Breast cancer as trauma: Posttraumatic stress and posttraumatic growth

被引：191
作者：
Cordova, Matthew J.
Giese-Davis, Janine
Golant, Mitch
Kronenwetter, Carol
Chang, Vickie
Spiegel, David
机构：
[1] Pacific Grad Sch Psychol, Palo Alto, CA USA
[2] Stanford Univ, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA
[3] Sutter Hlth Calif Pacific Med Ctr, San Francisco, CA USA
[4] Wellness Community Natl, Santa Monica, CA USA
来源：
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2007年 / 14卷 / 04期
关键词：
posttraumatic stress disorder (PTSD); posttraumatic growth; breast cancer; appraisal; social constraints;
D O I：
10.1007/s10880-007-9083-6
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Diagnosis and treatment of cancer has been associated with both posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG). This cross-sectional study sought to assess the frequency, common predictors, and interrelationships of PTSD symptoms and PTG in breast cancer survivors (n = 65). In this sample, symptoms of PTSD and reports of PTG were common and were not significantly related to one another. Greater social constraints on talking about breast cancer and perception of cancer as a traumatic stressor were associated with greater PTSD symptomatology. Younger age and perception of cancer as a traumatic stressor were associated with greater PTG. Findings suggest the central role of subjective appraisal in adjustment to cancer. Psychosocial interventions should be sensitive to the potential for PTG, both in treatment design and in assessment of outcomes.
引用
收藏
页码：308 / 319
页数：12
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