Evidence map›Paper›PMID 20146038›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2010

Positive psychology in cancer care: bad science, exaggerated claims, and unproven medicine.

James C Coyne, Howard Tennen

Abstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Review of the application of positive psychology to substance use, addiction, and recovery research.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2013
    Pooled it
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  3. Hope, optimism and survival in a randomised trial of chemotherapy for metastatic colorectal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
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  5. High Levels of Well-Being and Being Infected With the COVID-19 Virus Predicted Post-Traumatic Growth in Healthcare Workers.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

James C CoyneDepartment of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market St., Philadelphia, PA 19106, USA. jcoyne@mail.med.upenn.edu
Howard Tennen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClaims of positive psychology about people with cancer enjoy great popularity because they seem to offer scientific confirmation of strongly held cultural beliefs and values. PURPOSE: Our goal is to examine critically four widely accepted claims in the positive psychology literature regarding adaptational outcomes among individuals living with cancer.

methodsWe examine: (1) the role of positive factors, such as a "fighting spirit" in extending the life of persons with cancer; (2) effects of interventions cultivating positive psychological states on immune functioning and cancer progression and mortality; and evidence concerning (3) benefit finding and (4) post-traumatic growth following serious illness such as cancer and other highly threatening experiences.

resultsClaims about these areas of research routinely made in the positive psychology literature do not fit with available evidence. We note in particular the incoherence of claims about the adaptational value of benefit finding and post-traumatic growth among cancer patients, and the implausibility of claims that interventions that enhance benefit finding improve the prognosis of cancer patients by strengthening the immune system.

conclusionWe urge positive psychologists to rededicate themselves to a positive psychology based on scientific evidence rather than wishful thinking.

Indexed as

Adaptation, PsychologicalAffectPsychological TheoryPsychophysiologyCultural CharacteristicsEvidence-Based MedicineHumansNeoplasmsPrognosisSurvivalTreatment Outcome

Identifiers

PMID20146038
PMCPMC2858800

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.