Brief report: Post-traumatic stress during emerging adulthood in survivors of pediatric cancer
Brief report: Post-traumatic stress during emerging adulthood in survivors of pediatric cancer
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DOI：
10.1093/jpepsy/jsm038
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发表时间：
2007-09-01
影响因子：
3.6
通讯作者：
Noll, Robert B.
中科院分区：
文献类型：
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作者：
Gerhardt, Cynthia A.;Yopp, Justin M.;Noll, Robert B.
目的探讨儿童期癌症幸存者和对照组儿童在向成年期过渡过程中的创伤后应激症状（PTSS）和创伤后应激障碍（PTSD）。方法从小学和中学，我们前瞻性地跟踪了56名癌症幸存者，60名对照同龄人及其父母。评估是在年轻人18岁生日后完成的，使用问卷和半结构化的精神病学访谈。医疗保健提供者对治疗严重程度和晚期效应进行了评级。结果幸存者和对照组在PTSS或PTSD的发生率上没有差异，但对照组比幸存者报告了更多的分离经历。晚期效应与更多的既往PTSS相关。在报告创伤事件的16名癌症幸存者中，有5名（31%）与癌症有关。结论幸存者和比较同龄人的PTSS水平相似。其他潜在创伤性疾病或治疗的研究（例如，脑肿瘤（Brain tumors）。讨论了方法论和背景因素在PTSS/PTSD评估中的作用。
Objective To examine post-traumatic stress symptoms (PTSS) and disorder (PTSD) among survivors of childhood cancer and comparison peers during the transition to emerging adulthood. Method From elementary and middle school, we prospectively followed a cohort of 56 cancer survivors, 60 comparison peers, and their parents. Assessments were completed after the youth's 18th birthday using questionnaires and a semi-structured psychiatric interview. Healthcare providers rated treatment severity and late effects. Results Survivors and comparison peers did not differ on rates of PTSS or PTSD, but comparison peers reported more dissociative experiences than survivors. Late effects were associated with a greater number of past PTSS. Of the 16 cancer survivors who reported a traumatic event, five (31%) were cancer-related. Conclusions Levels of PTSS were similar for survivors and comparison peers. Research with other potentially traumatic diseases or treatments (e.g., amputations, brain tumors) is needed. The role of methodology and contextual factors in the assessment of PTSS/PTSD is discussed.