乳腺癌幸存者创伤后压力轨迹的种族和民族差异。

IF 1.5 4区 医学 Q4 PSYCHOLOGY, SOCIAL
Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2023-09-01 DOI:10.1080/07347332.2023.2253229
Melissa Mazor, Alex Nelson, Krystina Mathelier, Juan P Wisnivesky, Mita Goel, Yael Tobi Harris, Jenny J Lin
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引用次数: 0

摘要

目的:描述患有糖尿病的少数种族乳腺癌幸存者(BCS)的创伤后应激(PTS)症状随时间变化的差异:在一项多地点纵向研究中,通过自我报告问卷(事件影响量表-修订版 [IES-R])对创伤后应激反应进行基线、6 个月和 12 个月的评估:从三家三级医疗中心招募了 178 名接受治疗后的糖尿病 BCS 患者:与非西班牙裔白人女性相比,少数民族女性在所有时间点的 IES-R 总分都更高。在调整模型中,拉丁裔女性的 IES-R 总分持续较高,拉丁裔和 "其他 "女性的回避得分较高:结论:合并糖尿病的少数族裔 BCS 报告的与癌症相关的 PTS 发生率较高,且持续时间超过 12 个月:对社会心理服务提供者的启示:诊断后创伤后应激反应评估和支持在幸存者和初级保健实践中非常重要。可能需要联系社会和文化敏感的社区支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Racial and ethnic differences in post-traumatic stress trajectories in breast cancer survivors.

Purpose: To describe differences in post-traumatic stress (PTS) symptoms over time among racial and ethnic minoritized breast cancer survivors (BCS) with comorbid diabetes.

Design: In a multisite longitudinal study, post-traumatic stress was evaluated at baseline, 6 and 12 months through self-reported questionnaires (Impact of Events Scale-Revised [IES-R]).

Participants: One hundred and seventy-eight post-treatment BCS with diabetes were recruited from three tertiary medical centers.

Findings: Relative to non-Hispanic White women, minoritized women reported higher total IES-R scores at all time points. In the adjusted model, Latina women reported persistently higher IES-R total scores and Latina, and 'Other' women reported higher avoidance scores.

Conclusions: Minoritized BCS with comorbid diabetes report higher rates of cancer related PTS that persist over 12 months.

Implications for psychosocial providers: Post diagnosis PTS evaluation and support is important in survivorship and primary care practices. Linkage to socially and culturally sensitive community support may be warranted.

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来源期刊
Journal of Psychosocial Oncology
Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-
CiteScore
4.20
自引率
0.00%
发文量
36
期刊介绍: Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.
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