Bleiker E M, van der Ploeg H M
Department of Medical Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, D342, 1081 BT Amsterdam, The Netherlands.
Patient Educ Couns. 1999 Jul;37(3):201-14. doi: 10.1016/s0738-3991(99)00027-0.
Breast cancer is the most frequently occurring type of cancer in women in the western world. The etiology of a large proportion of breast cancers is still unexplained, and the possibility that psychosocial factors could play a role is not ruled out. Already in pre-Christian times, it was assumed that psychological factors might play a significant role in the development of breast cancer. However, studies have failed to produce conclusive results. There is still a lack of knowledge on the relationship between breast cancer development and psychosocial factors such as stressful life events, coping styles, depression, and the ability to express emotions. The results of this review show that there is not enough evidence that psychosocial factors like 'ways of coping' or 'non-expression of negative emotions', play a significant role in the etiology of breast cancer.
乳腺癌是西方世界女性中最常见的癌症类型。很大一部分乳腺癌的病因仍未得到解释，社会心理因素可能起作用的可能性也未被排除。早在基督教时代之前，人们就认为心理因素可能在乳腺癌的发生发展中起重要作用。然而，研究未能得出确凿的结果。对于乳腺癌发展与社会心理因素（如应激性生活事件、应对方式、抑郁以及表达情绪的能力）之间的关系，仍然缺乏了解。本综述的结果表明，没有足够的证据表明“应对方式”或“不表达负面情绪”等社会心理因素在乳腺癌的病因中起重要作用。
