Dynamic Effects of CAM Techniques on Inflammation and Emotional States: An Integrative Single-Case Study on a Breast Cancer Survivor.
Identifieur interne : 000002 ( Main/Exploration ); précédent : 000001; suivant : 000003Dynamic Effects of CAM Techniques on Inflammation and Emotional States: An Integrative Single-Case Study on a Breast Cancer Survivor.
Auteurs : Christian Schubert [Autriche] ; Michaela Ott [Autriche] ; Julian Hannemann [Autriche] ; Magdalena Singer [Autriche] ; Harald R. Bliem [Autriche] ; Kurt Fritzsche [Allemagne] ; Christina Burbaum [Allemagne] ; Emil Chamson [Autriche] ; Dietmar Fuchs [Autriche]Source :
- Integrative cancer therapies [ 1552-695X ]
Abstract
BACKGROUND
This study on a breast cancer survivor investigated how episodic practice of various complementary and alternative medicine (CAM) techniques affected the dynamics of emotional states and urinary neopterin-an inflammation marker.
METHODS
The 49-year-old female patient (diagnosis: ductal breast carcinoma 5 years before study start, suffering from chronic fatigue and depression) collected her entire urine in 12-hour intervals (from about 8 a.m. to 8 p.m. and from about 8 p.m. to 8 a.m.) for 28 days. The resulting 55 consecutive urine samples were analyzed for neopterin and creatinine levels using HPLC. Also in 12-hour intervals, the patient filled out questionnaires on emotional states and everyday routine, including CAM practice. Weekly, she was interviewed to identify emotionally meaningful everyday incidents, including use of CAM techniques. Time series analysis consisted of ARIMA modeling and cross-correlational analyses.
RESULTS
Qualitative evaluation revealed that, with the exception of Tai Chi, all CAM techniques, that is, Jin Shin Jyutsu, music, physiotherapy and energy healing, were experienced as positive. Cross-correlational analyses showed that practice of such CAM techniques was followed first by significant (
CONCLUSION
Cyclic psychophysiological response patterns following CAM practice were attributable to biopsychosocial feedback mechanisms involving personally meaningful experiences. As lower neopterin levels following CAM point to a health-promoting effect, the patient of this study may have actively contributed to her healing process through episodic CAM practice.
DOI: 10.1177/1534735420977697
PubMed: 33412954
PubMed Central: PMC7797599
Affiliations:
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uniqKey="Chamson E" first="Emil" last="Chamson">Emil Chamson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Translation Studies, University of Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Translation Studies, University of Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Fuchs, Dietmar" sort="Fuchs, Dietmar" uniqKey="Fuchs D" first="Dietmar" last="Fuchs">Dietmar Fuchs</name><affiliation wicri:level="1"><nlm:affiliation>Section for Biological Chemistry, Biocenter of the Medical University Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Section for Biological Chemistry, Biocenter of the Medical University Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2021">2021 Jan-Dec</date><idno type="RBID">pubmed:33412954</idno><idno type="pmid">33412954</idno><idno type="doi">10.1177/1534735420977697</idno><idno type="pmc">PMC7797599</idno><idno type="wicri:Area/Main/Corpus">000060</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000060</idno><idno type="wicri:Area/Main/Curation">000060</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000060</idno><idno type="wicri:Area/Main/Exploration">000060</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Dynamic Effects of CAM Techniques on Inflammation and Emotional States: An Integrative Single-Case Study on a Breast Cancer Survivor.</title><author><name sortKey="Schubert, Christian" sort="Schubert, Christian" uniqKey="Schubert C" first="Christian" last="Schubert">Christian Schubert</name><affiliation wicri:level="1"><nlm:affiliation>Clinic for Medical Psychology, Medical University Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinic for Medical Psychology, Medical University Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Ott, Michaela" sort="Ott, Michaela" uniqKey="Ott M" first="Michaela" last="Ott">Michaela Ott</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Psychology, University of Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Institute of Psychology, University of Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Hannemann, Julian" sort="Hannemann, Julian" uniqKey="Hannemann J" first="Julian" last="Hannemann">Julian Hannemann</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Psychology, University of Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Institute of Psychology, University of Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Singer, Magdalena" sort="Singer, Magdalena" uniqKey="Singer M" first="Magdalena" last="Singer">Magdalena Singer</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Psychology, Center for Public Health, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Medical Psychology, Center for Public Health, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Bliem, Harald R" sort="Bliem, Harald R" uniqKey="Bliem H" first="Harald R" last="Bliem">Harald R. Bliem</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Psychology, University of Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Institute of Psychology, University of Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Fritzsche, Kurt" sort="Fritzsche, Kurt" uniqKey="Fritzsche K" first="Kurt" last="Fritzsche">Kurt Fritzsche</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Baden-Württemberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Baden-Württemberg</wicri:regionArea><wicri:noRegion>Baden-Württemberg</wicri:noRegion><wicri:noRegion>Baden-Württemberg</wicri:noRegion><wicri:noRegion>Baden-Württemberg</wicri:noRegion></affiliation></author><author><name sortKey="Burbaum, Christina" sort="Burbaum, Christina" uniqKey="Burbaum C" first="Christina" last="Burbaum">Christina Burbaum</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Baden-Württemberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Baden-Württemberg</wicri:regionArea><wicri:noRegion>Baden-Württemberg</wicri:noRegion><wicri:noRegion>Baden-Württemberg</wicri:noRegion><wicri:noRegion>Baden-Württemberg</wicri:noRegion></affiliation></author><author><name sortKey="Chamson, Emil" sort="Chamson, Emil" uniqKey="Chamson E" first="Emil" last="Chamson">Emil Chamson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Translation Studies, University of Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Translation Studies, University of Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Fuchs, Dietmar" sort="Fuchs, Dietmar" uniqKey="Fuchs D" first="Dietmar" last="Fuchs">Dietmar Fuchs</name><affiliation wicri:level="1"><nlm:affiliation>Section for Biological Chemistry, Biocenter of the Medical University Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Section for Biological Chemistry, Biocenter of the Medical University Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author></analytic><series><title level="j">Integrative cancer therapies</title><idno type="eISSN">1552-695X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>This study on a breast cancer survivor investigated how episodic practice of various complementary and alternative medicine (CAM) techniques affected the dynamics of emotional states and urinary neopterin-an inflammation marker.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The 49-year-old female patient (diagnosis: ductal breast carcinoma 5 years before study start, suffering from chronic fatigue and depression) collected her entire urine in 12-hour intervals (from about 8 a.m. to 8 p.m. and from about 8 p.m. to 8 a.m.) for 28 days. The resulting 55 consecutive urine samples were analyzed for neopterin and creatinine levels using HPLC. Also in 12-hour intervals, the patient filled out questionnaires on emotional states and everyday routine, including CAM practice. Weekly, she was interviewed to identify emotionally meaningful everyday incidents, including use of CAM techniques. Time series analysis consisted of ARIMA modeling and cross-correlational analyses.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Qualitative evaluation revealed that, with the exception of Tai Chi, all CAM techniques, that is, Jin Shin Jyutsu, music, physiotherapy and energy healing, were experienced as positive. Cross-correlational analyses showed that practice of such CAM techniques was followed first by significant (</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Cyclic psychophysiological response patterns following CAM practice were attributable to biopsychosocial feedback mechanisms involving personally meaningful experiences. As lower neopterin levels following CAM point to a health-promoting effect, the patient of this study may have actively contributed to her healing process through episodic CAM practice.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">33412954</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1552-695X</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><PubDate><MedlineDate>2021 Jan-Dec</MedlineDate></PubDate></JournalIssue><Title>Integrative cancer therapies</Title><ISOAbbreviation>Integr Cancer Ther</ISOAbbreviation></Journal><ArticleTitle>Dynamic Effects of CAM Techniques on Inflammation and Emotional States: An Integrative Single-Case Study on a Breast Cancer Survivor.</ArticleTitle><Pagination><MedlinePgn>1534735420977697</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1534735420977697</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="UNASSIGNED">This study on a breast cancer survivor investigated how episodic practice of various complementary and alternative medicine (CAM) techniques affected the dynamics of emotional states and urinary neopterin-an inflammation marker.</AbstractText><AbstractText Label="METHODS" NlmCategory="UNASSIGNED">The 49-year-old female patient (diagnosis: ductal breast carcinoma 5 years before study start, suffering from chronic fatigue and depression) collected her entire urine in 12-hour intervals (from about 8 a.m. to 8 p.m. and from about 8 p.m. to 8 a.m.) for 28 days. The resulting 55 consecutive urine samples were analyzed for neopterin and creatinine levels using HPLC. Also in 12-hour intervals, the patient filled out questionnaires on emotional states and everyday routine, including CAM practice. Weekly, she was interviewed to identify emotionally meaningful everyday incidents, including use of CAM techniques. Time series analysis consisted of ARIMA modeling and cross-correlational analyses.</AbstractText><AbstractText Label="RESULTS" NlmCategory="UNASSIGNED">Qualitative evaluation revealed that, with the exception of Tai Chi, all CAM techniques, that is, Jin Shin Jyutsu, music, physiotherapy and energy healing, were experienced as positive. Cross-correlational analyses showed that practice of such CAM techniques was followed first by significant (<i>P</i> < .05) increases in positive mood and mental activity on the same day (lag 0) and then by decreases in positive mood after a total of 72 to 84 hours (+lag 6) and in mental activity after a total of 84 to 96 hours (+lag 7). Negative mood, by contrast, first decreased on the day of CAM practice (lag 0) and then increased after a total of 84 to 96 hours (+lag 7) following CAM. Moreover, urinary neopterin levels first increased on the day of CAM practice (lag 0) and then decreased after a total of 36 to 48 hours (+lag 3). Similar biphasic effects were also detected for irritation in response to CAM, although only partly significant.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="UNASSIGNED">Cyclic psychophysiological response patterns following CAM practice were attributable to biopsychosocial feedback mechanisms involving personally meaningful experiences. As lower neopterin levels following CAM point to a health-promoting effect, the patient of this study may have actively contributed to her healing process through episodic CAM practice.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schubert</LastName><ForeName>Christian</ForeName><Initials>C</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-7100-0663</Identifier><AffiliationInfo><Affiliation>Clinic for Medical Psychology, Medical University Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ott</LastName><ForeName>Michaela</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institute of Psychology, University of Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hannemann</LastName><ForeName>Julian</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Institute of Psychology, University of Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singer</LastName><ForeName>Magdalena</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Medical Psychology, Center for Public Health, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bliem</LastName><ForeName>Harald R</ForeName><Initials>HR</Initials><AffiliationInfo><Affiliation>Institute of Psychology, University of Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fritzsche</LastName><ForeName>Kurt</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Baden-Württemberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Burbaum</LastName><ForeName>Christina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Baden-Württemberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chamson</LastName><ForeName>Emil</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Translation Studies, University of Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fuchs</LastName><ForeName>Dietmar</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Section for Biological Chemistry, Biocenter of the Medical University Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Integr Cancer Ther</MedlineTA><NlmUniqueID>101128834</NlmUniqueID><ISSNLinking>1534-7354</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">CAM</Keyword><Keyword MajorTopicYN="N">breast cancer</Keyword><Keyword MajorTopicYN="N">inflammation</Keyword><Keyword MajorTopicYN="N">psychoneuroimmunology</Keyword><Keyword MajorTopicYN="N">stress</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>8</Day><Hour>5</Hour><Minute>40</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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Bliem</name><name sortKey="Chamson, Emil" sort="Chamson, Emil" uniqKey="Chamson E" first="Emil" last="Chamson">Emil Chamson</name><name sortKey="Fuchs, Dietmar" sort="Fuchs, Dietmar" uniqKey="Fuchs D" first="Dietmar" last="Fuchs">Dietmar Fuchs</name><name sortKey="Hannemann, Julian" sort="Hannemann, Julian" uniqKey="Hannemann J" first="Julian" last="Hannemann">Julian Hannemann</name><name sortKey="Ott, Michaela" sort="Ott, Michaela" uniqKey="Ott M" first="Michaela" last="Ott">Michaela Ott</name><name sortKey="Singer, Magdalena" sort="Singer, Magdalena" uniqKey="Singer M" first="Magdalena" last="Singer">Magdalena Singer</name></country><country name="Allemagne"><noRegion><name sortKey="Fritzsche, Kurt" sort="Fritzsche, Kurt" uniqKey="Fritzsche K" first="Kurt" last="Fritzsche">Kurt Fritzsche</name></noRegion><name sortKey="Burbaum, Christina" sort="Burbaum, Christina" uniqKey="Burbaum C" first="Christina" last="Burbaum">Christina Burbaum</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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