Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer.
Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer.
复制标题
乳腺癌治疗后创伤后应激障碍样症状的频率和相关性。
DOI：
10.1037//0022-006x.63.6.981
复制
发表时间：
1995
影响因子：
5.9
通讯作者：
Redd,WH
中科院分区：
文献类型：
--
作者：
Cordova,MJ;Andrykowski,MA;Kenady,DE;McGrath,PC;Sloan,DA;Redd,WH
现在对威胁生命的疾病的诊断符合《精神疾病诊断与统计手册》（第4版；DSM-IV；美国精神病学协会，1994）创伤后应激障碍（PTSD）的创伤应激源暴露标准。对55名乳腺癌患者治疗后的生活质量（QOL）和ptsd样症状进行了评估。PTSD症状测量包括PTSD平民版（PCL-C）和事件影响量表。生活质量采用20项医疗结果研究问卷进行评估。PTSD症状与生活质量、收入、年龄呈负相关。治疗后的时间、细胞毒性治疗的类型和疾病的分期与PTSD症状无关。根据建议的PCL-C标准，5%至10%的样本可能符合DSM-IV的PTSD标准。研究结果表明，在乳腺癌幸存者中，这些症状可能相当普遍，可能超过一般人群中这些症状的基本发生率，与较差的生活质量报告有关，因此，值得进一步研究和临床关注。
Diagnosis of life-threatening illness now meets Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM–IV; American Psychiatric Association, 1994) criteria for traumatic stressor exposure for posttraumatic stress disorder (PTSD). Quality of life (QOL) and PTSD-like symptoms were assessed in 55 women posttreatment for breast cancer. PTSD symptom measures included the PTSD Checklist—Civilian Version (PCL-C) and the Impact of Events Scale. QOL was assessed using the 20-item Medical Outcomes Study Questionnaire. PTSD symptomatology was negatively related to QOL, income, and age. Time since treatment, type of cytotoxic treatment, and stage of disease were unrelated to PTSD symptoms. With suggested criteria for the PCL-C, 5% to 10% of the sample would likely meet DSM–IV PTSD criteria. Findings suggest that in survivors of breast cancer, these symptoms might be fairly common, may exceed the base rate of these symptoms in the general population, are associated with reports of poorer QOL, and, therefore, warrant further research and clinical attention.