Evidence map›Paper›PMID 26916219›Full record

ArticleBrain, behavior, and immunity2016

Emotional acceptance, inflammation, and sickness symptoms across the first two years following breast cancer diagnosis.

Rebecca G Reed, Karen L Weihs, David A Sbarra, Elizabeth C Breen, Michael R Irwin, Emily A Butler

Abstract read
In one paragraph

Article in Brain, behavior, and immunity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.2field-weighted citation impact, top 27% of its field
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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Review
  3. Negative affect and peripheral inflammation: The role of cognitive reappraisal and expressive suppression.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  4. Emotion regulation as a protective factor in the association between stress and inflammation in older adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
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  11. Night shift schedule alters endogenous regulation of circulating cytokines.Neurobiology of sleep and circadian rhythms · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. Acceptance, social support, benefit-finding, and depression in women with gynecological cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Rebecca G ReedDivision of Family Studies and Human Development, College of Agriculture and Life Sciences, The University of Arizona, Tucson, AZ, USA; Department of Psychology, College of Arts and Sciences, University of Kentucky, Lexington, KY, USA. Electronic address: rebecca.reed@uky.edu.
Karen L WeihsDepartment of Psychiatry, College of Medicine, The University of Arizona, Tucson, AZ, USA.
David A SbarraDepartment of Psychology, College of Social and Behavioral Sciences, The University of Arizona, Tucson, AZ, USA.
Elizabeth C BreenCousins Center for Psychoneuroimmunology, University of California, Los Angeles, CA, USA.
Michael R IrwinCousins Center for Psychoneuroimmunology, University of California, Los Angeles, CA, USA.
Emily A ButlerDivision of Family Studies and Human Development, College of Agriculture and Life Sciences, The University of Arizona, Tucson, AZ, USA.
University of Arizona · USUniversity of California, Los Angeles · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Emotion Regulation and Depression in Breast Cancer SurvivorshipR01CA133081 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI STANTON, ANNETTE L, WEIHS, KAREN L. · 2009 to 2014
$2.9M
NCI NIH HHS P30 CA023074NCI NIH HHS R01 CA133081
6 · The paper itself

Abstract

purposeBreast cancer diagnosis and treatment are associated with increased inflammatory activity, which can induce sickness symptoms. We examined whether emotional acceptance moderates the association between proinflammatory cytokines and self-reported sickness symptoms in women recently diagnosed with breast cancer.

methodsWomen (N=136) diagnosed with stage 0-III breast cancer within the previous 6months provided plasma samples and completed the FACT: Physical Well-Being Scale, as well as the Acceptance of Emotion Scale every 3months for 2years. At each time point, we quantified interleukin (IL)-6, IL-8, IL-10, and tumor necrosis factor (TNF)-α using a high sensitivity multiplex assay.

resultsHigher within-subject mean TNF-α across all time-points predicted higher mean sickness symptoms. At individual time-points, higher IL-6 and IL-8 levels were associated with higher sickness symptoms. Mean emotional acceptance across all time-points moderated the relationship between mean IL-8 and sickness symptoms, with sickness symptoms remaining persistently high in women with low emotional acceptance even when IL-8 levels were low. At individual time-points, emotional acceptance positively moderated the correlations of IL-8 and TNF-α with sickness symptoms, such that the associations between higher levels of these proinflammatory cytokines and higher sickness symptoms were attenuated when emotional acceptance was high.

conclusionEmotional acceptance was shown for the first time to moderate the associations of cytokines with sickness symptoms in breast cancer patients over time following diagnosis and treatment. The association between emotional acceptance and sickness symptoms was significantly different from zero but relatively small in comparison to the range of sickness symptoms. Results suggest that targeting emotion regulation may help to break the cycle between inflammation and sickness symptoms in women with breast cancer.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsCytokinesEmotionsFemaleFollow-Up StudiesHumansIllness BehaviorInflammationMiddle AgedSelf-ControlCytokinesBreast cancerEmotion regulationInflammationProinflammatory cytokinesSickness symptoms

Identifiers

PMID26916219
PMCPMC4917434
OpenAlexW2274790091

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.