Breast cancer as trauma: Posttraumatic stress and posttraumatic growth
Breast cancer as trauma: Posttraumatic stress and posttraumatic growth
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DOI：
10.1007/s10880-007-9083-6
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发表时间：
2007-12-01
影响因子：
2.2
通讯作者：
Spiegel, David
中科院分区：
文献类型：
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作者：
Cordova, Matthew J.;Giese-Davis, Janine;Spiegel, David
癌症的诊断和治疗与创伤后应激障碍（PTSD）症状和创伤后生长（PTG）有关。本横断面研究旨在评估乳腺癌幸存者（n = 65） PTSD症状和PTG的频率、常见预测因素以及相互关系。在这个样本中，PTSD的症状和PTG的报告是常见的，彼此之间没有显著的相关性。在谈论乳腺癌和将癌症视为创伤性压力源的认知方面，更大的社会限制与更大的创伤后应激障碍症状有关。年龄越小，将癌症视为创伤性应激源的认知越高，PTG越高。研究结果表明，主观评价在适应癌症方面发挥着核心作用。心理社会干预应在治疗设计和结果评估中对PTG的可能性敏感。
Diagnosis and treatment of cancer has been associated with both posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG). This cross-sectional study sought to assess the frequency, common predictors, and interrelationships of PTSD symptoms and PTG in breast cancer survivors (n = 65). In this sample, symptoms of PTSD and reports of PTG were common and were not significantly related to one another. Greater social constraints on talking about breast cancer and perception of cancer as a traumatic stressor were associated with greater PTSD symptomatology. Younger age and perception of cancer as a traumatic stressor were associated with greater PTG. Findings suggest the central role of subjective appraisal in adjustment to cancer. Psychosocial interventions should be sensitive to the potential for PTG, both in treatment design and in assessment of outcomes.