between these groups, as well as a failure to assess positive psychosocial adaptation in addition to psychological distress. Age-matched women with breast cancer (n = 80) and benign breast problems (n = 80) completed measures of psychological distress, positive psychosocial adaptation, and general quality of life (QOL). Breast cancer patients had completed primary treatment for breast cancer a mean of 24.6 months prior to participation (range, 6-57 months). Comparison of the BC and BBP groups indicated that the BC group reported (1) poorer physical health and functioning, (2) no differences in psychological distress, and (3) greater positive psychosocial adaptation, such as improved life outlook, enhanced interpersonal relationships, and deeper spiritual and religious satisfaction. Results support the theoretical position that cancer is a transitional event, that is, a traumatic event that alters an individual's assumptive world with the potential to produce long-lasting changes of both a positive as well as negative nature. This underscores the importance of using measures of both psychological distress and positive psychosocial adaptation when assessing psychological adjustment following transitional events such as breast cancer.

Adaptation, Psychological↗

[Psychoactive substance use among newly incarcerated prison inmates].

The objective of this study was to describe the population of incoming prisoners in Lyon's prisons and to estimate the proportion of those who are drug users in order to adapt the psychological care which is made available at the time of entrance. During the entrance interview briefing session, a questionnaire was given to each new adult male inmate between January 1st and December 31st 2003. The mean age of new prisoners was 31 years old: 68.5% did not have regular employment in the last 12 months prior to their incarceration, and 52.8% had already been previously imprisoned. More than 64.0% of inmates declared either a regular use, an abusive use or dependence on tobacco, 16.5% on cannabis, 16.1% on alcohol, 2.5% on psychotropic medication, and 4.1% on other drugs (heroine, cocaine, or synthetic drugs). Moreover, 42.0% of drug users declared either a regular use, abusive consumption or dependence on at least two psycho active substances. These results confirm the need for effective screening for drug use upon entry into prison as a means of ensuring that appropriate psychological and/or psychiatric care of drug users, which is suitably adapted to the prison environment, can be provided.

Adult↗

Stress, stress response, and health.

Components of stress and the stress response differ between men and women. The tend-and-befriend response, mediated by oxytocin and endogenous opioids, may be more applicable to women than the fight-or-flight response, which was based largely on studies of men. Even within the flight-or-flight response pattern there are sex-based differences. The HPA axis interacts with reproductive function, such as menstruation. For immune function there are sex differences as well as differences within the menstrual phase. Inclusion of men and women in stress response studies is critical. Further study is needed to clarify the influence of ovarian hormones on the stress and immune responses during the reproductive stages in women's lives, including menarche. pregnancy, and perimenopause.

Adaptation, Physiological↗