Posttraumatic stress in infants and preschoolers with cancer
Posttraumatic stress in infants and preschoolers with cancer
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DOI：
10.1002/pon.3164
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发表时间：
2013-07-01
期刊：
影响因子：
3.6
通讯作者：
Landolt, Markus A.
中科院分区：
文献类型：
--
作者：
Graf, Anna;Bergstraesser, Eva;Landolt, Markus A.
目的：这项研究是第一个评估患有癌症的幼儿创伤后应激障碍（PTSD），并检查个人，医疗和父母相关的决定因素。方法：48名年龄在8-48个月的癌症患者在诊断后平均15个月内接受了评估，利用母亲作为信息提供者，完成创伤后应激障碍半结构化访谈和婴幼儿观察记录。此外，母亲和主治儿科肿瘤学家完成了关于儿童PTSD.Results的各种决定因素的问卷调查：9名儿童（18.8%）符合Scheeringa等人提出的完全PTSD的年龄相关标准，20例（41.7%）符合部分PTSD诊断标准。多变量Logistic回归分析显示，较高的儿童年龄诊断（比值比=1.11）和母亲的创伤后应激障碍的严重程度（比值比=1.14）增加的风险，全部或部分PTSD在children.Conclusions：这项研究提供了证据，大量流行的创伤后应激障碍在年幼的儿童癌症，并确定了重要的危险因素。版权所有（c）2012约翰威利父子有限公司
Objective: This study is the first to assess posttraumatic stress disorder (PTSD) in young children with cancer and to examine individual, medical, and parent-related determinants.Methods: Forty-eight patients with cancer, ages 8-48 months, were assessed in an average of 15 months after their diagnosis, using mothers as informants to complete the Posttraumatic Stress Disorder Semi-Structured Interview and Observational Record for Infants and Young Children. Additionally, mothers and the attending pediatric oncologist completed questionnaires on various determinants of child PTSD.Results: Nine children (18.8%) met the age-appropriate criteria for full PTSD proposed by Scheeringa et al., and 20 children (41.7%) met criteria for partial PTSD. Multivariate logistic regression analysis revealed that higher child age at diagnosis (odds ratio=1.11) and maternal PTSD severity (odds ratio=1.14) increased the risk of full or partial PTSD in children.Conclusions: This study provides evidence for a substantial prevalence of PTSD in young children with cancer and identifies important risk factors. Copyright (c) 2012 John Wiley & Sons, Ltd.