Abstract
Women awaiting mammograms at a breast clinic were given questionnaires to investigate the role of psychosocial variables in the development of breast cancer while controlling for established breast cancer risk factors. Questionnaires to determine loneliness, emotional repression, marital quality, and major life changes were completed by 826 female volunteers who were later classified into groups according to their diagnoses. The total emotional repression score showed a hierarchy of most repression to least repression for the most-diseased to the most-healthy subjects. A breakdown of the emotional repression scale revealed that each group was significantly different from the other in suppression of anger and unhappiness. Women in the new cancer group showed significantly more loneliness than the women in the fibrocystic and normal groups. The newly diagnosed cancer group also had a higher proportion of women who experienced the death of a spouse or close family member within the past two years compared to the other groups.
Similar content being viewed by others
References
Seidman, H., Stellman, S. D., & Mushinski, M. H., A different perspective on breast cancer risk factors: Some implications of the nonattributable risk.CA Cancer J Clin 32:301–313, 1982.
American Cancer Society,Breast cancer: Cause and prevention (Report No. 407068). 1991.
Schatzkin, A., Greenwald, P., Byar, D. P., & Clifford, C. K., The dietary fat-breast cancer hypothesis is alive.JAMA 261:3284–3287, 1989.
Willet, W., The search for the causes of breast and colon cancer.Nature 338:389–394, 1989.
Ballard-Barbash, R., Schatzkin, A., Carter, C. L., Kannel, W. B., Kreger, B. E., D'Agostino, R. B., Splansky, G. L., Anderson, K. M., & Helsel, W. E., Body fat distribution and breast cancer in the Framingham study.J Natl Cancer Inst 82:286–290, 1990.
de Ward, F., Poortman, J., & Collette, B. J. A., Relationship of weight to the promotion of breast cancer after menopause.Nutr Cancer 2:237–240, 1981.
Schatzkin, A., Jones, D. Y., Hoover, R. N., Taylor, R. P., Brinton, L. A., Ziegler, R. G., Harvey, E. B., Carter, C. L., Licitra, L. M., Dufour, M. C., & Larson, D. B., Alcohol consumption and breast cancer in the epidemiologic follow-up study of the first national health and nutrition examination survey.N Engl J Med 316: 1169–1173, 1987.
Harris, R. E., & Wynder, E. L., Breast cancer and alcohol consumption: A study in weak associations.JAMA 259:2867–2871, 1988.
Meirik, O., Lund, E., Adami, H. O., Bergstrom, R., Christoffersen, T., & Bergsjo, P., Oral contraceptive use and breast cancer in young women.Lancet 2:650–654, 1986.
Sattin, R. W., Rubin, G. L., Wingo, P. A., Webster, L. A., & Ory, H. W., Oral-contraceptive use and the risk of breast cancer.N Engl J Med 315: 405–411, 1986.
Palmer, J. R., Rosenberg, L., Clarke, E. A., Miller, D. R., & Shapiro, S., Breast cancer risk after estrogen replacement therapy: Results from the Toronto breast cancer study.Am J Epidemiol 134:1386–1395, 1991.
Wingo, P. A., Layde, P. M., Lee, N. C., Rubin, G., & Ory, H. W., The risk of breast cancer in postmenopausal women who have used estrogen replacement therapy.JAMA 257:209–215, 1987.
Black, D. M., & Solomon, E., The search for the familial breast-ovarian cancer gene.Trends Genet 9:22–26, 1993.
Wolff, M. S., Toniolo, P. G., Lee, E. W., Rivera, M., & Dubin, N., Blood levels of organochlorine residues and risk of breast cancer.J. Natl Cancer Inst 85:648–652, 1993.
Irwin, M., Daniels, M., Bloom, E. T., Smith, T. L., & Weiner, H., Life events, depressive symptoms, and immune function.Am J Psychiatry 144:437–441, 1987.
Kiecolt-Glaser, J. K., Fisher, L. D., Ogrocki, P., Stout, J. C., Speicher, C. E., & Glaser, R., Maritial quality, marital disruption, and immune function.Psychosom Med 49:12–34, 1987.
Kiecolt-Glaser, J. K., Garner, J. K., Speicher, C. E., Penn, G., & Glaser, R., Psychosocial modifiers of immunocompetence in medical students.Psychosom Med 46:7–14, 1984.
Sklar, L. S., & Anisman, H., Stress and coping factors influence tumor growth.Science 205: 513–515, 1979.
Wirsching, M., Stierlin, H., Hoffmann, F., Weber, G., & Wirsching, B., Psychological identification of breast cancer patients before biopsy.Psychosom Med 26:1–10, 1982.
Greer, S., & Morris, T., Psychological attributes of women who develop breast cancer: A controlled study.J Psychosom Res 19: 147–153, 1975.
Jansen, M. A., & Muenz, L. R., A retrospective study of personality variables associated with fibrocystic disease and breast cancer.J Psychosom Res 38:35–42, 1984.
Forsen, A., Psychosocial stress as a risk for breast cancer.Psychother Psychosom 55:176–185, 1991.
Geyer, S., Life events prior to manifestation of breast cancer: A limited prospective study covering eight years before diagnosis.J Psychosom Res 35:355–363, 1991.
Reznikoff, M., Psychological factors in breast cancer: A preliminary study of some personality trends in patients with cancer of the breast.Psychosom Med 17:96–108, 1955.
Holmes, T. H., & Rahe, R. H., The social readjustment rating scale.J Psychosom Res 11: 213–218, 1967.
Spanier, G. B., Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads.J Mar Fam 38:15–28, 1976.
Russell, D., Peplau, L. A., & Cutrona, C. E., The revised UCLA loneliness scale: Concurrent and discriminant validity evidence.J Pers Soc Psychol 39:472–480, 1980.
Watson, M. & Greer, S., Development of a questionnaire measure of emotional control.J Psychosom Res 27:299–305, 1983.
Russell, D. W., & Cutrona, C. E.:Development and evolution of the UCLA loneliness scale. University of Iowa, 1987.
Cooper, C. L., The social psychological precursors to cancer. In C. L. Cooper (Ed.),Psychosocial Stress and Cancer. New York: John Wiley & Sons Ltd, 1984, (Pp. 21–33).
Schonfield, J., Psychological and life-experience differences between Israeli women with benign and cancerous breast lesions.J Psychosom Res 19:229–234, 1975.
LeShan, L., Psychological states as factors in the development of malignant disease: A critical review.J Natl Cancer Inst 22:1–18, 1959.
Netting, F. E., & Wilson, C. C., The human-animal bond: Implications for practice.Soc Work 32:60–64, 1987.
Author information
Authors and Affiliations
Additional information
Cyndy M. Fox was a Purdue University graduate student while conducting this research.
The assistance and support of the Indianapolis Breast Center staff and patients during data collection is gratefully acknowledged.
Rights and permissions
About this article
Cite this article
Fox, C.M., Harper, A.P., Hyner, G.C. et al. Loneliness, emotional repression, marital quality, and major life events in women who develop breast cancer. J Community Health 19, 467–482 (1994). https://doi.org/10.1007/BF02260327
Issue Date:
DOI: https://doi.org/10.1007/BF02260327