Posttraumatic stress symptoms during treatment in parents of children with cancer
Posttraumatic stress symptoms during treatment in parents of children with cancer
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DOI：
10.1200/jco.2005.09.110
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发表时间：
2005-10-20
影响因子：
45.3
通讯作者：
Reilly, A
中科院分区：
文献类型：
--
作者：
Kazak, AE;Boeving, CA;Reilly, A
儿童癌症及其治疗作为创伤性的概念在越来越多的与医学相关的创伤后应激文献中得到了越来越多的支持。创伤后应激症状（PTSS），如侵入性思想、生理唤醒和回避，已在儿童癌症幸存者的父母中得到证实。在这项研究中，我们调查了目前正在接受治疗的儿童的父母是否存在创伤后应激障碍，以及他们与治疗强度和诊断后治疗时间的关系。方法对正在接受恶性肿瘤治疗的儿童的母亲（119例）和父亲（52例）分别进行创伤后应激障碍问卷调查。这些措施的结果与我们医院的儿童癌症幸存者父母样本进行比较。肿瘤医生根据诊断、治疗方式和方案编号对治疗强度进行评分。结果除1名家长外，其余均报告ptsd。平均得分表明母亲和父亲均有中度创伤后应激障碍。在双亲参与的家庭中，近80%的父母中至少有一人患有中度至重度创伤后应激障碍。创伤后应激障碍与诊断后的时间长短之间的关联很小。结论创伤后应激障碍在正在接受癌症治疗的儿童家长中较为常见。创伤知情的社会心理干预措施可用于帮助患者和家属，包括使潜在创伤经历正常化，并使用正在出现的以证据为基础的干预措施，以促进长期福祉。
Purpose The conceptualization of childhood cancer and its treatment as traumatic has gained increasing support in the growing literature on medically related posttraumatic stress. Posttraumatic stress symptoms (PTSS) such as intrusive thoughts, physiologic arousal, and avoidance have been documented in mothers and fathers of childhood cancer survivors. In this study we investigated the presence of PTSS in parents of children currently in treatment and their association with treatment intensity and length of time since diagnosis.Methods Mothers (N = 119) and fathers (N = 52) of children currently in treatment for a childhood malignancy completed questionnaire measures of PTSS. Outcomes on these measures were compared with a sample of parents of childhood cancer survivors from our hospital. Oncologist ratings of treatment intensity were obtained based on diagnosis, treatment modalities, and protocol number.Results All but one parent reported PTSS. Mean scores indicated moderate PTSS for both mothers and fathers. In families with two participating parents, nearly 80% had at least one parent with moderate-to-severe PTSS. There were minimal associations between PTSS and length of time since diagnosis.Conclusion PTSS are common among parents of children currently undergoing cancer treatment. Trauma-informed psychosocial interventions can be used to help patients and families, including normalizing the experience as potentially traumatic and using evidence-based interventions that are emerging to facilitate long-term well-being.