Are we missing PTSD in our patients with cancer? Part I.
Are we missing PTSD in our patients with cancer? Part I.
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我们是否忽略了癌症患者的创伤后应激障碍（PTSD）？
DOI：
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
J. Ellis
中科院分区：
文献类型：
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作者：
Alyssa Leano;Melissa B. Korman;L. Goldberg;J. Ellis
创伤后应激障碍(PTSD)可以定义为无法从创伤事件中恢复。一种常见的误解是，创伤后应激障碍只有在战争或急性身体创伤的情况下才会发展。然而，在《精神疾病诊断统计手册》第四版(DSM-IV)中对创伤后应激障碍的诊断标准进行了调整，将癌症等危及生命的疾病作为可能导致创伤后应激障碍的创伤性应激源进行诊断和治疗。“癌症”这个词与恐惧、耻辱和死亡联系得如此紧密，以至于一些患者甚至不敢说出“癌症”这个词。因此，患者被诊断为突然的、灾难性的和/或危及生命的癌症也就不足为奇了。癌症相关创伤后应激障碍(CR-PTSD)在治疗期间和生存期间会对患者的心理、社会和身体健康产生负面影响。不幸的是，慢性创伤后应激障碍常常得不到诊断，因此也得不到治疗。本文概述了以癌症为创伤性事件的创伤后应激障碍，以明确CR-PTSD的定义，并回顾了有关这一主题的越来越多的文献，包括CR-PTSD的患病率、危险因素、特征和治疗。这篇文章的目的是向临床医生和患者传播对癌症患者中这种相对较新的定义和经常被忽视的疾病的认识。
Posttraumatic Stress Disorder (PTSD) can be defined by the inability to recover from a traumatic event. A common misconception is that PTSD can only develop in circumstances of war or acute physical trauma. However, the diagnostic criteria of PTSD were adjusted in the Diagnostic Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) to include the diagnosis and treatment of a life-threatening illness, such as cancer, as a traumatic stressor that can result in PTSD. The word 'cancer' is so strongly linked to fear, stigma, and mortality, that some patients are fearful to even say 'the C word'. Therefore, it is not surprising that patients may experience a diagnosis of cancer as sudden, catastrophic, and/or life-threatening. Cancer-related PTSD (CR-PTSD) can negatively affect a patient's psychosocial and physical well-being during treatment and into survivorship. Unfortunately, CR-PTSD often goes undiagnosed and, consequentially, untreated. This article provides a general overview of PTSD with cancer as the traumatic event in order to define CR-PTSD, and reviews the growing pool of literature on this topic, including prevalence, risk factors, characterization, and treatment of CR-PTSD. The purpose of this article is to spread awareness of this relatively newly defined and commonly missed disorder among patients with cancer to clinicians and patients alike.
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DOI：
10.1016/s2215-0366(17)30014-7
发表时间：
2017-04
期刊：
The lancet. Psychiatry
影响因子：
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作者：
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DOI：
10.1037//0278-6133.18.6.555
发表时间：
1999
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
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作者：
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