Relationship between Thought Style, Emotional Response, Post-Traumatic Growth (PTG), and Biomarkers in Cancer Patients

Mariana Sierra-Murguía (), Martha L. Guevara-Sanginés, Gabriela Navarro-Contreras, Guillermo Peralta-Castillo, Amalia Padilla-Rico, Lucía González-Alcocer and Ferrán Padrós-Blázquez
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Mariana Sierra-Murguía: Cancer Center Tec100, Ignacio Zaragoza 263 H16, Col. Centro, Querétaro 76000, QE, Mexico
Martha L. Guevara-Sanginés: Economic Administrative Science Division, University of Guanajuato, Fraccionamiento 1, Col. El Establo S/N, Guanajuato 36250, GJ, Mexico
Gabriela Navarro-Contreras: Health Science Division, University of Guanajuato, Blvd. Puente Milenio #1001, Fracción del Predio San Carlos, León 37670, GJ, Mexico
Guillermo Peralta-Castillo: Cancer Center Tec100, Ignacio Zaragoza 263 H16, Col. Centro, Querétaro 76000, QE, Mexico
Amalia Padilla-Rico: Cancer Center Tec100, Ignacio Zaragoza 263 H16, Col. Centro, Querétaro 76000, QE, Mexico
Lucía González-Alcocer: Cancer Center Tec100, Ignacio Zaragoza 263 H16, Col. Centro, Querétaro 76000, QE, Mexico
Ferrán Padrós-Blázquez: Psychology Faculty, Universidad Michoacana San Nicolás de Hidalgo, Francisco Villa 450, Col. Dr. Miguel Silva, Morelia 58120, MC, Mexico

IJERPH, 2024, vol. 21, issue 6, 1-11

Abstract: (1) Introduction: Cancer diagnosis has been related to depression, anxiety, and distress, as well as to post-traumatic growth (PTG). One of the mediating variables for emotional response is thought style (rumination, cognitive avoidance, and cognitive engagement). (2) Aim: To identify the relationship between thought style and emotional responses to cancer. A secondary aim was to identify the relationship between emotional responses and inflammatory immunological biomarkers. (3) Method: A total of 115 patients with cancer were included in the study. Before initiating cancer treatment, patients were assessed using the Hospital Anxiety and Depression Scale (HADS), distress thermometer, and Post-Traumatic Growth Inventory (PTGI). Patients provided their most recent blood biometry. (4) Results: Rumination correlated with anxiety, depression, and distress. Cognitive avoidance correlated with PTG (−0.240) and distress (−0.209). Cognitive engagement correlated with PTG (0.393). Regarding thought style and biomarkers, a negative correlation was observed for absolute neutrophils with cognitive avoidance (−0.271) and rumination (0.305). Regarding biomarkers and emotional responses, there was a negative correlation between PTG and absolute lymphocytes (−0.291). There was also a correlation between PTG and neutrophils (0.357) and neutrophil-to-lymphocyte ratio (NLR) (0.295). (5) Conclusions: Thought style is related to the emotional response to a cancer diagnosis; rumination is related to depression, distress, and anxiety; and cognitive engagement is related to PTG. PTG is related to inflammation and immunological biomarkers.

Keywords: post-traumatic growth; lymphocyte-neutrophil ratio; monocyte- lymphocyte ratio; cancer; thought styles (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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