Saturday, July 5, 2008

Good to Know..

I know I normally can look at the bright side of things, this is good to know for those days when the bright side seems to be out of reach.

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http://www.abc.net.au/pm/content/2008/s2262841.htm
Positive thinking does not help fight cancer: study PRINT FRIENDLY EMAIL STORY PM - Monday, 2 June , 2008 18:14:00Reporter: Barbara Miller
MARK COLVIN: We journalists too often deploy the cliche about people "battling" cancer, but now Australian researchers have found that there's actually nothing much a patient's attitude can do to fight the disease.Cancer specialists agree that it's a finding which is both reassuring and unsettling.They've concluded that a breast cancer patient's attitude to the illness has no influence whatsoever on their chance of survival. The scientists say the work proves that patients should stop blaming themselves if their cancer returns.But some patients aren't keen to let go of their belief in the power of positive thinking.This report from Barbara Miller.
BARBARA MILLER: It's an idea which has been gaining ground for some time. Smaller studies have already suggested that positive thinking does not boost a cancer patient's chance of survival.Those findings have now been confirmed with a large long-term study involving the assessment of more than 700 breast cancer patients over a period of eight years.The study's lead author Associate Professor Kelly-Anne Phillips from the Peter MacCallum Cancer Centre in Melbourne has just presented the findings at a major cancer conference in Chicago. She says for some patients it's good news.
KELLY-ANNE PHILLIPS: I think it’s certainly good news for those women that I see whose cancer has unfortunately returned and who come to me and are really blaming themselves for not having thought positively enough or having been depressed or anxious after their cancer diagnosis.And they come along thinking that is the main reason their cancer has recurred. And now I’m able to tell those women, look that’s just not true.
BARBARA MILLER: Kelly-Anne Philipps, who's also a Colebatch Clinical Research Fellow at the Cancer Council of Victoria, says the findings don't need to take away a patient's sense of having control over their illness.
KELLY-ANNE PHILLIPS: The things that are important are, you know, having the right treatment and taking the appropriate treatment and also there are other emerging factors that are important in survival after breast cancer, so things like regular exercise for example, is something that women do have control over and it seems to be emerging as an important prognostic factor, maintaining normal body weight for example, is clearly a very important prognostic factor after breast cancer.So I think it means that women can focus on the things that we really do know make a difference.
BARBARA MILLER: Dr Jane Turner, a spokesperson for the Cancer Council, has welcomed the research.
JANE TURNER: I’m absolutely delighted because a number of people believe that stress causes cancer and women are commonly told to be positive. However, that denies them the chance to talk about the things that are really concerning them, it denies them the chance to necessarily seek the support they might need, and it also denies them a chance to seek treatment for anxiety and depression, which are very common.Some people are naturally optimistic, some people are worriers. You can’t turn yourself into something you’re not, nor should you feel burdened that you have to.
BARBARA MILLER: Would you expect that these findings would also apply to other forms of cancer?
JANE TURNER: I would expect so. There has been some research done in Melbourne, at Peter MacCallum Hospital, looking at lung cancer and they’ve found similar results.
BARBARA MILLER: But some cancer patients are sceptical about the findings.Lizzie Wheeler from New South Wales was diagnosed two years ago with ovarian cancer.
LIZZIE WHEELER: I don’t think I could have made it this far if I didn’t have a positive outlook and everybody around me was positive. I’ve had times where things have been really rough and I’ve been really ill, but I’ve managed to bounce back up again.
BARBARA MILLER: What do you make then of this study that finds that the attitude that people have, in this particular case, to do with breast cancer had no impact on their chance of survival?
LIZZIE WHEELER: I’m not sure where they’re coming from with that. I don’t know. I can’t believe that your attitude doesn’t have an outcome that helps with you to keep going.
BARBARA MILLER: John Stubbs is the executive officer with the advocacy group, Cancer Voices Australia. He says the research findings will help some patients.
JOHN STUBBS: Personally, I feel that my positive attitude was of great benefit to me, not only that, I had a great clinician and I had great family support. So, I think I got the whole package.It’s probably fair to say that there would be a number … or there would be many cancer patients who feel the same, or there may be an equal number of patients who don’t want to be trapped – I think we call it, trapped in the prism of the positive, that they’ve been positive throughout their cancer and its returned and all of a sudden they’re made to feel guilty about that.So, I think there will be some good things that’ll come out of this report.
BARBARA MILLER: That report prepared by Barbara Miller.
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http://www.webmd.com/cancer/news/20071022/...snt-whip-cancer
Positive Attitude Doesn't Whip Cancer?
Patients' Positive Thinking Has No Impact on Cancer Survival, Study ShowsBy Salynn Boyles

WebMD Health NewsReviewed by Louise Chang, MDOct. 22, 2007 -- Having a positive attitude may help cancer patients deal with their disease, but it doesn't directly affect survival, according to one of the largest and most rigorously designed investigations ever to examine the issue.
The study included more than 1,000 people treated for head and neck cancer; the emotional state of patients was found to have no influence on survival.The findings add to the growing evidence showing no scientific basis for the popular notion that an upbeat attitude is critical for "beating" cancer, says University of Pennsylvania School of Medicine behavioral scientist James C. Coyne, PhD, who led the study team."I wish it were true that cancer survival was influenced by the patient's emotional state," he tells WebMD. "But given that it is not, I think we should stop blaming the patient."'The Tyranny of Positive Thinking' Jimmie Holland, MD, agrees. The Memorial Sloan-Kettering Cancer Center psychiatrist is a longtime critic of the "mind over cancer" proponents who tell patients they must stay positive to survive their disease.In her book The Human Side of Cancer, Living with Hope, Coping with Uncertainty, Holland coined the term "the tyranny of positive thinking" to describe the belief."The idea that we can control illness and death with our minds appeals to our deepest yearnings, but it just isn't so," she tells WebMD. "It is so sad that cancer patients are made to believe that if they aren't doing well it is somehow their own fault because they aren't positive enough."Holland does acknowledge the benefits of staying positive during cancer treatment, and she is an advocate of techniques like relaxation, meditation, support groups, and prayer to help patients cope with their disease.But she says there is no credible evidence that positive thinking alone directly influences tumor growth."People really want to believe this, so even very good studies like this one probably won't change public thinking," she says. "But the scientific community is getting the message."Attitude and Cancer SurvivalThe newly published study included 1,093 patients with head and neck cancer who completed quality-of-life questionnaires during their treatment.Coyne says the study group was limited to patients with a single cancer who had similar treatments to better assess the impact of state of mind on survival.A total of 646 patients died during the study follow-up. Even after acounting for other variables that could affect survival, a patient's emotional state was found to have no bearing on whether or not he or she lived or died.The study appears in the Dec. 1 issue of the American Cancer Society (ACS) journal Cancer.In a separate review of other studies published earlier this year, Coyne, University of Pennsylvania colleague Steven Palmer, PhD, and ACS researcher Michael Stefanek, PhD, found insufficient evidence that participation in psychotherapy or cancer support groups plays a role in survival.In that report, the researchers concluded that the hope that emotional state is a driving factor in cancer outcomes "appears to have been misplaced.""If cancer patients want psychotherapy or to be in a support group, they should be given the opportunity to do so," they wrote in the journal Psychological Bulletin. "There can be lots of emotional and social benefits. But [patients] should not seek such experiences solely on the expectation that they are extending their lives."
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