Is there a link between work-related stress and colorectal cancer?

Spigelman, Allan D; Dwyer, Peter

doi:10.5694/j.1326-5377.2004.tb05970.x

Topics

The South Australian Workers Compensation Tribunal has found that stress contributed to a man’s colorectal cancer. The medical evidence for this is very limited, and the case highlights the difference between scientific and legal proof.

1 Clinical Governance Unit, Hunter Area Health Service, New Lambton, NSW.
2 Maurice Byers Chambers, Sydney, NSW.

Correspondence:

1. Simpson v. South Australia (Department for Correctional Services). [2002] SAWCT 122. Available at: www.austlii.edu.au/au/cases/sa/SAWCT/2002/122.html (accessed Feb 2004).
2. Samuels G. Medical truth and legal proof. Changing expectations of the expert witness. Med J Aust 1998; 168: 84-87. <MJA full text>
3. Work and stress: judge finds a deathly link. Sydney Morning Herald 2003; March 29: 27.
4. Rhodes M, Bradburn DM. Overview of screening and management of familial adenomatous polyposis. Gut 1992; 33: 125-131.
5. Ruo L, Cellini C, La-Calle JP, et al. Limitations of family cancer history assessment at initial surgical consultation. Dis Colon Rectum 2001; 44: 98-104.
6. Ward R, Meldrum C, Williams R, et al. Impact of microsatellite testing and mismatch repair protein expression on the clinical interpretation of genetic testing in hereditary non-polyposis colorectal cancer. J Cancer Res Clin Oncol 2002; 128: 403-411.
7. Spiegelman D, Wegman DH. Occupation-related risks for colorectal cancer. J Natl Cancer Inst 1985; 75: 813-821.
8. Courtney JG, Longnecker MP, Theorell T, de Verdier G. Stressful life events and the risk of colorectal cancer. Epidemiology 1993; 4: 407-414.
9. Courtney JG, Longnecker MP, Peters RK. Psychosocial aspects of work and risk of colon cancer. Epidemiology 1996; 7: 175-181.
10. Kune S, Kune GA, Watson LF, Rahe RH. Recent life change and large bowel cancer. Data from the Melbourne Colorectal Cancer Study. J Clin Epidemiol 1991; 44: 57-68.
11. Kune GA, Kune S, Watson LF, Bahnson CB. Personality as a risk factor in large bowel cancer: data from the Melbourne Colorectal Cancer Study. Psychol Med 1991; 21: 29-41.
12. Kune GA, Kune S, Watson LF. Perceived religiousness is protective for colorectal cancer: data from the Melbourne Colorectal Cancer Study. J R Soc Med 1993; 86: 645-647.
13. Kendall E, Murphy P, O’Neill V, Bursnall S. Occupational stress: factors that contribute to its occurrence and effective management. A report to the Workers’ Compensation and Rehabilitation Commission, Western Australia. Perth: WorkCover Western Australia, 2000. Available at: www.workcover.wa.gov.au/PDF/Occupational%20Stress.pdf (accessed Feb 2004).
14. Edelman S, Kidman AD. Mind and cancer: is there a relationship? — a review of evidence. Aust Psychol 1997; 32: 79-85.
15. Bradford-Hill A. The environment and disease: association or causation. Proc R Soc Med 1956; 58: 295-300.
16. Stewart BW, Semmler PCB. Sharp v Port Kembla RSL Club: establishing causation of laryngeal cancer by environmental tobacco smoke. Med J Aust 2002; 176: 113-116. <MJA full text>

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