Abstract:
OBJECTIVES:Studies of posttraumatic stress disorder (PTSD) document a significant proportion of cancer survivors reporting severe posttraumatic stress symptoms, even when they do not meet full diagnostic criteria. However, few studies have directly examined the clinical significance of these 'partial PTSD' symptoms in survivors. This study aimed to investigate the prevalence of PTSD symptoms in a cohort of long-term survivors of Hodgkin's lymphoma (HL) and to explore the clinical relevance of the partial PTSD phenomenon by assessing impairment of function secondary to sub-threshold symptomatology. METHODS:The Posttraumatic Diagnostic Scale was completed by 105 HL survivors and 101 sibling controls. Survivors' age at time of participation ranged from 24 to 71 years, age at time of diagnosis ranged from 6 to 61 years, and the median time since diagnosis was 16 years (range = 7-34). RESULTS:Posttraumatic stress disorder prevalence was not significantly higher in HL survivors (13%) compared with sibling controls (6.9%, p = 0.098). However, a significantly larger proportion of survivors (35.2%) met criteria for partial PTSD compared with siblings (17.8%, p = 0.004). Moreover, the majority of the survivors with partial PTSD (86.5%) reported experiencing some functional impairment related to these posttraumatic stress symptoms. CONCLUSIONS:A significant number of HL survivors experience posttraumatic stress symptoms severe enough to result in functional impairment. This finding underscores the importance of future research detailing the psychological and functional outcomes in survivors with partial PTSD and of careful clinical practice that assesses for functional impairment secondary to partial PTSD symptomatology, in male and female survivors, even years after completion of therapy.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Varela VS,Ng A,Mauch P,Recklitis CJdoi
10.1002/pon.2109subject
Has Abstractpub_date
2013-02-01 00:00:00pages
434-40issue
2eissn
1057-9249issn
1099-1611journal_volume
22pub_type
杂志文章相关文献
PSYCHO-ONCOLOGY文献大全abstract:PURPOSE:To characterize their information needs, we examined the main topics of inquiry and discussion (subjects of interaction, SOI) of calls made by family and friends of cancer patients to the National Cancer Institute's Cancer Information Service's (CIS) 1-800-4-CANCER telephone information service and summarized d...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.995
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Patients with cancer have relatively high rates of anxiety and distress, adversely affecting their well-being and quality of life. Recent studies indicate that addressing these symptoms could result in better response to cancer treatment. Researchers have found that interventions that focus on increasing men...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.1516
更新日期:2009-12-01 00:00:00
abstract::Cancer of the pancreas is a highly malignant disease with a very poor prognosis. Depression and anxiety occur more frequently in cancer of the pancreas than they do in other forms of intra-abdominal malignancies and other cancers in general. Yet, the etiology of psychiatric symptoms in patients with cancer of the panc...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/(SICI)1099-1611(199905/06)8:3<268::AID-PON
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:This study addresses the meanings women with breast cancer attach to their illness within a cognitive-developmental framework. The aim of the present study was twofold: (i) to identify the content of women's meanings in five domains of breast cancer representation (identity, causes, consequences, timeline and...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3246
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:While in the past cancer patients were advised to rest, recent research revealed various beneficial effects of physical activity, including increased treatment tolerability during cancer treatment and prolonged survival, which has led to a paradigm shift in relevant guidelines. This study examined if this par...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5020
更新日期:2019-04-01 00:00:00
abstract::The Social Cognitive Processing Model suggests that talking with others facilitates cognitive and emotional processing of experiences such as cancer if the social context in which these discussions take place is supportive and positive. Despite this, patients and spouses may inadvertently constrain each other's attemp...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.996
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Cancer occurs during one in 1000-5000 of the approximately 6 million yearly US pregnancies identified by the American Pregnancy Association. Although a newly diagnosed cancer is associated with substantial distress, little is known about cancer's emotional impact on women when diagnosed during pregnancy, and...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1926
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:Psychological morbidity in cancer patients is common, but often undetected and untreated. We developed a communication skills training (CST) program targeting this issue, and evaluated its impact on doctor behaviour. PATIENTS AND METHODS:Thirty of 35 oncologists from six teaching hospitals in six Australian ci...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.1217
更新日期:2008-03-01 00:00:00
abstract::Socio-economic status (SES) has often been associated with health disparities and mortality in cancer patients, yet systematic research into the role of SES in the course of the disease is lacking. This prospective study intends to examine the role of SES (i.e. educational level in this study) in psychological and phy...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1243
更新日期:2008-04-01 00:00:00
abstract::There is an increasing interest by health care providers, not only in the effectiveness of cancer treatments, but also in patients' quality of life (QOL). The objective of the present study is to validate the Functional Assessment of Cancer Therapy-General (FACT-G) Version 2 as a measure of the QOL in a sample of 140 ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/1099-1611(200101/02)10:1<88::aid-pon483>3.
更新日期:2001-01-01 00:00:00
abstract::While ovarian cancer is rare and screening is not recommended for most women, it is being studied as a way to reduce ovarian cancer mortality. As effective strategies for screening emerge it will be important to understand the quality of life (QOL) effects of participation in ovarian cancer screening. In this study, w...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.1151
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Impaired neurocognitive function (NCF) is a well-established consequence of pediatric medulloblastoma (MB) and its treatments. However, the frequency and features of neurocognitive dysfunction in adult-onset MB patients are largely unknown. METHODS:Adult patients (≥ 18 years) with MB who had received formal ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4920
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Alopecia is a common side effect of cancer treatment, affecting approximately 65% of patients. Healthcare providers and allied staff recognize that alopecia is distressing for people with cancer; however, they are often unaware of the extent of distress or the great efforts expended by patients to cope with h...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.4039
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:This research explores the treatment decision-making (TDM) experiences of women with recurrent ovarian cancer (ROC) with regard to treatment options; their understanding of risks and benefits of various treatment options; the decision-making role they want for themselves and for their oncologist; and the soci...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1562
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Morbidity from head and neck cancers (HNCs) and their treatment are significant, given their proximity to anatomical sites impacting facial appearance and function. Assessing the needs of HNC patients throughout their cancer journey is critical to informing quality care and improving quality of life. We aimed...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5257
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:As the number of older adults in the United States continues to grow, there will be increasing demands on health care providers to address the needs of this population. Cancer is of particular importance, with over half of all cancer survivors older than 65 years. In addition, depression, pain, and fatigue a...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4605
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:We examined the interdependent, dyadic, mental health of adolescent and young adult (AYA) cancer patients and their caregivers. Our aims were as follows: (1) to investigate the degree to which patients' and caregivers' subjective perceptions of illness severity are congruent with objective severity (i.e., med...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3785
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of methylphenidate for depression treatment in patients with advanced cancer. DESIGN:An 18-day randomized, double-blind, placebo-controlled clinical trial of methylphenidate for treatment of depression in selective serotonin reuptake inhibitor-treated patients with advanced can...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.4220
更新日期:2017-11-01 00:00:00
abstract::Patients' satisfaction with life, viewed in terms of the discrepancy between the perceived attainment and subjective importance of various life values, is a less often studied phenomenon for understanding the psychological adaptation in cancer patients. The main aim of the present study is to investigate the relation ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.536
更新日期:2001-11-01 00:00:00
abstract:INTRODUCTION:Although much is known about the efficacy, toxicity, and direct costs of treatment for follicular lymphoma (FL), there is no data assessing the impact of this diagnosis on the work productivity of affected individuals. METHODS:We conducted a cross-sectional survey study of consecutive patients attending a...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1404
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:Cancer and its treatment often have a profound impact on patients, leading to increased health care use in the years after diagnosis. Social support is an important determinant of health care use. Partners of cancer patients may not always be able to provide all support patients need and patients may then rev...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3963
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:People with low-grade brain tumour experience a range of emotional, behavioural and psychosocial consequences. Using Leventhal's self-regulation model to explore biopsychosocial factors associated with distress, we examine the relationships between illness perceptions, coping and depression, anxiety and posit...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3158
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:No study has yet assessed the impact of physicians' skills acquisition after a communication skills training program on changes in patients' and relatives' anxiety following a three-person medical consultation. This study aimed at comparing, in a randomized study, the impact, on patients' and relatives' anxi...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.1262
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Self-injury, a manifestation of severe psychological distress, is increased in cancer-bereaved youths. Little is known about the potential influence on the risk for self-injury of factors that could be clinically relevant to and modifiable by the health-care professionals involved in the care of the dying pa...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3515
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To determine whether the proposed seven-factor structure of the Illness Perception Questionnaire—Revised (Timeline Acute/Chronic, Timeline Cyclical, Consequences, Personal Control, Treatment Control, Illness Coherence and Emotional Representations) is appropriate among a population of oesophageal cancer surv...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1927
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Mixed reports exist about the impact of supportive-expressive group therapy (SEGT) on survival. METHODS:From 485 women with advanced breast cancer recruited between 1996-2002, 227 (47%) consented and were randomized within an average 10 months of cancer recurrence in a 2:1 ratio to intervention with 1 year ...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.1185
更新日期:2007-04-01 00:00:00
abstract::This preliminary study investigated whether bupropion sustained release (SR) improved symptomatic fatigue, depression and quality of life in cancer patients and caregiver quality of life. The sample consisted of a prospective open case series of 21 cancer patients, with fatigue and with or without depression at modera...
journal_title:Psycho-oncology
pub_type: 临床试验,杂志文章
doi:10.1002/pon.952
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:Recent reviews suggest that the routine use of patient-reported outcome measures (PROMs) in cancer clinics improves the processes of care but not patient outcomes such as quality of life or satisfaction. We set out to identify future strategies for (1) interventions to impact patient outcomes and (2) trials ...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.1545
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:Social support is conceptualized and operationalized in many ways, making it challenging to understand what types of support best predict physical activity (PA) in cancer survivors. This review examined associations between social support and PA among cancer survivors. METHODS:Following PRISMA guidelines, we...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5171
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:Although oncology social workers (OSWs) have emerged as a core profession in the provision of psychosocial services, there is a lack of empirical studies that describe their daily clinical work with next of kin (NOK). The overall aim of this study was to explore NOK's motives for consulting an OSW. This can p...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4925
更新日期:2019-01-01 00:00:00