Persistent symptoms among survivors of Hodgkin's disease: an explanatory model based on classical conditioning.

Published

Journal Article

Persistent symptoms of nausea, distress, and vomiting triggered by reminders of cancer treatment were examined among 273 Hodgkin's disease survivors, 1 to 20 years posttreatment. Prevalence rates were high for distress and nausea but low for vomiting. Retrospective report of anticipatory symptoms during treatment was the strongest predictor of persistent symptoms, suggesting that treatment-induced symptoms are less likely to persist if conditioning does not occur initially. Time since treatment was also a significant predictor, with patients more recently treated more likely to experience persistent symptoms. Thus, an explanatory model based on classical conditioning theory successfully predicted presence of persistent symptoms. Symptoms also were associated with ongoing psychological distress, suggesting that quality of life is diminished among survivors with persistent symptoms. Recommendations for prevention and treatment of symptoms are discussed.

Full Text

Duke Authors

Cited Authors

  • Cameron, CL; Cella, D; Herndon, JE; Kornblith, AB; Zuckerman, E; Henderson, E; Weiss, RB; Cooper, MR; Silver, RT; Leone, L; Canellos, GP; Peterson, BA; Holland, JC

Published Date

  • January 2001

Published In

Volume / Issue

  • 20 / 1

Start / End Page

  • 71 - 75

PubMed ID

  • 11199068

Pubmed Central ID

  • 11199068

Electronic International Standard Serial Number (EISSN)

  • 1930-7810

International Standard Serial Number (ISSN)

  • 0278-6133

Digital Object Identifier (DOI)

  • 10.1037//0278-6133.20.1.71

Language

  • eng