{"id":"https://openalex.org/W4414856495","doi":"https://doi.org/10.31435/ijitss.3(47).2025.3665","title":"PSYCHOLOGICAL STRESS AND CANCER PROGRESSION","display_name":"PSYCHOLOGICAL STRESS AND CANCER PROGRESSION","publication_year":2025,"publication_date":"2025-09-30","ids":{"openalex":"https://openalex.org/W4414856495","doi":"https://doi.org/10.31435/ijitss.3(47).2025.3665"},"language":"en","primary_location":{"id":"doi:10.31435/ijitss.3(47).2025.3665","doi":"https://doi.org/10.31435/ijitss.3(47).2025.3665","is_oa":true,"landing_page_url":"https://doi.org/10.31435/ijitss.3(47).2025.3665","pdf_url":"https://rsglobal.pl/index.php/ijitss/article/download/3665/3192","source":{"id":"https://openalex.org/S4210206754","display_name":"International Journal of Innovative Technologies in Social Science","issn_l":"2544-9338","issn":["2544-9338","2544-9435"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["erih-plus","poland-20"],"host_organization":"https://openalex.org/I4210100292","host_organization_name":"RS Global (Poland)","host_organization_lineage":["https://openalex.org/I4210100292"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Innovative Technologies in Social Science","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://rsglobal.pl/index.php/ijitss/article/download/3665/3192","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102940338","display_name":"Agnieszka Kwiatkowska","orcid":"https://orcid.org/0009-0005-6598-9416","observed_orcids":["https://orcid.org/0009-0005-6598-9416"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Agnieszka Kwiatkowska","raw_affiliation_strings":["Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0005-6598-9416","affiliations":[{"raw_affiliation_string":"Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115066958","display_name":"Konrad Stru\u017cek","orcid":"https://orcid.org/0009-0000-3146-5132","observed_orcids":["https://orcid.org/0009-0000-3146-5132"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Konrad Stru\u017cek","raw_affiliation_strings":["Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0000-3146-5132","affiliations":[{"raw_affiliation_string":"Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119587804","display_name":"Ewelina M\u0105czka","orcid":"https://orcid.org/0000-0002-2597-2653","observed_orcids":["https://orcid.org/0000-0002-2597-2653"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ewelina M\u0105czka","raw_affiliation_strings":["University Clinical Hospital No. 1, Lublin, Poland"],"raw_orcid":"https://orcid.org/0000-0002-2597-2653","affiliations":[{"raw_affiliation_string":"University Clinical Hospital No. 1, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039278290","display_name":"Wiktor Tracz","orcid":"https://orcid.org/0009-0002-0192-2026","observed_orcids":["https://orcid.org/0009-0002-0192-2026"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wiktor Tracz","raw_affiliation_strings":["University Clinical Hospital No. 1, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0002-0192-2026","affiliations":[{"raw_affiliation_string":"University Clinical Hospital No. 1, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110174373","display_name":"Patrycja \u015awiercz","orcid":"https://orcid.org/0009-0005-6389-2960","observed_orcids":["https://orcid.org/0009-0005-6389-2960"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Patrycja \u015awiercz","raw_affiliation_strings":["Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0005-6389-2960","affiliations":[{"raw_affiliation_string":"Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119587805","display_name":"Kinga Teper","orcid":"https://orcid.org/0009-0002-4326-5749","observed_orcids":["https://orcid.org/0009-0002-4326-5749"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kinga Teper","raw_affiliation_strings":["University Clinical Hospital No. 1, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0002-4326-5749","affiliations":[{"raw_affiliation_string":"University Clinical Hospital No. 1, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119588509","display_name":"Sandra Khiralla-Gawlik","orcid":"https://orcid.org/0009-0009-6894-9099","observed_orcids":["https://orcid.org/0009-0009-6894-9099"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sandra Khiralla-Gawlik","raw_affiliation_strings":["Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0009-6894-9099","affiliations":[{"raw_affiliation_string":"Stefan Cardinal Wyszy\u0144ski Independent Public Regional Specialist Hospital, Lublin, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024677546","display_name":"Aleksandra Anna Strzelecka","orcid":"https://orcid.org/0009-0007-2361-5007","observed_orcids":["https://orcid.org/0009-0007-2361-5007","https://orcid.org/0009-0003-6621-444X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aleksandra Anna Strzelecka","raw_affiliation_strings":["University Clinical Hospital No. 1, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0007-2361-5007","affiliations":[{"raw_affiliation_string":"University Clinical Hospital No. 1, Lublin, Poland","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085700296","display_name":"Aleksandra Ewa Basak","orcid":"https://orcid.org/0009-0000-6769-7082","observed_orcids":["https://orcid.org/0009-0000-6769-7082"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aleksandra Ewa Basak","raw_affiliation_strings":["University Clinical Hospital No. 1, Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0000-6769-7082","affiliations":[{"raw_affiliation_string":"University Clinical Hospital No. 1, Lublin, Poland","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":100,"currency":"USD","value_usd":100},"apc_paid":{"value":100,"currency":"USD","value_usd":100},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.26513346,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":"3(47)","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12626","display_name":"Cancer, Stress, Anesthesia, and Immune Response","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12626","display_name":"Cancer, Stress, Anesthesia, and Immune Response","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10529","display_name":"Stress Responses and Cortisol","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2802","display_name":"Behavioral Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/psychological-stress","display_name":"psychological stress","score":0.9729999899864197},{"id":"https://openalex.org/keywords/chronic-stress","display_name":"chronic stress","score":0.9160000085830688},{"id":"https://openalex.org/keywords/tumor-progression","display_name":"tumor progression","score":1.0},{"id":"https://openalex.org/keywords/metastasis","display_name":"metastasis","score":0.7649999856948853},{"id":"https://openalex.org/keywords/treatment-resistance","display_name":"treatment resistance","score":0.7390000224113464},{"id":"https://openalex.org/keywords/hypothalamic-pituitary-adrenal-axis","display_name":"hypothalamic-pituitary-adrenal axis","score":0.8849999904632568},{"id":"https://openalex.org/keywords/sympathetic-nervous-system","display_name":"sympathetic nervous system","score":0.8190000057220459},{"id":"https://openalex.org/keywords/cortisol","display_name":"cortisol","score":0.972000002861023},{"id":"https://openalex.org/keywords/catecholamines","display_name":"catecholamines","score":0.9990000128746033},{"id":"https://openalex.org/keywords/antitumor-immunity","display_name":"antitumor immunity","score":0.8220000267028809},{"id":"https://openalex.org/keywords/chronic-inflammation","display_name":"chronic inflammation","score":0.6980000138282776},{"id":"https://openalex.org/keywords/tumor-microenvironment","display_name":"tumor microenvironment","score":0.9990000128746033},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.9089999794960022},{"id":"https://openalex.org/keywords/ovarian-cancer","display_name":"ovarian cancer","score":1.0},{"id":"https://openalex.org/keywords/psychosocial-interventions","display_name":"psychosocial interventions","score":0.9169999957084656},{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.9890000224113464},{"id":"https://openalex.org/keywords/mindfulness-based-stress-reduction","display_name":"mindfulness-based stress reduction","score":0.9990000128746033}],"concepts":[{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6837999820709229},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6539999842643738},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6338000297546387},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.6292999982833862},{"id":"https://openalex.org/C38042653","wikidata":"https://www.wikidata.org/wiki/Q1500332","display_name":"Psychoneuroimmunology","level":3,"score":0.6280999779701233},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5676000118255615},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.49540001153945923},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.4659000039100647},{"id":"https://openalex.org/C60644358","wikidata":"https://www.wikidata.org/wiki/Q128570","display_name":"Bioinformatics","level":1,"score":0.423799991607666},{"id":"https://openalex.org/C2780015598","wikidata":"https://www.wikidata.org/wiki/Q3500368","display_name":"Psychological stress","level":2,"score":0.4097999930381775},{"id":"https://openalex.org/C2776107976","wikidata":"https://www.wikidata.org/wiki/Q1786433","display_name":"Tumor microenvironment","level":3,"score":0.40389999747276306},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.36899998784065247},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.34709998965263367},{"id":"https://openalex.org/C2779256057","wikidata":"https://www.wikidata.org/wiki/Q16909647","display_name":"Tumor progression","level":3,"score":0.3467000126838684},{"id":"https://openalex.org/C8891405","wikidata":"https://www.wikidata.org/wiki/Q1059","display_name":"Immune system","level":2,"score":0.3334999978542328},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.329800009727478},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3246999979019165},{"id":"https://openalex.org/C128544194","wikidata":"https://www.wikidata.org/wiki/Q474859","display_name":"Translational research","level":2,"score":0.3142000138759613},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.30730000138282776},{"id":"https://openalex.org/C96526673","wikidata":"https://www.wikidata.org/wiki/Q4867047","display_name":"Basic science","level":2,"score":0.3050999939441681},{"id":"https://openalex.org/C2780427987","wikidata":"https://www.wikidata.org/wiki/Q172341","display_name":"Ovarian cancer","level":3,"score":0.29580000042915344},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.29499998688697815},{"id":"https://openalex.org/C2778654844","wikidata":"https://www.wikidata.org/wiki/Q3305232","display_name":"Chronic stress","level":2,"score":0.29499998688697815},{"id":"https://openalex.org/C2909088125","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychological therapy","level":3,"score":0.29339998960494995},{"id":"https://openalex.org/C140608501","wikidata":"https://www.wikidata.org/wiki/Q7318358","display_name":"Review article","level":2,"score":0.29120001196861267},{"id":"https://openalex.org/C89611455","wikidata":"https://www.wikidata.org/wiki/Q6804646","display_name":"Mechanism (biology)","level":2,"score":0.2897000014781952},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.27469998598098755},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2711000144481659},{"id":"https://openalex.org/C2780275930","wikidata":"https://www.wikidata.org/wiki/Q1628266","display_name":"Hormone therapy","level":4,"score":0.26489999890327454},{"id":"https://openalex.org/C197253505","wikidata":"https://www.wikidata.org/wiki/Q7256391","display_name":"Psychological well-being","level":2,"score":0.2623000144958496},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.2556000053882599}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.31435/ijitss.3(47).2025.3665","doi":"https://doi.org/10.31435/ijitss.3(47).2025.3665","is_oa":true,"landing_page_url":"https://doi.org/10.31435/ijitss.3(47).2025.3665","pdf_url":"https://rsglobal.pl/index.php/ijitss/article/download/3665/3192","source":{"id":"https://openalex.org/S4210206754","display_name":"International Journal of Innovative Technologies in Social Science","issn_l":"2544-9338","issn":["2544-9338","2544-9435"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["erih-plus","poland-20"],"host_organization":"https://openalex.org/I4210100292","host_organization_name":"RS Global (Poland)","host_organization_lineage":["https://openalex.org/I4210100292"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Innovative Technologies in Social Science","raw_type":"journal-article"},{"id":"pmh:oai:rspublisher.org:article/3665","doi":null,"is_oa":true,"landing_page_url":"https://rspublisher.org/index.php/ijitss/article/view/3665","pdf_url":"https://rspublisher.org/index.php/ijitss/article/download/3665/3192","source":{"id":"https://openalex.org/S4306402503","display_name":"RS Global journals (RS Global Sp. z O.O.)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210100292","host_organization_name":"RS Global (Poland)","host_organization_lineage":["https://openalex.org/I4210100292"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"2544-9338","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:ojs2.rsglobal.pl:article/3665","doi":null,"is_oa":true,"landing_page_url":"https://rsglobal.pl/index.php/ijitss/article/view/3665","pdf_url":null,"source":{"id":"https://openalex.org/S4306402503","display_name":"RS Global journals (RS Global Sp. z O.O.)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210100292","host_organization_name":"RS Global (Poland)","host_organization_lineage":["https://openalex.org/I4210100292"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"2544-9338","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.31435/ijitss.3(47).2025.3665","doi":"https://doi.org/10.31435/ijitss.3(47).2025.3665","is_oa":true,"landing_page_url":"https://doi.org/10.31435/ijitss.3(47).2025.3665","pdf_url":"https://rsglobal.pl/index.php/ijitss/article/download/3665/3192","source":{"id":"https://openalex.org/S4210206754","display_name":"International Journal of Innovative Technologies in Social Science","issn_l":"2544-9338","issn":["2544-9338","2544-9435"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["erih-plus","poland-20"],"host_organization":"https://openalex.org/I4210100292","host_organization_name":"RS Global (Poland)","host_organization_lineage":["https://openalex.org/I4210100292"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Innovative Technologies in Social Science","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414856495.pdf","grobid_xml":"https://content.openalex.org/works/W4414856495.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W1821619400","https://openalex.org/W1906194972","https://openalex.org/W1969951942","https://openalex.org/W1972454857","https://openalex.org/W1986400500","https://openalex.org/W2009965585","https://openalex.org/W2012504366","https://openalex.org/W2016570620","https://openalex.org/W2017514184","https://openalex.org/W2017568571","https://openalex.org/W2025845020","https://openalex.org/W2034249705","https://openalex.org/W2051045609","https://openalex.org/W2081107312","https://openalex.org/W2101153293","https://openalex.org/W2104873025","https://openalex.org/W2107567947","https://openalex.org/W2108705681","https://openalex.org/W2118147608","https://openalex.org/W2118618168","https://openalex.org/W2123277906","https://openalex.org/W2131832357","https://openalex.org/W2133441071","https://openalex.org/W2134509878","https://openalex.org/W2139731996","https://openalex.org/W2141382054","https://openalex.org/W2143878365","https://openalex.org/W2151356556","https://openalex.org/W2153303099","https://openalex.org/W2168746889","https://openalex.org/W2170607802","https://openalex.org/W2170674837","https://openalex.org/W3029307431","https://openalex.org/W3075199484","https://openalex.org/W3194639862","https://openalex.org/W3196865736","https://openalex.org/W3214291741","https://openalex.org/W4220694633","https://openalex.org/W4301394077","https://openalex.org/W4319920908","https://openalex.org/W4327981913","https://openalex.org/W4405414765","https://openalex.org/W4406705781"],"related_works":[],"abstract_inverted_index":{"Background:":[0],"Psychological":[1,186],"stress,":[2],"particularly":[3,150],"in":[4,81,154,175,212],"its":[5],"chronic":[6,138],"form,":[7],"is":[8],"increasingly":[9],"recognized":[10],"as":[11,162],"a":[12,209],"factor":[13],"influencing":[14],"cancer":[15,70,116,126,190,213],"progression":[16,71,191],"through":[17,132,192],"complex":[18],"neuroendocrine,":[19],"immunological,":[20],"and":[21,31,41,50,55,72,84,98,104,118,129,137,156,167,179,207],"molecular":[22],"mechanisms.":[23],"Chronic":[24,122],"activation":[25],"of":[26,78,112,141,182],"the":[27,32,63,75,93,110,142],"hypothalamic-pituitary-adrenal":[28],"(HPA)":[29],"axis":[30],"sympathetic":[33],"nervous":[34],"system":[35],"(SNS)":[36],"leads":[37],"to":[38,69,73,108,125],"dysregulated":[39],"cortisol":[40],"catecholamine":[42],"levels,":[43],"which":[44],"suppress":[45],"anti-tumour":[46],"immunity,":[47],"promote":[48],"angiogenesis,":[49],"enhance":[51,204],"tumour":[52,143],"cell":[53],"invasiveness":[54],"metastasis.":[56],"Aim:":[57],"To":[58],"synthesise":[59],"current":[60],"evidence":[61],"on":[62,115],"biological":[64,180,194],"mechanisms":[65],"linking":[66],"psychological":[67,113,177],"stress":[68,114,123,169,187],"highlight":[74],"therapeutic":[76],"potential":[77],"psychosocial":[79],"interventions":[80,160,198],"oncology.":[82],"Material":[83],"methods:":[85],"A":[86],"narrative":[87],"literature":[88],"review":[89],"was":[90],"conducted":[91],"using":[92],"PubMed":[94],"database.":[95],"Relevant":[96],"preclinical":[97],"clinical":[99],"studies":[100],"published":[101],"between":[102],"2000":[103],"2024":[105],"were":[106],"selected":[107],"examine":[109],"influence":[111],"biology":[117],"disease":[119,183],"progression.":[120,148],"Results:":[121],"contributes":[124],"growth,":[127],"metastasis,":[128],"therapy":[130,165],"resistance":[131],"hormonal":[133],"imbalance,":[134],"immune":[135],"suppression,":[136],"inflammation.":[139],"Disruption":[140],"microenvironment":[144],"further":[145],"facilitates":[146],"malignant":[147],"Studies":[149],"emphasize":[151],"these":[152],"effects":[153],"breast":[155],"ovarian":[157],"cancers.":[158],"Psychosocial":[159],"such":[161],"cognitive":[163],"behavioural":[164],"(CBT)":[166],"mindfulness-based":[168],"reduction":[170],"(MBSR)":[171],"have":[172],"demonstrated":[173],"benefits":[174],"both":[176],"well-being":[178],"markers":[181],"activity.":[184],"Conclusions:":[185],"significantly":[188],"impacts":[189],"multiple":[193],"pathways.":[195],"Integrating":[196],"stress-reducing":[197],"into":[199],"standard":[200],"oncological":[201],"care":[202],"may":[203],"patient":[205],"outcomes":[206],"offer":[208],"complementary":[210],"strategy":[211],"management.":[214]},"counts_by_year":[],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2025-10-10T00:00:00"}
