Cancer as a Criterion A Traumatic Stressor for Veterans: Prevalence and Correlates
Cancer as a Criterion A Traumatic Stressor for Veterans: Prevalence and Correlates
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DOI：
10.1037/a0033721
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发表时间：
2014-01-01
影响因子：
6.3
通讯作者：
Moye, Jennifer
中科院分区：
文献类型：
--
作者：
Mulligan, Elizabeth A.;Wachen, Jennifer Schuster;Moye, Jennifer
癌症的诊断是一种无法控制的压力源，造成死亡和毁容的威胁，通常随后会反复暴露于有害治疗形式的令人厌恶的提醒，持续的副作用，在监视时重新参与，以及复发的威胁。本研究探讨了癌症作为创伤性应激源的现象，重点是在波士顿或休斯顿的VA医疗中心接受医疗保健的170名男性成年人样本中创伤后应激障碍（PTSD）标准A的患病率和相关性。参与者在被诊断患有头颈癌、胃食管癌或结直肠癌后6个月接受采访。大约一半-42.9%至65.9%，取决于使用的切割分数-感知癌症是一种创伤性压力源，涉及实际/威胁的死亡或伤害或对身体完整性的威胁以及恐惧，无助或恐怖。年轻的退伍军人和那些目前有战斗创伤后应激障碍症状的人更有可能将癌症视为创伤性应激源，那些认为他们的预后不确定的人也是如此; 12%的人的创伤后应激障碍症状高于PCLC的50分，这与其他创伤性应激源相关的创伤后应激障碍的发病率相似。因此，癌症似乎是一种严重的，对某些人来说是创伤性应激源，这表明在癌症幸存者中筛查癌症相关的创伤后应激障碍的重要性，特别是那些风险最高的人。
The diagnosis of cancer is an uncontrollable stressor posing the threat of death and disfigurement, often followed by repeated exposure to aversive reminders in the form of noxious treatments, persisting side effects, reengagement at times of surveillance, and the threat of recurrence. The phenomenon of cancer as a traumatic stressor is explored in this study, with a focus on the prevalence and correlates of posttraumatic stress disorder (PTSD) Criterion A in a sample of 170 mostly male adults who received health care at VA Medical Centers in Boston or Houston. Participants were interviewed 6 months after diagnosis with head and neck, gastro-esophageal, or colorectal cancers. Approximately half-42.9% to 65.9% depending on cut-score used-perceived cancer to be a traumatic stressor involving actual/threatened death or injury or threat to physical integrity as well as fear, helplessness, or horror. Younger veterans and those with current combat PTSD symptoms were more likely to perceive cancer as a traumatic stressor, as were those who perceived their prognosis as uncertain; 12% had PTSD symptoms above a PCLC cut score of 50, which is similar to incidence rates of PTSD associated with other traumatic stressors. Cancer, therefore, appears to be a serious and for some, traumatic stressor, suggesting the importance of screening for cancer related PTSD in cancer survivors, particularly those most at risk.