Abducted by the illness: A qualitative study of traumatic stress in individuals with acute leukemia

Abducted by the illness: A qualitative study of traumatic stress in individuals with acute leukemia
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DOI:
10.1016/j.leukres.2012.12.007
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发表时间:
2013-05-01
期刊:
影响因子:
2.7
通讯作者:
Rodin, Gary
Rodin, Gary
中科院分区:
医学3区
文献类型:
--
作者:
Nissim, Rinat;Zimmermann, Camilla;Rodin, Gary

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创伤性应激障碍的症状在急性白血病中很常见。本定性研究的目的是了解这种创伤性压力,由患者感知。参与者是加拿大多伦多的43名急性白血病患者。参与者在一系列访谈中被问及他们的诊断和治疗经验。共65个访谈进行了分析,利用扎根理论方法。我们的研究结果提供了深入了解诊断和治疗的创伤经历,以及对这种创伤的最初心理反应。病人们通过把控制权交给他们非常信任的医疗团队来应对。患者还表示强烈偏好有限的信息,倾向于避免讨论整体预后。这些结果可能为干预措施提供信息,以缓解这一高危人群的创伤应激反应。(C)2012爱思唯尔有限公司保留所有权利。
Symptoms of traumatic stress are common in acute leukemia. The goal of the present qualitative study was to understand this traumatic stress, as perceived by patients. Participants were 43 patients with acute leukemia in Toronto, Canada. Participants were asked in serial interviews about their experience of diagnosis and treatment. A total of 65 interviews were analyzed utilizing the grounded theory method. Our findings provide insight into the traumatic experience of the diagnosis and treatment, as well as the initial psychological response to this trauma. Patients coped by surrendering control to the medical team, in whom they felt great trust. Patients also expressed a strong preference for limited information, with a preference to avoid discussions about overall prognosis. These results may inform interventions to relieve traumatic stress in this high risk population. (C) 2012 Elsevier Ltd. All rights reserved.