Document Detail


Patients' pretreatment expectations of chemotherapy-related nausea are an independent predictor of anticipatory nausea.
MedLine Citation:
PMID:  9989316     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Based on extensive research with animals, classical conditioning theorists have come to regard contingency as the primary factor in the development of conditioned responses. However, recent experimental work with humans has suggested the possibility that participant expectations may also directly contribute to the development of conditioned responses. To date, this phenomenon has not been investigated in clinical settings. Anticipatory nausea (AN) in chemotherapy patients, widely viewed as the best established example of classical conditioning in clinical medicine, provides an opportunity to examine the contributions of patient expectations to the development of a conditioned response outside the laboratory. The present study of 59 breast cancer patients supported the hypothesis that pretreatment patient expectations make a significant (p < .03) contribution to the development of AN after statistically controlling for the strongest conditioning predictor, contingency. These data imply that patient expectations should be considered when evaluating conditioned responses to aversive medical treatments.
Authors:
G H Montgomery; N Tomoyasu; D H Bovbjerg; M A Andrykowski; V E Currie; P B Jacobsen; W H Redd
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  20     ISSN:  0883-6612     ISO Abbreviation:  Ann Behav Med     Publication Date:  1998  
Date Detail:
Created Date:  1999-05-25     Completed Date:  1999-05-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  104-9     Citation Subset:  IM    
Affiliation:
Derald H. Ruttenberg Cancer Center, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antineoplastic Agents / adverse effects*
Anxiety / diagnosis,  psychology
Breast Neoplasms / drug therapy*
Conditioning (Psychology)
Female
Humans
Middle Aged
Nausea / chemically induced*
Retrospective Studies
Time Factors
Vomiting, Anticipatory / psychology*
Grant Support
ID/Acronym/Agency:
CA09461/CA/NCI NIH HHS; CA66227/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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