Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors
Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors
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DOI：
10.1093/jpepsy/jsh022
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发表时间：
2004-04-01
影响因子：
3.6
通讯作者：
Grossman, JR
中科院分区：
文献类型：
--
作者：
Kazak, AE;Alderfer, M;Grossman, JR
目的探讨青少年儿童癌症幸存者及其父母创伤后应激障碍（PTSD）和创伤后应激症状（PTSS）的发生率和一致性。方法选取150名青少年癌症幸存者、146名母亲和103名父亲，完成事件影响量表修订、创伤后应激障碍反应指数和《精神障碍诊断与统计手册》第四版结构化临床访谈中的PTSD模块。结果创伤后应激障碍在儿童癌症幸存者家庭中很常见。父母比以前的患者报告了更多的症状。母亲和父亲患创伤后应激障碍的比率和创伤后应激障碍的水平相对相等。近30%的母亲在孩子确诊后达到了诊断标准，其中13.7%的母亲目前患有PTSD。近20%的家庭至少有一位父母患有PTSD。99%的样本中至少有一名家庭成员再次出现症状。结论创伤后应激障碍和创伤后应激障碍有助于理解青少年癌症幸存者及其家人的经历。在儿童癌症幸存者的家庭中，很可能有些成员正在经历可治疗的烦恼记忆，唤起或回避特定的癌症经历。
Objective To describe rates and concordance of posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in adolescent childhood cancer survivors and their mothers and fathers. Method Participants were 150 adolescent survivors of childhood cancer, 146 mothers, and 103 fathers who completed the Impact of Events Scale-Revised, the Posttraumatic Stress Disorder Reaction Index, and the PTSD module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. Results PTSS are common in families of childhood cancer survivors. Parents reported more symptomatology than former patients. Mothers and fathers had relatively equal rates of current PTSD and levels of PTSS. Nearly 30% of mothers met diagnostic criteria since their child's diagnosis, with 13.7% currently experiencing PTSD. Nearly 20% of families had at least one parent with current PTSD. Ninety-nine percent of the sample had at least one family member reexperiencing symptoms. Conclusions Both PTSD and PTSS help in understanding the experience of adolescent cancer survivors and their families. Within families of childhood cancer survivors, it is likely that some member may be experiencing treatable bothersome memories, arousal, or avoidance specific to the cancer experience.