A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents

被引:239
作者
Bruce, Matt [1 ]
机构
[1] UCL, Subdept Clin Hlth Psychol, London WC1E 6BT, England
关键词
childhood cancer survivors; parents; posttraumatic stress disorder (PTSD); posttraumatic stress symptoms;
D O I
10.1016/j.cpr.2005.10.002
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Recent years have witnessed a rapid acceleration in the recognition and documentation of posttraumatic stress disorder (PTSD) and posttraumatic stress symptomatology (PTSS) in childhood cancer survivors and their parents. However, applicability of PTSD both diagnostically and conceptually to cancer-related traumatic responses remains poorly articulated within the current literature. Following an outline of childhood cancer and PTSD, this paper critically examines the applicability of such a diagnosis to this clinical population. It then systematically reviews the current evidence base (24 studies) on PTSD and PTSS in childhood cancer survivors and their parents. Prevalence of PTSD and PTSS, as well as associated predictors, in this clinical population varies widely. Findings are considered in the light of a number of contemporary theories of PTSD. Limitations within current conceptualizations of PTSD are highlighted with respect to the nature of cancer as a traumatic event and the specific features of traumatic stress manifestations in childhood cancer survivors and their parents. Finally, a number of pertinent research areas are elucidated which are argued to warrant further investigation. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:233 / 256
页数:24
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