Emotional suppression: can it predict cancer outcome in women with suspicious screening mammograms?

Background. Previous studies have implicated emotional suppression, in part icular suppression of anger, in the onset and progression of breast cancer. Many of these studies used non-standardized measures and failed to control for the effects of age and/or possible knowledge of diagnosis. The present study aimed to avoid these methodological errors in investigating the rela tionship of emotional suppression to a diagnosis of breast cancer in a larg e mammography screened population. Method. Data were collected from 1151 women with suspicious mammograms reca lled to a breast screening programme. Prior to multidisciplinary assessment women were asked to complete the Courtauld Emotional Control Scale. Imagin g assessment outcome data and biopsy results were collected. Results. Fifteen per cent of this population subsequently were diagnosed wi th breast cancer. There were no significant associations between a cancer o utcome and emotional suppression before or after the highly significant eff ect of age was taken into account. Conclusions. These results suggest that suppression of emotion may not be r elevant to the development of breast cancer. Its role in the progression of existing disease requires clarification.