An Investigation into the Link Between Heart Rate Variability and Intrusive Thoughts: Implications for Cancer Survivors

Psychology: 3rd Place (The Ohio State University Denman Undergraduate Research Forum)Cancer survivors often suffer from long-term health problems like cardiac dysfunction, chronic stress, fatigue, and depression. One common underlying factor for these problems is low heart-rate variability (HRV), exhibiting less variation in the time interval between heartbeats, which is also linked to all-cause mortality. Research has found that stress in the form of persistent, negative thoughts is also linked to poor health and thought to have a direct, harmful impact on somatic disease; however, only a handful of studies investigating this theory have been conducted in cancer populations. Our study examined the relationship between HRV and intrusive thoughts among cancer survivors. We hypothesized that female breast cancer survivors who experience higher levels of intrusive thoughts will exhibit lower HRV than those who experience lower levels of intrusive thoughts. Stage 0-IIIA breast cancer survivors (N = 200) were recruited for a larger study exploring the effects of yoga on survivors’ stress, fatigue, and inflammation. Subject’s baseline intrusive thoughts using the Impact of Events Scale (IES) were compared to their baseline HRV levels. Analyses revealed that cancer survivors with higher IES scores (intrusive thoughts) have lower HRV than those with lower IES scores (r=-0.169, p=0.031). Effects remained significant when controlling for age, cancer stage, time of treatment to baseline visit, and body mass index. These results confirm our hypothesis, indicating that women more distressed about their cancer diagnosis exhibited lower HRV than those who were less distressed; establishing an important, novel link between survivors’ vulnerability to certain health problems and the impact that mental, emotional cancer-related distress has on somatic health. Early identification of those experiencing traumatic cancer-related distress upon diagnosis, as indexed by intrusive thoughts, will be important in helping to prolong the long-term health of cancer survivors.Undergraduate Student Pelotonia Cancer Research FellowshipAcademic Major: NeuroscienceAcademic Major: Psycholog

Tumor site immune markers associated with risk for subsequent basal cell carcinomas.

BackgroundBasal cell carcinoma (BCC) tumors are the most common skin cancer and are highly immunogenic.ObjectiveThe goal of this study was to assess how immune-cell related gene expression in an initial BCC tumor biopsy was related to the appearance of subsequent BCC tumors.Materials and methodsLevels of mRNA for CD3ε (a T-cell receptor marker), CD25 (the alpha chain of the interleukin (IL)-2 receptor expressed on activated T-cells and B-cells), CD68 (a marker for monocytes/macrophages), the cell surface glycoprotein intercellular adhesion molecule-1 (ICAM-1), the cytokine interferon-γ (IFN-γ) and the anti-inflammatory cytokine IL-10 were measured in BCC tumor biopsies from 138 patients using real-time PCR.ResultsThe median follow-up was 26.6 months, and 61% of subjects were free of new BCCs two years post-initial biopsy. Patients with low CD3ε CD25, CD68, and ICAM-1 mRNA levels had significantly shorter times before new tumors were detected (p = 0.03, p = 0.02, p = 0.003, and p = 0.08, respectively). Furthermore, older age diminished the association of mRNA levels with the appearance of subsequent tumors.ConclusionsOur results show that levels of CD3ε, CD25, CD68, and ICAM-1 mRNA in BCC biopsies may predict risk for new BCC tumors

Cognitive problems among breast cancer survivors: loneliness enhances risk

Abstract Background: Cancer survivors often experience cognitive difficulties after treatment completion. Although chemotherapy enhances risk for cognitive problems, it is likely only one piece of a complex puzzle that explains survivors' cognitive functioning. Loneliness may be one psychosocial risk factor. The current studies included both subjective and objective cognitive measures and tested whether lonelier breast cancer survivors would have more concentration and memory complaints and experience more concentration difficulties than their less lonely counterparts. Methods: The relationship between loneliness and cognitive function was tested among three samples of breast cancer survivors. Study 1 was a sample of breast cancer survivors (n = 200) who reported their concentration and memory problems. Study 2a was a sample of breast cancer survivors (n = 185) and noncancer controls (n = 93) who reported their concentration and memory problems. Study 2b was a subsample of Study 2a breast cancer survivors (n = 22) and noncancer controls (n = 21) who completed a standardized neuropsychological test assessing concentration. Results: Studies 1 and 2a revealed that lonelier women reported more concentration and memory problems than less lonely women. Study 2b utilized a standardized neuropsychological continuous performance test and demonstrated that lonelier women experienced more concentration problems than their less lonely counterparts. Conclusions: These studies demonstrated that loneliness is linked to concentration and memory complaints and the experience of concentration problems among breast cancer survivors. The results were also highly consistent across three samples of breast cancer survivors. These data suggest that loneliness may be a risk factor for cognitive difficulties among cancer survivors

Vol 10#1

Abstract A competent immune response is central to good health. There is good evidence that both aging and psychological stress can dysregulate immune function, resulting in changes in various aspects of the immune response that are large enough to have consequences for health. Older adults appear to show even greater immunological impairments associated with stress or depression than younger adults. Thus, the data suggest that aging interacts with stress and depression to enhance risks for morbidity and mortality among older adults