SCIENTIFIC REPORT 2004 - Sylvester Comprehensive Cancer Center

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C A N C E R P R E V E N T I O N A N D C O N T R O L P R O G R A M NEIL SCHNEIDERMAN, PH.D. Professor of Psychology DESCRIPTION OF RESEARCH Dr. Schneiderman’s research focuses on improving the quality of life (QOL) in men who have undergone radical prostatectomy or beam radiation treatment for localized prostate cancer. As project leader of a study titled “Cognitive-Behavioral Stress Management and Prostate Cancer” on Center Grant P50 CA84944 (under Michael H. Antoni Ph.D.’s direction as principal investigator), Dr. Schneiderman’s laboratory is conducting studies comparing a ten-week cognitive-behavioral stress management (CBSM) program versus a one-day CBSM seminar. They are examining QOL indicators and immune system status (e.g., natural killer cell cytotoxicity (NKCC)) throughout a 12-month follow-up period. SELECTED PUBLICATIONS 2002 Antoni, MH, Cruess, DG, Klimas, N, Maher, K, Cruess, S, Kumar, M, Lutgendorf, S, Ironson, G, Schneiderman, N, and Fletcher, MA. Stress management and immune system reconstitution in symptomatic HIV-infected gay men over time: effects on transitional naive T cells (CD4(+)CD45RA(+)CD29(+)). American Journal of Psychiatry 159:143-45, 2002. Kumar, M, Kumar, AM, Waldrop, D, Antoni, MH, Schneiderman, N, and Eisdorfer, C. The HPA axis in HIV-1 infection. Journal of Acquired Immune Deficiency Syndromes 31 (Supplement 2):S89-93, 2002. Williams, R, Schneiderman, N, Relman, A, and Angell, M. Resolved: psychosocial interventions can improve clinical outcomes in organic disease—rebuttals and closing arguments. Psychosomatic Medicine 64:564-67, 2002. Williams, RB and Schneiderman, N. Resolved: psychosocial interventions can improve clinical outcomes in organic disease (pro). Psychosomatic Medicine 64:552-57, 2002. Kline, KA, Saab, PG, Llabre, MM, Spitzer, SB, Evans, JD, McDonald, PA, and Schneiderman, N. Hemodynamic response patterns: responder type differences in reactivity and recovery. Psychophysiology 39:739-46, 2002. 2003 Perna, FM, Antoni, MH, Baum, A, Gordon, P, and Schneiderman, N. Cognitive behavioral stress management effects on injury and illness among competitive athletes: a randomized clinical trial. Annals of Behavioral Medicine 25:66- 73, 2003. Cruess, DG, Antoni, MH, Gonzalez, J, Fletcher, MA, Klimas, N, Duran, R, Ironson, G, and Schneiderman, N. Sleep disturbance mediates the association between psychological distress and immune status among HIV-positive men and women on combination antiretroviral therapy. Journal of Psychosomatic Research 54:185-89, 2003. Motivala, SJ, Hurwitz, BE, Llabre, MM, Klimas, NG, Fletcher, MA, Antoni, MH, LeBlanc, WG, and Schneiderman, N. Psychological distress is associated with decreased memory helper T cell and B cell counts in pre-AIDS HIV seropositive men and women but only in those with low viral load. Psychosomatic Medicine 65:627-35, 2003. O’Cleirigh, C, Ironson, G, Antoni, M, Fletcher, MA, McGuffey, L, Balbin, E, Schneiderman, N, and Solomon, G. Emotional expression and depth processing of trauma and their relation to long-term survival in patients with HIV/AIDS. Journal of Psychosomatic Research 54:225-35, 2003. UM/Sylvester Comprehensive Cancer Center Scientific Report 2004 27
C A N C E R P R E V E N T I O N A N D C O N T R O L P R O G R A M Lechner, SC, Antoni, MH, Lydston, D, LaPerriere, A, Ishii, M, Devieux, J, Ironson, G, Schneiderman, N, Brondolo, E, Tobin, J, and Weiss, S. Cognitive-behavioral interventions improve quality of life in women with AIDS. Journal of Psychosomatic Research 54:253-61, 2003. Penedo, FJ, Gonzalez, JS, Dahn, JR, Antoni, M, Malow, R, Costa, P, and Schneiderman, N. Personality, quality of life and HAART adherence among men and women living with HIV/AIDS. Journal of Psychosomatic Research 54:271-78, 2003. Penedo, FJ, Gonzalez, JS, Davis, C, Dahn, J, Antoni, MH, Ironson, G, Malow, R, and Schneiderman, N. Coping and psychological distress among symptomatic HIV+ men who have sex with men. Annals of Behavioral Medicine 25:203-13, 2003. Penedo, FJ, Dahn, JR, Gonzalez, JS, Molton, I, Carver, CS, Antoni, MH, Roos, BA, and Schneiderman, N. Perceived stress management skill mediates the relationship between optimism and positive mood following radical prostatectomy. Health Psychology 22:220-22, 2003. Berkman, LF, Blumenthal, J, Burg, M, Carney, RM, Catellier, D, Cowan, MJ, Czajkowski, SM, DeBusk, R, Hosking, J, Jaffe, A, Kaufmann, PG, Mitchell, P, Norman, J, Powell, LH, Raczynski, JM, and Schneiderman, N. Enhancing Recovery in Coronary Heart Disease Patients Investigators (ENRICHD). Effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial. Journal of the American Medical Association 289:3106-16, 2003. Watkins, LL, Schneiderman, N, Blumenthal, JA, Sheps, DS, Catellier, D, Taylor, CB, and Freedland, KE; ENRICHD Investigators. Cognitive and somatic symptoms of depression are associated with medical comorbidity in patients after acute myocardial infarction. American Heart Journal 146:48-54, 2003. Fernander, AF, Durán, REF, Saab, PG, Llabre, MM, and Schneiderman, N. Assessing the reliability and validity of the John Henry Active Coping Scale in an urban sample of African Americans and White Americans. Ethnicity & Health 8:147-61, 2003. Kline, KA, Saab, PG, Llabre, MM, Spitzer, SB, Evans, JD, McDonald, PAG, and Schneiderman, N. Hemodynamic response patterns: Responder type differences in reactivity and recovery. Psychophysiology 39:739-46, 2003. HIGHLIGHTS/DISCOVERIES • Maintaining an optimistic outlook is associated with greater NKCC by way of greater emotional expression. • Perceived stress management skills mediate improvements in mood and QOL during the CBSM intervention. • Intervention-related gains in QOL may be paralleled by gonadal hormone (testosterone) changes. GAIL S. SHOR-POSNER, PH.D. Professor of Psychiatry and Behavioral Sciences DESCRIPTION OF RESEARCH Dr. Shor-Posner is funded by the NCI as part of the Women’s Intervention Nutrition Study (WINS). She received this funding for the Low Fat Diet and Breast Cancer Recurrence/Outcome Trial. The goal of this multi-site project is to determine whether a program of dietary fat intake reduction, provided in addition to defined adjuvant therapy, will effectively prolong diseasefree survival for patients between 48 and 78 years of age with early stage breast cancer. The study is ongoing, and a proposal has been submitted for continuation until 2007. 28 UM/Sylvester Comprehensive Cancer Center Scientific Report 2004
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G L O S S A R Y IFN—interferon IL
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