PTSD diagnoses, subsyndromal symptoms, and comorbidities contribute to impairments for breast cancer survivors

被引：97

作者：

Shelby, Rebecca A. ^{[1
,2
]}

Golden-Kreutz, Deanna M. ^{[2
]}

Andersen, Barbara L. ^{[2
,3
]}

机构：

[1] Duke Univ, Med Ctr, Pain Prevent & Treatment Res Program, Durham, NC 27705 USA

[2] Ohio State Univ, Dept Psychol, Columbus, OH 43210 USA

[3] Ohio State Univ, Ctr Comprehens Canc, Columbus, OH 43210 USA

来源：

JOURNAL OF TRAUMATIC STRESS | 2008年 / 21卷 / 02期

关键词：

D O I：

10.1002/jts.20316

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The clinical importance of posttraumatic stress disorder (PTSD) symptomatology for cancer patients is unclear. The association between the magnitude of cancer-related PTSD symptoms, comorbidity, and functioning is tested. Breast cancer patients (N = 74) were assessed at diagnosis/surgery, followed, and screened for cancer-related PTSD 18 months later. Participants then completed diagnostic interviews and PTSD (n = 12), subsyndromal PTSD (n = 5), and no symptom (n = 47) patient groups were identified. Posttraumatic stress disorder cases were distinguished by having experienced violent traumas and anxiety disorders predating cancer whereas subsyndromal cases were not. Also, longitudinal data show that PTSD covarys with poorer functioning and lower quality of life among breast cancer survivors. Both PTSD and subsyndromal PTSD were associated with employment absenteeism and the seeking Of mental health services.

引用

页码：165 / 172

页数：8

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