Title |
Which symptoms matter? Self-report and observer discrepancies in repressors and high-anxious women with metastatic breast cancer
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Published in |
Journal of Behavioral Medicine, October 2012
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DOI | 10.1007/s10865-012-9461-x |
Pubmed ID | |
Authors |
Janine Giese-Davis, Rie Tamagawa, Maya Yutsis, Suzanne Twirbutt, Karen Piemme, Eric Neri, C. Barr Taylor, David Spiegel |
Abstract |
Clinicians working with cancer patients listen to them, observe their behavior, and monitor their physiology. How do we proceed when these indicators do not align? Under self-relevant stress, non-cancer repressors respond with high arousal but report low anxiety; the high-anxious report high anxiety but often have lower arousal. This study extends discrepancy research on repressors and the high-anxious to a metastatic breast cancer sample and examines physician rating of coping. Before and during a Trier Social Stress Test (TSST), we assessed affect, autonomic reactivity, and observers coded emotional expression from TSST videotapes. We compared non-extreme (N = 40), low-anxious (N = 16), high-anxious (N = 19), and repressors (N = 19). Despite reported low anxiety, repressors expressed significantly greater Tension or anxiety cues. Despite reported high anxiety, the high-anxious expressed significantly greater Hostile Affect rather than Tension. Physicians rated both groups as coping significantly better than others. Future research might productively study physician-patient interaction in these groups. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Canada | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 1% |
Netherlands | 1 | 1% |
Unknown | 73 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 12 | 16% |
Student > Master | 11 | 15% |
Student > Bachelor | 9 | 12% |
Student > Doctoral Student | 6 | 8% |
Researcher | 4 | 5% |
Other | 11 | 15% |
Unknown | 22 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 25 | 33% |
Nursing and Health Professions | 11 | 15% |
Social Sciences | 3 | 4% |
Computer Science | 3 | 4% |
Medicine and Dentistry | 2 | 3% |
Other | 7 | 9% |
Unknown | 24 | 32% |