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
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DOI：
10.1037/0022-006x.63.6.981
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发表时间：
1995-12-01
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;REDD, WH
对危及生命的疾病的诊断现在符合《精神障碍诊断和统计手册》（第4版; DSM-IV;美国精神病学协会，1994）创伤后应激障碍（PTSD）的创伤性应激源暴露标准。对55例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检查表-平民版（PCL-C）和事件影响量表。使用20项医学结局研究问卷评估QOL。创伤后应激障碍与生活质量、收入和年龄呈负相关。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PCL-C的建议标准，5%至10%的样本可能符合DSM-IV PTSD标准。研究结果表明，在乳腺癌幸存者中，这些症状可能相当常见，可能超过一般人群中这些症状的基本发生率，与较差的QOL报告相关，因此，需要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.