Correlates of Age at Initial Diagnosis of Chronic Lymphocytic Leukemia: Exercise, ASA &Emotional Distress

• 作者: Amr Hanbali Bernd Barthel Emily A. Ketterer Mark W. Ketterer Phillip Kuriakose Walter Knysz Yue Guo
• 来源期刊: 医学心理学(英文)
• 学科: 医学
• 关键词: Chronic LYMPHOCYTIC LEUKEMIA Stress ASPIRIN
• 年，卷（期）: yxxlxyw,（2）
• 页码范围: 9-14
• 页数: 6页
• 分类号: R73

摘要

Objective: No studies of either the cross-sectional or prospective association of behavioral lifestyle characteristics and the onset of Chronic Lymphocytic Leukemia (CLL) exist. Methods: Multiple interview or questionnaire measures of emotional distress and social support, as well as personality characteristics, exercise, sleep quality, aspirin or lipid-lowering medication use, smoking status and history, educational history and farming/pesticide exposure were tested as correlates of age at initial diagnosis of CLL (AAID-CLL) in 183 patients recruited from the electronic records of Henry Ford Hospital or internet support sites. Results: Aspirin use, having always been “Fit” and living alone were positively associated with AAID. Negative associations were observed for farming/pesticide exposure, years of education, being married, self description as a “Lone Wolf” or “Worrier”, taking “nerve” or “sleeping” pills, awakenings per night, Packyears of Smoking and the Interpersonal Sensitivity, Depression, Anxiety, Hostility and Paranoia scales of the Symptom Checklist 90 - Revised, as well as the AIAI (anger), Depression and Anxiety scales of the Spouse/Friend Ketterer Stress Symptom Frequency Checklist. Conclusions: Aspirin use and exercise may exert a modifiable delaying influence in the onset of CLL. Conversely, emotional distress and smoking may hasten its onset. Prospective, and interventional, tests of these findings are needed.