Skip to main content

Personality and Stress as Causal Factors in Cancer and Coronary Heart Disease

  • Chapter
Individual Differences, Stress, and Health Psychology

Part of the book series: Contributions to Psychology and Medicine ((CONTRIBUTIONS))

Abstract

In this chapter, Eysenck relates that since the times of Hippocrates and Galen there has been the tradition in medicine that certain personality characteristics are related to specific diseases. For example, the lack of emotional expression and feelings of impotence in the presence of unavoidable stress are characteristics attributed to victims of cancer. Cancer and heart disease are the focus here, as the evidence of consistent but contrasting personality characteristics being related to each is described. Past attempts at research in this area are criticized for their lack of theory, as Eysenck emphasizes the importance of putting forward hypotheses that can be tested, rather than pointing to correlations that cannot be interpreted causally. The bulk of the paper is given over to a description of two large-scale prospective studies, in two different parts of Europe: Crevenka, Yugoslavia and Heidelberg, West Germany. The striking thing about the two studies is the remarkable similarity of the data with relating personality characteristics and cancer/cardiovascular disease. Subjects were divided into four broad categories, the principal ones being Type I (cancer-prone—hopelessness, helplessness, depressive feelings, and repression in the face of stress) and Type II (coronary-prone—responding to stress with emotional expression, anger, irritation, and having unstable emotional relations). The hypothesized relationship was demonstrated. In both samples, Type I subjects were more likely than others to die of cancer, while Type II subjects were more like to suffer mortality due to infarct or stroke.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Beck, A.T. (1976). Cognitive therapy and the emotional disorder. New York: International Universities Press.

    Google Scholar 

  • Derogatis, L.R., Abelott, M.D., & Melisaratos, N. (1979). Psychological coping mechanisms and survival time in metastatic breast cancer. Journal of the American Medical Association, 242, 1504–1509.

    Article  PubMed  Google Scholar 

  • Eysenck, H.J. (1983). Stress, disease and personality: The “inoculation effect.” In C.L. Cooper (Ed.), Stress and research (pp. 121–146). New York: John Wiley & Sons.

    Google Scholar 

  • Eysenck, H.J. (1984). Personality, stress and lung cancer. In S. Rachman (Ed.), Contributions to medical psychology, Vol 3 (pp. 151–171). Oxford: Pergamon Press.

    Google Scholar 

  • Eysenck, H.J. (1985a). Personality, cancer and cardiovascular disease: A causal analysis. Personality and Individual Differences, 5, 535–557.

    Article  Google Scholar 

  • Eysenck, H.J. (1985b). Smoking and health. In R. Tollison (Ed.), Smoking and society (pp. 17–88). Lexington, MA: D.C. Heath.

    Google Scholar 

  • Eysenck, H.J. (1987a). Anxiety, “learned helplessness” and cancer—A causal theory. Journal of Anxiety Disorders, 1, 87–104.

    Article  Google Scholar 

  • Eysenck, H.J. (1987b). Personality as a predictor of cancer and cardiovascular disease and the application of behaviour therapy in prophylaxis. European Journal of Psychiatry, 1, 29–41.

    Google Scholar 

  • Eysenck, H.J. (1988) (in press). The respective importance of personality, cigarette smoking and interaction effects for the genesis of cancer and coronary heart disease. Personality and Individual Differences, 9 (in press).

    Google Scholar 

  • Eysenck, H.J., & Fulker, D. (1983). The components of Type A behaviour and its genetic determinants. Personality and Individual Differences, 5, 499–505.

    Article  Google Scholar 

  • Friedman, M.D., Thoresen, C.E., Gill, J.J., Powell, L.H., Ulmer, D., Thompson, L., Price, V.A., Rabin, D.D., Brell, W.S., Dixon, T., Levy, R, & Bourg, E. (1984). Alterations of Type A behavior and reduction in cardiac recurrences in post-myocardial infarction patients. American Heart Journal, 108, 237–248.

    Article  PubMed  Google Scholar 

  • Friedman, M., Thoresen, C., Gill, J., Ulmer, D., Powell, L.H., Price, V., Brown, B., Thompson, L., Rabin, D., Breall, W., Bourg, E., Levy, R., & Dixon, T. (1986). Alteration of Type A behaviour and its effect on cardiac recurrences in post-myocardial infarction patients: Summary results of the recurrent coronary prevention project. American Heart Journal, 112, 653–665.

    Article  PubMed  Google Scholar 

  • Gabrielson, A.E., & Good, R.A. (1985). Chemical suppression of adaptive immunity. Advances in Immunology, 110, 503–514.

    Google Scholar 

  • Gill, J.J., Price, V.A., Thoreson, C., Powell, L., Ulmer, D., Brown, B., Drews, F., & Friedman, M. (1985). Reduction in Type A behaviour in healthy middle-aged Australian military officers. American Heart Journal, 110, 503–514.

    Article  PubMed  Google Scholar 

  • Gisler, R.H. (1974). Stress and the hormonal regulation of the immune response in mice. Psychotherapy and Psychosomatics, 223, 197.

    Article  Google Scholar 

  • Greenberg, A., Dyck, D., & Sandler, L. (1984). Opponent processes, neurohormones and natural resistance. In B. Fox & B. Newberry (Eds.), Psychoneuroendocrine systems in cancer and immunity (pp. 97–124). Toronto: Hogrefe.

    Google Scholar 

  • Greer, S., Morris, T., & Pettingale, K. (1979). Psychological response to breast cancer: Effect and outcome. Lancet, 2, 785–787.

    Article  PubMed  Google Scholar 

  • Greer, S., Morris, T., Pettingale, K., & Haylittle, J. (1985). Mental attitudes to cancer: An additional prognostic factor. Lancet, 1, 750.

    PubMed  Google Scholar 

  • Grossarth-Maticek, R. (1980). Synergic effects of cigarette smoking, systonic blood pressure, and psychosocial risk factors for lung cancer, cardiac infarct and apoplexi cerebri. Psychotherapy and Psychosomatics, 34, 267–272.

    Article  PubMed  Google Scholar 

  • Grossarth-Maticek, R., Eysenck, H.J., & Vetter, H. (1987). (in press). Personality type, cancer and coronary heart disease. Personality and Individual Differences.

    Google Scholar 

  • Grossarth-Maticek, R., Eysenck, H.J., Vetter, H., & Frentzel-Beyme, R. (1986). The Heidelberg prospective intervention study. Paper presented at the First International Symposium on Primary Prevention and Cancer, Antwerp, Belgium, March 1922.

    Google Scholar 

  • Grossarth-Maticek, R., Kanazir, D.T., Schmidt, P., & Vetter, H. (1982). Psychosomatic factors in the process of cancerogenesis. Psychotherapy and Psychosomatics, 28, 284–302.

    Article  Google Scholar 

  • Grossarth-Maticek, R., Kanazir, D.T., Schmidt, P., Vetter, H., & Jankovic, M. (1983). Psychosomatic factors in the process of cancerogenesis. Psychotherapy and Psychosomatics, 39, 94–105.

    Article  PubMed  Google Scholar 

  • Jensen, G. (1984). Psychobiological factors in the prognosis and treatment of neoplastic disorder. Unpublished doctoral dissertation, Department of Psychology, Yale University, New Haven, CT. Quoted in Levy, 1985.

    Google Scholar 

  • Kanazir, D., Djordjevic-Markovic, R., & Grossarth-Maticek, R. (1984). Psychosocial factors, emotional stress, steroid hormones and carcinogenesis: Molecular aspects, facts and speculations. In Y.A. Ouchinnikov (Ed.), Progress in biorganic chemistry and molecular biology (pp. 509–530). Amsterdam: Elsevier Science Publishers.

    Google Scholar 

  • Kissen, D.M., & Eysenck, H.J. (1962). Personality in male lung cancer patients. J Psychosomatic Research, 6, 123–137.

    Article  Google Scholar 

  • Laudenslager, M.L., Ryan, S.M., Drugan, R.C., Higson, R.L., & Maier, S.F. (1983). Coping and immunosupression. Inescapable but not escapable shock suppresses lymphocyte proliferation. Science, 221, 568–570.

    Article  PubMed  Google Scholar 

  • Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.

    Google Scholar 

  • Levy, S. (1985). Behaviour and cancer. London: Jossey-Bass Publishers.

    Google Scholar 

  • Lovibond, S.H., Bifrell, P., & Langeluddecke, P. (1986). Changing coronary heart disease risk-factor status: The effects of three behavioural programs. Journal of Behavioural Medicine, 9, 415–437.

    Article  Google Scholar 

  • Northey, W.T. (1965). Studies on the interrelationship of cold environment, immunity and resistance to infection. 1. Qualitative and quantitative studies on the immune response. Journal of Immunology, 94, 649.

    Google Scholar 

  • Patel, C., Mammot, M.G., Terry, D.J., Carruthers, M., Hunt, B., & Patel, M. (1985). Trial of relaxation in reducing coronary risks: A four-year follow-up. British Medical Journal, 290, 1103–1106.

    Article  PubMed  Google Scholar 

  • Rodin, J. (1980). Managing the stress of aging: The role of control and coping. In S. Levine, & H. Ursin, (Eds.), Coping and health (pp. 193–204). New York: Plenum Press.

    Google Scholar 

  • Rodin, J. (1986). Health, control and aging. In M.M. Bakes & P.B. Baltes (Eds.), Aging and the psychology of control (pp. 113–129). Hillsdale, NJ: Plenum Press.

    Google Scholar 

  • Rogentine, N., Daniel P., Fox, B., Docherty, J.P., Rosenblatt, J., Boyd, S., & Bunney, W. (1979). Psychological factors in the prognosis of malignant melanoma: A prospective study. Psychosomatic Medicine, 41, 647–655.

    PubMed  Google Scholar 

  • Rose, J.E.M. St., & Sabiston, B.H. (1971). Effects of cold exposure on the immunologic response of rabbits to human serum albumin. Journal of Immunology, 107, 339.

    Google Scholar 

  • Schmidt, P. (1984). Autoritarismus, Entfremdung und psychosomatische Krebsforschung: Explikation der drei Forschungs—programme durch eine allgemeine Theorie und empirische Tests mittels strukturvergleichung [Authoritarianism, alienation and psychosomatic study of cancer: Explication of three programs of investigation—in terms of general theory and empirical tests using the comparison of structures.] Unpublished doctoral thesis, University of Giessen, Giessen, West Germany.

    Google Scholar 

  • Shavit, J., Gale, R.P., & Liebeskind, J.C. (1984). Opioid peptides mediate the suppressive effect of stress in natural killer cell cytotoxicity. Science, 273, 188–190.

    Article  Google Scholar 

  • Sklar, L., & Anisman, H. (1981). Stress and cancer. Psychological Bulletin, 89, 309–406.

    Article  Google Scholar 

  • Solomon, G.F. (1969). Stress and antibody response in rats. Internat Archives of Illness, 9, 35, 97.

    Google Scholar 

  • Timiras, P.S. (1972). Developmental physiology and aging. New York: Macmillan.

    Google Scholar 

  • Visintainer, M.A., & Casey, R. (1984). Adjustment and outcome in melanoma patients. Paper presented at meeting of the American Psychological Association, Toronto. Quoted by Levy, 1985.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Eysenck, H.J. (1988). Personality and Stress as Causal Factors in Cancer and Coronary Heart Disease. In: Janisse, M.P. (eds) Individual Differences, Stress, and Health Psychology. Contributions to Psychology and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3824-9_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-3824-9_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8367-6

  • Online ISBN: 978-1-4612-3824-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics