Dissociative symptomatology in cancer patients.
Dissociative symptomatology in cancer patients.
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DOI：
10.3389/fpsyg.2015.00118
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发表时间：
2015
影响因子：
3.8
通讯作者：
Torta R
中科院分区：
文献类型：
--
作者：
Civilotti C;Castelli L;Binaschi L;Cussino M;Tesio V;Di Fini G;Veglia F;Torta R
简介：创伤后应激障碍（PTSD）诊断谱的使用目前正在辩论中分类癌症患者的心理调整。本研究的目的是：（1）评估癌症患者样本中是否存在癌症相关创伤性分离症状;（2）检查癌症相关分离症状与社会人口学和医学变量、焦虑、抑郁和创伤后应激障碍的相关性;（3）调查癌症相关分离症状的预测因素。研究方法：92例混合癌患者（平均年龄：从北方意大利的两所医院招募的58.94，ds = 10.13）被给予关于社会人口统计学和医学特征的问卷，测量患者活动水平和医疗护理要求的Karnofsky量表，评估焦虑和抑郁存在的医院焦虑和抑郁量表（HADS），事件影响量表修订版（IES-R）评估侵入、回避和过度警觉的严重程度，创伤周围分离体验问卷（PDEQ）量化创伤分离体验。结果：31.5%的参与者报告PDEQ评分高于临界值。结果表明，分离性抑郁症与HADS评分呈正相关（HADS-焦虑：r = 0.476，p < 0.001; HADS-抑郁：r = 0.364，p < 0.001）（IES-R-侵入：r = 0.698，p < 0.001; IES-R-回避：r = 0.619，p < 0.001; IES-R-过度警觉：r = 0.681，p < 0.001）。进行逐步回归分析，以找到癌症相关的创伤性分离性精神病学的预测因素。结果收敛于三个预测模型，揭示了IES-R-侵入，IES-R-回避和IES-R-过度觉醒占解释方差的53.9%。结论：这些发现使我们能够假设一种特定的心理反应，这种反应可能归因于癌症背景下的创伤谱，强调了解离成分起源之间的密切关系，根据科学文献，这些成分组成了创伤经历。我们的研究结果对理解癌症人群中的解离性肿瘤学具有意义，并有助于制定预防和支持患者的临床计划。
Introduction: The utilization of the post-traumatic stress disorder (PTSD) diagnostic spectrum is currently being debated to categorize psychological adjustment in cancer patients. The aims of this study were to: (1) evaluate the presence of cancer-related traumatic dissociative symptomatology in a sample of cancer patients; (2) examine the correlation of cancer-related dissociation and sociodemographic and medical variables, anxiety, depression, and post-traumatic stress symptomatology; (3) investigate the predictors of cancer-related dissociation. Methods: Ninety-two mixed cancer patients (mean age: 58.94, ds = 10.13) recruited from two hospitals in northern Italy were administered a questionnaire on sociodemographic and medical characteristics, the Karnofsky Scale to measure the level of patient activity and medical care requirements, the Hospital Anxiety and Depression Scale (HADS) to evaluate the presence of anxiety and depression, the Impact of Event Scale Revised (IES-R) to assess the severity of intrusion, avoidance, and hypervigilance, and the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) to quantify the traumatic dissociative symptomatology. Results: 31.5% of participants report a PDEQ score above the cutoff. The results indicated that dissociative symptomatology was positively correlated with HADS scores (HADS-Anxiety: r = 0.476, p < 0.001; HADS-Depression: r = 0.364, p < 0.001) and with IES-R scores (IES-R-Intrusion: r = 0.698, p < 0.001; IES-R-Avoidance: r = 0.619, p < 0.001; IES-R- Hypervigilance: r = 0.681, p < 0.001). A stepwise regression analysis was performed in order to find the predictors of cancer-related traumatic dissociative symptomatology. The results converged on a three predictor model revealing that IES-R-Intrusion, IES-R-Avoidance, and IES-R-Hyperarousal accounted for 53.9% of the explained variance. Conclusion: These findings allow us to hypothesize a specific psychological reaction which may be ascribed to the traumatic spectrum within the context of cancer, emphasizing the close relationship between the origin of dissociative constituents which, according to the scientific literature, compose the traumatic experience. Our results have implications for understanding dissociative symptomatology in a cancer population and can help develop clinical programs of prevention and support for patients.
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影响因子：
3.1
作者：
Hou, Wai Kai;Lam, John Hiu Ming
通讯作者：
Lam, John Hiu Ming
影响因子：
8.8
作者：
Fallowfield L;Ratcliffe D;Jenkins V;Saul J
通讯作者：
Saul J
影响因子：
17.7
作者：
Marshall, RD;Beebe, KL;Zaninelli, R
通讯作者：
Zaninelli, R
影响因子：
3.2
作者：
Granieri, Antonella;Tamburello, Stella;Innamorati, Marco
通讯作者：
Innamorati, Marco
影响因子：
56.9
作者：
Greene, JD;Sommerville, RB;Cohen, JD
通讯作者：
Cohen, JD