Posttraumatic stress disorder symptoms in newly diagnosed patients with head and neck cancer and their partners

被引:51
|
作者
Posluszny, Donna M. [1 ,2 ]
Dougall, Angela Liegey [3 ]
Johnson, Jonas T. [4 ,5 ]
Argiris, Athanassios [6 ]
Ferris, Robert L. [4 ,5 ,7 ]
Baum, Andrew [3 ]
Bovbjerg, Dana H. [2 ,8 ]
Dew, Mary Amanda [2 ,9 ,10 ,11 ,12 ,13 ]
机构
[1] Univ Pittsburgh, Div Hematol Oncol, Dept Med, Pittsburgh, PA 15232 USA
[2] Univ Pittsburgh, Biobehav Med Oncol Program, Inst Canc, Pittsburgh, PA 15232 USA
[3] Univ Texas Arlington, Dept Psychol, Arlington, TX 76019 USA
[4] Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA 15260 USA
[5] Univ Pittsburgh, Head & Neck Canc Program, Inst Canc, Pittsburgh, PA 15232 USA
[6] Univ Texas Hlth Sci Ctr San Antonio, Div Hematol Oncol, Dept Med, San Antonio, TX USA
[7] Univ Pittsburgh, Dept Immunol, Pittsburgh, PA 15232 USA
[8] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA 15232 USA
[9] Univ Pittsburgh, Dept Psychol, Pittsburgh, PA 15232 USA
[10] Univ Pittsburgh, Dept Behav & Community Hlth Sci, Pittsburgh, PA 15232 USA
[11] Univ Pittsburgh, Dept Clin & Translat Sci, Pittsburgh, PA 15232 USA
[12] Univ Pittsburgh, Dept Epidemiol, Pittsburgh, PA 15232 USA
[13] Univ Pittsburgh, Dept Biostat, Pittsburgh, PA 15232 USA
关键词
stress; posttraumatic stress disorder (PTSD); couples; blame; head and neck cancer; QUALITY-OF-LIFE; PSYCHOLOGICAL DISTRESS; PTSD CHECKLIST; BREAST-CANCER; IMPACT; DISFIGUREMENT; PREVALENCE; RADIOTHERAPY; ADJUSTMENT; SMOKING;
D O I
10.1002/hed.23760
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
BackgroundHead and neck cancer is a life-threatening illness requiring aversive treatments. Despite clear potential for posttraumatic stress disorder (PTSD) symptoms in both patients and their partners, research is scant. MethodsNewly diagnosed patients and partners (number of dyads =42) completed questionnaires to assess symptoms of PTSD, anxiety, and depression, as well as demographic, medical, and attitudinal variables. ResultsPartners had higher average levels of PTSD symptoms than patients (p=.023). More partners (28.6%) met criteria for estimated PTSD caseness than did patients (11.9%). There were no significant differences in levels of other anxiety or depression symptoms. Perceived threat of disease appeared to be a stronger correlate of PTSD symptom levels than medical variables in patients and partners. ConclusionA diagnosis of head and neck cancer elicits significant levels of PTSD symptoms in patients, and even higher levels among partners. Identified correlates of distress, including perceived threat of disease, are potential intervention targets. (c) 2014 Wiley Periodicals, Inc. Head Neck 37: 1282-1289, 2015
引用
收藏
页码:1282 / 1289
页数:8
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