David Spiegel
Datos Biográficos
| ID | 457660 |
|---|---|
| NOMBRE | David Spiegel |
| NOMBRES | David |
| APELLIDO | Spiegel |
| FIRMA | SPIEGEL D |
| AFILIACIONES | Stanford University |
| ORCID | 0000-0002-9476-9173 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 47 |
| TOTAL DE CITAS | 149 |
| TOTAL COMO AUTOR | 46 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 1981 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 7 |
A dyadic stress induction tool for experimental investigation of adult patients with cancer and their family caregivers
BACKGROUND: Medical illnesses are major stressors not only for the patients but also for their family caregivers, yet existing tools are inadequate to assess mechanistic response patterns to such stressors. PURPOSE: We sought to validate a stress induction task that pertains to close relationships and health-related concerns with adult patients with cancer and their family caregivers. METHODS: Patients newly diagnosed with colorectal cancer (n = …
Dyadic Investigation of Posttraumatic Stress Symptoms and Daily Sleep Health in Patients With Cancer and Their Caregivers
OBJECTIVE: Cancer can be a traumatic experience affecting multidimensional aspects of sleep among patients and caregivers. This study examined the differential associations of cancer-related posttraumatic stress symptoms (PTSS) with various sleep markers in this population. METHODS: Patients newly diagnosed with colorectal cancer ( n = 138, mean age = 56.93 years, 31.88% female, 60.14% Hispanic, 6.53 months after diagnosis) and their sleep-partne…
Hypnotic predictors of agency
International Prevalence and Correlates of Psychological Stress during the Global Covid-19 Pandemic
This study reports perceived stress and associated sociodemographic factors from an international sample of adults, during the COVID-19 pandemic. The Perceived Stress Scale (PSS-10) along with socio-demographic questions were conducted between 8 April 2020 and 11 May 2020. The survey was translated from English into five languages. Recruitment was conducted worldwide using social media. A total of 1685 survey responses were collected across 57 co…
Distress and quality of life in an ethnically diverse sample awaiting breast cancer surgery
Poor breast cancer-related quality of life is associated with flattened cortisol rhythms and inflammation in breast cancer survivors and women with advanced disease. We explored the associations of cancer-specific distress (Impact of Events Scale), mood (Profile of Mood States), activity/sleep (wake after sleep onset, 24-hour autocorrelation coefficient) and cortisol (diurnal slope) circadian rhythms, and inflammation (interleukin-6) with quality…
Longitudinal Association of Poor Sleep Quality With Chemotherapy-Induced Nausea and Vomiting in Patients With Breast Cancer
OBJECTIVE: Risk factors for chemotherapy-induced nausea and vomiting (CINV) include older age, female sex, alcohol consumption, and a history of motion sickness. Although gastrointestinal symptoms are found to be related with sleep and mood in other conditions, little is known about their effects on CINV. METHODS: This prospective observational study recruited patients with early-stage breast cancer who had recovered from surgery before receiving…
Psychische Belastungen bei Krebserkrankungen
Higher Vagal Activity as Related to Survival in Patients With Advanced Breast Cancer
OBJECTIVE: High levels of high-frequency heart rate variability (HF-HRV), related to parasympathetic-nervous-system functioning, have been associated with longer survival in patients with myocardial infarction and acute trauma and in patients undergoing palliative care. From animal studies linking higher vagal activity with better immune system functioning and reduced metastases, we hypothesized that higher HF-HRV would predict longer survival in…
Surveying country alignment to the WHO strategy on Patient Centered and Integrated Health Services and Surgical Care / Investigando el alineamiento de los paisesa estrategia de la OMS centrada en el p…
The World Health Organization (WHO) has recently promoted a strategy focusing on people-centered and integrated health services (PCIHS). There has also been increasing recognition that surgical services are an important component of integrated care. The goals of this study were to determine: 1) the extent to which the national health plans or strategies are in alignment with the PCIHS strategic directions, and 2) whether and how surgical care has…
Reality versus fantasy
We respond to Lynn et al.'s (2014) comments on our review (Dalenberg et al., 2012) demonstrating the superiority of the trauma model (TM) over the fantasy model (FM) in explaining the trauma-dissociation relationship. Lynn et al. conceded that our meta-analytic results support the TM hypothesis that trauma exposure is a causal risk factor for the development of dissociation. Although Lynn et al. suggested that our meta-analyses were selective, we…
Disorders of Extreme Stress
In this chapter we review the concepts of stress and trauma and describe conditions within the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders–Fourth Edition (DSM-IV; APA, 1994, 2000) that include trauma as an etiological criterion (i.e., acute stress disorder and posttraumatic stress disorder or PTSD), as well as disorders strongly associated with extreme stress and trauma—namely, the dissociative a…
Evaluation of the evidence for the trauma and fantasy models of dissociation
The relationship between a reported history of trauma and dissociative symptoms has been explained in 2 conflicting ways. Pathological dissociation has been conceptualized as a response to antecedent traumatic stress and/or severe psychological adversity. Others have proposed that dissociation makes individuals prone to fantasy, thereby engendering confabulated memories of trauma. We examine data related to a series of 8 contrasting predictions b…
Perceived Benefits and Psychosocial Outcomes of a Brief Existential Family Intervention for Cancer Patients/Survivors
This study assessed a range of benefits from participation in a brief existential intervention consisting of a semi-structured videotaped interview with cancer patients and their families designed to illuminate a life legacy for the family (the Life Tape Project [LTP]). Results indicated the majority reported intervention-specific benefits, especially in the areas of symbolic immortality (passing on personal values and philosophy), self-reflectio…
A comparison of trauma-focused and present-focused group therapy for survivors of childhood sexual abuse
This randomized controlled trial compared trauma-focused group psychotherapy (TFGT) with presentfocused group psychotherapy (PFGT) and a waitlist condition for 166 survivors of childhood sexual abuse who were at risk for HIV infection. Primary outcomes included risk for HIV infection (based on sexual revictimization, drug and alcohol use, and risky sex) and posttraumatic stress disorder (PTSD) symptoms. It was hypothesized that TFGT would be supe…
Use and misuse of the consolidated standards of reporting trials (Consort) guidelines to assess research findings
The basic principles underlying randomized clinical trials have been known for more than 50 years. The Consolidated Standards of Reporting Trials (CONSORT) guidelines, published in 1996 and based on those principles, are a valuable guide to what needs to be reported from any trial within word-limit constraints, but they do not provide guidelines to the decisions that have to be made to generate a trial with credible results. Using these guideline…
Spiritual Striving, Acceptance Coping, and Depressive Symptoms among Adults Living with HIV/Aids
We prospectively examined the effects of spiritual striving, social support, and acceptance coping on changes in depressive symptoms among adults living with HIV/AIDS. Participants were 180 culturally diverse adults with HIV/AIDS. Participants completed measures of spiritual striving, social support, coping styles, and depressive symptoms at baseline, three-month follow-up, and six-month follow-up. A path model showed that spiritual striving had …
Conducting Internet-Based HIV/STD Prevention Survey Research
Effects of Age on Responsiveness to Adjunct Hypnotic Analgesia During Invasive Medical Procedures
OBJECTIVES: To assess the effects of age on responsiveness to self-hypnotic relaxation as an analgesic adjunct in patients undergoing invasive medical procedures. MATERIAL AND METHODS: Secondary data analysis from a prospective trial with 241 patients randomized to receive hypnosis, attention, and standard care treatment during interventional radiological procedures. Growth curve analyses, hierarchical linear regressions, and logistic regressions…
Psychophysiological and Cortisol Responses to Psychological Stress in Depressed and Nondepressed Older Men and Women With Elevated Cardiovascular Disease Risk
Objective: The objective of this study was to compare psychophysiological and cortisol reactions to psychological stress in older depressed and nondepressed patients at risk for cardiovascular disease (CVD). Methods: Forty-eight depressed participants and 20 controls with elevated cardiovascular risk factors underwent a psychological stress test during which cardiovascular variables were measured. Salivary cortisol was collected after each test s…
Depression and Stress Reactivity in Metastatic Breast Cancer
Objective: Cancer-related distress due to the psychological and physical challenges of metastatic breast cancer (MBC) may result in symptoms of depression, which negatively affects quality and may influence quantity of life. This study investigated how depression affects MBC stress reactivity, including autonomic (ANS) and hypothalamic–pituitary–adrenal (HPA) axis function. Method: Forty-five nondepressed and 45 depressed patients with MBC underw…
The Life Tape Project
Cancer poses a powerful threat to the emotional equilibrium of patients and their families. A key role of the family and medical team is to provide a supportive environment as the patient confronts the reality of death. Few interventions have been developed to help families support patients in dealing with fears of death and dying. We present one such approach, the Life Tape Project (LTP), that helps bring families closer together, increases comm…
Loneliness within a nomological net
Effects of Quality of Life and Coping on Depression among Adults Living with HIV/Aids
This prospective study examined the effect of maladaptive coping strategies and psychological quality of life (QOL) on depression at two time points in a diverse sample of persons living with HIV/AIDS ( N = 85). The use of maladaptive coping strategies to deal with the stress of living with HIV/AIDS, particularly engaging in various kinds of avoidant behaviors, was significantly associated with greater depression at baseline and increased depress…
Cancer, Culture, and Communication
clinical trials, pediatric oncology, QOL, and the development of novel therapies for
Psychological Distress and Pain Significantly Increase Before Death in Metastatic Breast Cancer Patients
OBJECTIVE: This study was designed to examine the course of psychological distress and pain from study entry to death in 59 women with metastatic breast cancer participating in a randomized trial of the effects of group psychotherapy on psychosocial outcomes and survival. It was hypothesized that psychological distress would increase significantly before death independent of changes in pain. METHOD: Data were collected as part of a larger study (…
Loneliness within a nomological net
The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer
Spiritual Striving, Acceptance Coping, and Depressive Symptoms among Adults Living with HIV/Aids
We prospectively examined the effects of spiritual striving, social support, and acceptance coping on changes in depressive symptoms among adults living with HIV/AIDS. Participants were 180 culturally diverse adults with HIV/AIDS. Participants completed measures of spiritual striving, social support, coping styles, and depressive symptoms at baseline, three-month follow-up, and six-month follow-up. A path model showed that spiritual striving had …
Evaluation of the evidence for the trauma and fantasy models of dissociation
The relationship between a reported history of trauma and dissociative symptoms has been explained in 2 conflicting ways. Pathological dissociation has been conceptualized as a response to antecedent traumatic stress and/or severe psychological adversity. Others have proposed that dissociation makes individuals prone to fantasy, thereby engendering confabulated memories of trauma. We examine data related to a series of 8 contrasting predictions b…
Effects of Quality of Life and Coping on Depression among Adults Living with HIV/Aids
This prospective study examined the effect of maladaptive coping strategies and psychological quality of life (QOL) on depression at two time points in a diverse sample of persons living with HIV/AIDS ( N = 85). The use of maladaptive coping strategies to deal with the stress of living with HIV/AIDS, particularly engaging in various kinds of avoidant behaviors, was significantly associated with greater depression at baseline and increased depress…
The effects of child sexual abuse
B. Rind, P. Tromovitch, and R. Bauserman (1998) examined the long-term effects of childhood sexual abuse (CSA) by meta-analyzing studies of college students. The authors reported that effects "were neither pervasive nor typically intense" and that "men reacted much less negatively than women" (p. 22) and recommended value-neutral reconceptualization of the CSA construct. The current analysis revealed numerous problems in that study that minimized…
The Price of Abusing Children and Numbers
The Influence of Social Support, Coping and Mood on Sexual Risk Behavior among HIV-Positive Men and Women
The purpose of this study was to examine the relationships between social support, coping, mood and sexual risk behavior. Participants were 122 HIV-positive adults (60 women and 62 men). All participants were assessed on sexual risk behavior, perceived partner social support, coping with HIV/AIDS and mood. The results showed that sexual risk behavior was associated with male gender, education, perceived support of their partners and the use of em…
Distress and quality of life in an ethnically diverse sample awaiting breast cancer surgery
Poor breast cancer-related quality of life is associated with flattened cortisol rhythms and inflammation in breast cancer survivors and women with advanced disease. We explored the associations of cancer-specific distress (Impact of Events Scale), mood (Profile of Mood States), activity/sleep (wake after sleep onset, 24-hour autocorrelation coefficient) and cortisol (diurnal slope) circadian rhythms, and inflammation (interleukin-6) with quality…
Real effects of real child sexual abuse
Who is in Procrustes’ bed
Suffer the children
Man as timekeeper
Group Therapy and Hypnosis Reduce Metastatic Breast Carcinoma Pain
The pain and mood disturbance of 54 women with metastatic carcinoma of the breast were studied over the course of one year. A random sample was offered weekly group therapy during the year, with or without self-hypnosis training directed toward enhancing their competence at mastering pain and stress related to cancer. Both treatment groups demonstrated significantly less self-rated pain sensation (t = 2.5 p less than 0.02) and suffering (t = 2.17…
The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer
Effect of Psychosocial Treatment on Survival of Patients With Metastatic Breast Cancer
Memories
Memories
Understanding Risk Assessment by Cancer Patients
Case Study
Lonely traits and concomitant physiological processes
Relationships of perceived stress to coping, attachment and social support among HIV-positive persons
The purpose of this study was to examine the relationships of coping, attachment style and perceived social support to perceived stress within a sample of HIV-positive persons. Participants were 147 HIV-positive persons (80 men and 67 women). Multiple regression analysis was used to examine the relationships of the demographic variables, AIDS status, three coping styles, three attachment styles and perceived quality of general social support with…
Social Support and Salivary Cortisol in Women With Metastatic Breast Cancer
OBJECTIVE: This study used a cross-sectional design to examine the relationships between social support, both quantity (number of people) and quality (appraisal, belonging, tangible, and self-esteem), and neuroendocrine function (mean and slope of diurnal salivary cortisol) among women with metastatic breast cancer. METHODS: Participants (N = 103) were drawn from a study (N = 125) of the effects of group therapy on emotional adjustment and health…
Real effects of real child sexual abuse
The Price of Abusing Children and Numbers
Suffer the children
Suppression, Repressive‐Defensiveness, Restraint, and Distress in Metastatic Breast Cancer
A longstanding hypothesis links affective and behavioral inhibition with cancer incidence and progression though it does not clarify psychometric distinctions among related constructs. We hypothesized that repressive defensiveness, suppression, restraint, and distress would be separable factors in our sample of metastatic breast cancer patients. Our results support the discriminant validity of these constructs in our total sample, and the stabili…
The effects of child sexual abuse
Who is in Procrustes’ bed
The effects of child sexual abuse
B. Rind, P. Tromovitch, and R. Bauserman (1998) examined the long-term effects of childhood sexual abuse (CSA) by meta-analyzing studies of college students. The authors reported that effects "were neither pervasive nor typically intense" and that "men reacted much less negatively than women" (p. 22) and recommended value-neutral reconceptualization of the CSA construct. The current analysis revealed numerous problems in that study that minimized…
Bridging psychology and biology
Biological systems are particularly prone to variation, and the authors argue that such variation must be regarded as important data in its own right. The authors describe a method in which individual differences are studied within the framework of a general theory of the population as a whole and illustrate how this method can be used to address three types of issues: the nature of the mechanisms that give rise to a specific ability, such as men…
Bridging psychology and biology
Maladaptive Coping Strategies in Relation to Quality of Life Among HIV+ Adults
The Influence of Social Support, Coping and Mood on Sexual Risk Behavior among HIV-Positive Men and Women
The purpose of this study was to examine the relationships between social support, coping, mood and sexual risk behavior. Participants were 122 HIV-positive adults (60 women and 62 men). All participants were assessed on sexual risk behavior, perceived partner social support, coping with HIV/AIDS and mood. The results showed that sexual risk behavior was associated with male gender, education, perceived support of their partners and the use of em…
Psychological Distress and Pain Significantly Increase Before Death in Metastatic Breast Cancer Patients
OBJECTIVE: This study was designed to examine the course of psychological distress and pain from study entry to death in 59 women with metastatic breast cancer participating in a randomized trial of the effects of group psychotherapy on psychosocial outcomes and survival. It was hypothesized that psychological distress would increase significantly before death independent of changes in pain. METHOD: Data were collected as part of a larger study (…
Cancer, Culture, and Communication
clinical trials, pediatric oncology, QOL, and the development of novel therapies for
Psychophysiological and Cortisol Responses to Psychological Stress in Depressed and Nondepressed Older Men and Women With Elevated Cardiovascular Disease Risk
Objective: The objective of this study was to compare psychophysiological and cortisol reactions to psychological stress in older depressed and nondepressed patients at risk for cardiovascular disease (CVD). Methods: Forty-eight depressed participants and 20 controls with elevated cardiovascular risk factors underwent a psychological stress test during which cardiovascular variables were measured. Salivary cortisol was collected after each test s…
Psychology (38 obras) · Medicine (32 obras) · Clinical Psychology (20 obras) · Psychiatry (20 obras) · Internal Medicine (15 obras) · Cancer (14 obras) · Developmental psychology (14 obras) · Cancer survivorship and care (13 obras) · Internal Medicine (11 obras) · Psychotherapist (11 obras)