Lopez M, Cauchi C, Sergi D, Amodio A, Paoletti G, Vici P, Di Lauro L
Istituto Nazionale Tumori, Regina Elena, Roma, Italia.
Clin Ter. 2010;161(1):69-75.
Although the relationship between psyche and cancer dates back many centuries, and several studies were conducted on this topic during the last decades, the role of psychological factors in the development of cancer is still controversial. Although a lot of factors have been considered, attention has been focused mainly on stress, which has been evaluated also in experimental models. Generally, the results of case-control studies have been contradictory, and at times more stressfull events have been recorded in patients with benign tumors than in those with cancer. On the contrary, a higher incidence of stress-related cancers has not been documented in cohort studies. Since cancer is a genetic disease, it is difficult to hypothesize that psychological factors may permanently alter nucleotide sequence giving rise to multiple mutations needed for cancer development. At present, there is no sufficient evidence to affirm that psychological factors may contribute without doubt to cancer development.
尽管心理与癌症之间的关系可追溯到许多世纪以前,并且在过去几十年里针对这一主题开展了多项研究,但心理因素在癌症发生过程中的作用仍存在争议。尽管已经考虑了许多因素,但注意力主要集中在压力上,压力也已在实验模型中得到评估。一般来说,病例对照研究的结果相互矛盾,有时良性肿瘤患者记录到的压力事件比癌症患者更多。相反,队列研究中并未记录到压力相关癌症的更高发病率。由于癌症是一种遗传性疾病,很难推测心理因素可能会永久改变核苷酸序列从而引发癌症发展所需的多个突变。目前,没有足够的证据肯定心理因素无疑会促成癌症的发展。