The Harmful Effects of Chronic Stress on the Development of Cancer and The Strategies That Can Be Used to mitigate it
DOI:
https://doi.org/10.47611/jsrhs.v13i2.6703Keywords:
cancer, chronic stress, immunosuppression, relaxation activitiesAbstract
Stress, a state of worry caused by a difficult situation, is carried out by the parasympathetic nervous system and acute or short-term stress can benefit us in many ways. However, chronic or long-term stress can be extremely harmful and provide detrimental effects to the body by weakening it. Studies have shown a correlation between chronic stress and cancer. One of the mechanisms chronic stress can contribute to cancer is by weakening our immune system. This paper reviews published articles to find connections among the immune, endocrine and nervous systems and how they interact via release of certain cytokines and hormones in response to stressful situations. The impact of enhanced inflammatory processes and cancer progression are discussed. This paper also sheds light into certain mental health issues that cancer patients have faced before or during their cancer diagnosis and treatment. There are certain factors, such as gender, age, genetics, and country or region of residence, which impact stress responses with implications on disease outcome. Cancer patients also experience a lot of changes in the neuronal structure, increase in glucocorticoid signaling, CRH gene expression, and HPA axis as well as DNA damage and p53 protein suppression, when they experience chronic stress. There are also elevated cortisol levels and HPA axis dysregulation which can be combated through anti-inflammatory treatments. The paper concludes by discussing how certain activities, like yoga, tai-chi, and meditation can help alleviate chronic stress. The results are promising as there has been a decrease in self-reported depression and anxiety, and an increase in sleep, relaxation, and cognition.
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ACS Medical & Health Content Team. (2020, June 2). Take a Moment With Meditation. Www.cancer.org. https://www.cancer.org/cancer/latest-news/take-a-moment-with-meditation.html
CDC. (2023, April 25). About Mental Health. Centers for Disease Control and Prevention. https://www.cdc.gov/mentalhealth/learn/index.htm
Doolittle, M. J. (n.d.). Stress and Cancer. Surviving Cancer. https://med.stanford.edu/survivingcancer/cancer-and-stress/stress-and-cancer.html
Dragoş, D., & Tănăsescu, M. D. (2010). The effect of stress on the defense systems. Journal of Medicine and Life, 3(1), 10–18. https://pubmed.ncbi.nlm.nih.gov/20302192/
Flanagan, C. (2009, January 29). Stress: Which comes first SAM or HPA? Oxford Education Blog. https://educationblog.oup.com/secondary/psychology/which-comes-first-sam-or-hpa#:~:text=Essentially%20both%20systems%20are%20triggered
Heid, M. (2014, December). How stress affects cancer risk. MD Anderson Cancer Center. https://www.mdanderson.org/publications/focused-on-health/how-stress-affects-cancer-risk.h21-1589046.html#:~:text=Stress%20hormones%20can%20inhibit%20a
Khadka, S., Druffner, S. R., Duncan, B. C., & Busada, J. T. (2023). Glucocorticoid regulation of cancer development and progression. Frontiers in Endocrinology, 14, 1161768. https://doi.org/10.3389/fendo.2023.1161768
Michopoulos, I., Douzenis, A., Kalkavoura, C., Christodoulou, C., Michalopoulou, P., Kalemi, G., Fineti, K., Patapis, P., Protopapas, K., & Lykouras, L. (2008). Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Annals of General Psychiatry, 7(1), 4. https://doi.org/10.1186/1744-859x-7-4
Mirlekar, B. (2022). Tumor promoting roles of IL-10, TGF-β, IL-4, and IL-35: Its implications in cancer immunotherapy. SAGE Open Medicine, 10, 205031212110690. https://doi.org/10.1177/20503121211069012
Morey, J. N., Boggero, I. A., Scott, A. B., & Segerstrom, S. C. (2015). Current directions in stress and human immune function. Current Opinion in Psychology, 5(1), 13–17. https://doi.org/10.1016/j.copsyc.2015.03.007
Ozaki, T., & Nakagawara, A. (2011). Role of p53 in Cell Death and Human Cancers. Cancers, 3(1), 994–1013. https://doi.org/10.3390/cancers3010994
Rao, R., Amritanshu, R., Vinutha, H., Vaishnaruby, S., Deepashree, S., Megha, M., Geetha, R., & Ajaikumar, B. (2017). Role of yoga in cancer patients: Expectations, benefits, and risks: A review. Indian Journal of Palliative Care, 23(3), 225. https://doi.org/10.4103/ijpc.ijpc_107_17
Sephton, S. E. (2000). Diurnal Cortisol Rhythm as a Predictor of Breast Cancer Survival. Journal of the National Cancer Institute, 92(12), 994–1000. https://doi.org/10.1093/jnci/92.12.994
Tanaka, T., Narazaki, M., & Kishimoto, T. (2014). IL-6 in Inflammation, Immunity, and Disease. Cold Spring Harbor Perspectives in Biology, 6(10), a016295–a016295. https://doi.org/10.1101/cshperspect.a016295
Vignjević Petrinović, S., Milošević, M. S., Marković, D., & Momčilović, S. (2023). Interplay between stress and cancer—A focus on inflammation. Frontiers in Physiology, 14. https://doi.org/10.3389/fphys.2023.1119095
Zhang, C., Qing, N., & Zhang, S. (2021). The Impact of Leisure Activities on the Mental Health of Older Adults: The Mediating Effect of Social Support and Perceived Stress. Journal of Healthcare Engineering, 2021, 6264447. https://doi.org/10.1155/2021/6264447
Zhang, T., Ma, C., Zhang, Z., Zhang, H., & Hu, H. (2021). NF‐κB signaling in inflammation and cancer. MedComm, 2(4). https://doi.org/10.1002/mco2.104
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Copyright (c) 2024 Manasa Shankar; Dr. Prahlad Parajuli, Jothsna Kethar, Virgil Torremocha
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