Formation of food aversions in cancer patients receiving repeated infusions of chemotherapy Journal Article


Authors: Jacobsen, P. B.; Bovbjerg, D. H.; Schwartz, M. D.; Andrykowski, M. A.; Futterman, A. D.; Gilewski, T.; Norton, L.; Redd, W. H.
Article Title: Formation of food aversions in cancer patients receiving repeated infusions of chemotherapy
Abstract: Patients receiving emetogenic chemotherapy for cancer have been found to develop aversions to normal dietary items consumed in close temporal relation to treatment administrations. These aversions are presumed to develop via conditioning processes as demonstrated in experimental studies of food aversion learning. The present study used a prospective, longitudinal design to evaluate the possible role of conditioning in the formation of aversions to normal dietary items in women receiving adjuvant chemotherapy for breast cancer. Patients were monitored for the development of aversions to foods and beverages consumed in the 24 hr periods before and after each of eight consecutive chemotherapy infusions beginning with the initial infusion. Data on the prevalence, course, and prediction of aversions to normal dietary items are reported. These results pointed to similarities and differences between aversions formed to normal dietary items during chemotherapy treatment and aversions formed to taste stimuli during experimental conditioning studies. In addition to their theoretical significance, results also suggest possible strategies for preventing the clinical problem of aversions to normal dietary items in chemotherapy patients. © 1993.
Keywords: adult; clinical article; aged; doxorubicin; fluorouracil; cancer patient; chemotherapy; methotrexate; prospective study; breast cancer; nausea; vomiting; lorazepam; prevalence; feeding behavior; cyclophosphamide; dexamethasone; breast neoplasms; food intake; questionnaires; questionnaire; food; adjuvant chemotherapy; ondansetron; mental disease; antiemetic agent; drug therapy; dietary intake; metoclopramide; prochlorperazine; intravenous drug administration; aversive behavior; longitudinal study; diphenhydramine; beverage; middle age; conditioning; avoidance learning; human; female; article; support, non-u.s. gov't; support, u.s. gov't, p.h.s.; taste aversion; aversion; conditioning (psychology); food aversion; food preferences
Journal Title: Behaviour Research and Therapy
Volume: 31
Issue: 8
ISSN: 0005-7967
Publisher: Elsevier Ltd  
Date Published: 1993-11-01
Start Page: 739
End Page: 748
Language: English
DOI: 10.1016/0005-7967(93)90004-e
PUBMED: 8257405
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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  1. Larry Norton
    758 Norton
  2. William H. Redd
    48 Redd