Cardiovascular conditioning and anticipatory nausea and vomiting in cancer patients.

Explanations of individual differences in susceptibility to learning of anticipatory nausea and/or vomiting (AN/V) in cancer patients have focused mainly on the patients who develop AN/V. On the basis of conditioning theory, however, one would expect that all patients who experience post-treatment n...

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Publicado en:Behavioral Medicine Vol. 20; no. 2; pp. 78 - 79
Autores principales: Kvale G, Psychol C
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Summer1994
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Cardiovascular conditioning and anticipatory nausea and vomiting in cancer patients.
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          Kvale G
          Psychol C
      sug:
        subj:
          Anticipatory Nausea and Vomiting Physiopathology
          Arousal Physiology
          Autonomic Nervous System Physiopathology
          Conditioning (Psychology)
          Nausea Physiopathology
          Adolescence
          Adult
          Aged
          Anticipatory Nausea and Vomiting Psychosocial Factors
          Antineoplastic Agents, Combined Adverse Effects
          Antineoplastic Agents, Combined Therapeutic Use
          Female
          Heart Rate Physiology
          Male
          Middle Age
          Nausea Chemically Induced
          Nausea Psychosocial Factors
          Neoplasms Drug Therapy
          Neoplasms Physiopathology
          Neoplasms Psychosocial Factors
          Prospective Studies
          Psychomotor Performance
          Reaction Time Physiology
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Explanations of individual differences in susceptibility to learning of anticipatory nausea and/or vomiting (AN/V) in cancer patients have focused mainly on the patients who develop AN/V. On the basis of conditioning theory, however, one would expect that all patients who experience post-treatment nausea and/or vomiting (PN/V) should develop AN/V. Consistent with findings demonstrating that conditioned responses are more easily established in autonomic-reactive individuals, we have previously reported that patients who do not develop AN/V (noAN/V) are less autonomic reactive than the AN/V patients. Thus, we hypothesized that the noAN/V patients might not show classical conditioning to the same degree and extent as the AN/V patients and that conditioning may be the mediating mechanism in AN/V. This study presents data from 36 patients. Among the 28 patients who experienced PN/V, 16 developed AN/V. We found no systematic group differences in severity of PN/V or antiemetic treatment. Before chemotherapy, all patients were tested in a signaled reaction-time paradigm. We used two different tones (CSs), one of which was always followed by a noise (UCS) as a button-press signal. The patients who later developed AN/V demonstrated significantly shorter reaction times, and also showed enhanced cardiovascular reactivity to the tone followed by the UCS (CS+) in comparison with the nonsignal tone (CS-). The noAN/V patients did not show differential cardiovascular responses to the CS+ and CS-.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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