Change in post-traumatic stress symptoms following psychosocial treatment for breast cancer.

Psycho-Oncology Pub Date : 2005-08-01 DOI:10.1002/pon.882
Ellen G Levine, Janelle Eckhardt, Elisabeth Targ
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引用次数: 68

Abstract

The diagnosis of cancer is a traumatic experience, which may result in post-traumatic stress symptoms, such as arousal, re-experiencing the diagnostic process and avoidance. Changes in post-traumatic symptoms were assessed in 181 women with breast cancer who participated in either a standard support group or complementary/alternative (CAM) oriented intervention. At baseline 26 women were classified as having significant PTSD symptoms. After the 12-week sessions, significant decreases in the number of women with PTSD was seen in both interventions, however it was more evident in the Standard group where there was a 91% reduction in the number of women with PTSD versus an 80% reduction in the CAM group. For women with PTSD both groups showed significant decreases in overall PTSD symptoms and arousal. However, only the women in the Standard support group showed significant decreases in re-experiencing and avoidance symptoms. For the entire sample only women in the Standard group had significant decreases in overall PTSD, re-experiencing, and arousal. These results indicate that PTSD symptoms can be prevalent among women with breast cancer, and that while psychosocial interventions can be effective in reducing this type of distress, a support group might be more effective than a more complementary/alternative oriented intervention.

乳腺癌心理治疗后创伤后应激症状的变化
癌症的诊断是一个创伤性的经历,它可能导致创伤后应激症状,如觉醒,重新体验诊断过程和回避。研究人员对181名乳腺癌患者的创伤后症状变化进行了评估,这些患者参加了标准支持小组或以补充/替代(CAM)为导向的干预。在基线时,26名女性被归类为有明显的PTSD症状。在12周的疗程后,两种干预措施中患PTSD的女性人数都显著减少,但在标准组中更为明显,患PTSD的女性人数减少了91%,而CAM组则减少了80%。对于患有创伤后应激障碍的女性,两组患者的创伤后应激障碍症状和兴奋程度都显著降低。然而,只有标准支持组的女性在再经历和回避症状方面表现出显著的减少。在整个样本中,只有标准组的女性在整体创伤后应激障碍、再体验和觉醒方面有显著下降。这些结果表明,创伤后应激障碍症状可能在乳腺癌妇女中普遍存在,虽然心理社会干预可以有效地减少这种类型的痛苦,但支持小组可能比更互补/替代导向的干预更有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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