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A cross-cultural analysis of salivary cortisol patterns in breast cancer survivors
Author(s) -
Cynthia Wan,
Kayla Boileau,
Danielle D’Amico,
Vivian Huang,
Alexandra Fiocco,
Richard Clément,
Catherine Bielajew
Publication year - 2019
Publication title -
breast cancer management
Language(s) - English
Resource type - Journals
eISSN - 1758-1931
pISSN - 1758-1923
DOI - 10.2217/bmt-2019-0004
Subject(s) - breast cancer , stressor , medicine , clinical psychology , oncology , fight or flight response , cancer , biochemistry , gene , chemistry
Aim: In this study, we examined whether Chinese and White women with and without a history of breast cancer exhibit differences in physiological and psychological stress profiles. Methods: Diurnal and reactive salivary cortisol profiles and psychological stress patterns of 41 breast cancer survivors and 58 healthy women were assessed. Results: Breast cancer survivors displayed a blunted acute cortisol response but there was no main effect of ethnocultural membership. Subjective appraisals of stress during the acute stressor revealed a significant interaction between ethnocultural group, health status and time (p = 0.032). Conclusion: Our results support the existing literature though suggest group differences in the appraisal of stress; thus, underscoring the importance of cultural sensitivity and awareness among clinicians and existing programs.

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