Posttraumatic stress disorder symptoms in newly diagnosed patients with head and neck cancer and their partners.

Posttraumatic stress disorder symptoms in newly diagnosed patients with head and neck cancer and their partners.
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DOI:
10.1002/hed.23760
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发表时间:
2015-09
影响因子:
2.9
通讯作者:
Dew, Mary Amanda
Dew, Mary Amanda
中科院分区:
医学2区
文献类型:
--
作者:
Posluszny, Donna M.;Dougall, Angela Liegey;Johnson, Jonas T.;Argiris, Athanassios;Ferris, Robert L.;Baum, Andrew;Bovbjerg, Dana H.;Dew, Mary Amanda

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头颈癌是一种危及生命的疾病,需要进行令人厌恶的治疗。尽管创伤后应激障碍(PTSD)症状在患者和他们的伴侣中都有明显的潜在可能性,但研究很少。新确诊患者及伴侣(无;(42人)完成调查问卷,评估PTSD、焦虑和抑郁的症状,以及人口统计学、医学和态度变量。伴侣的PTSD症状平均水平高于患者(p= 0.023)。更多的伴侣(28.6%)比患者(11.9%)符合PTSD病例的估计标准。其他焦虑或抑郁症状的水平没有显著差异。在患者和伴侣中,对疾病的感知威胁似乎与创伤后应激障碍症状水平的相关性强于医学变量。头颈癌的诊断会在患者中引起明显的创伤后应激障碍症状,在伴侣中甚至更高。确定的痛苦相关因素,包括感知到的疾病威胁,都是潜在的干预目标。
Head and neck cancer is a life threatening illness requiring aversive treatments. Despite clear potential for posttraumatic stress disorder (PTSD) symptoms in both patients and their partners, research is scant. Newly diagnosed patients and partners (no. of dyads=42) completed questionnaires to assess symptoms of PTSD, anxiety, and depression, as well as demographic, medical, and attitudinal variables. Partners had higher average levels of PTSD symptoms than patients (p=.023). More partners (28.6%) met criteria for estimated PTSD caseness than did patients (11.9%). There were no significant differences in levels of other anxiety or depression symptoms. Perceived threat of disease appears to be a stronger correlate of PTSD symptom levels than medical variables in patients and partners. A diagnosis of head and neck cancer elicits significant levels of PTSD symptoms in patients, and even higher levels among partners. Identified correlates of distress, including perceived threat of disease, are potential intervention targets.
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