调查和量化儿童癌症幸存者中的强迫症和相关障碍：简要报告。

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2025-01-01 Epub Date: 2024-06-13 DOI:10.1080/07347332.2024.2365372

Katie DeWitt, Paige Reimche, Mike Finch, Lucie Turcotte

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引用次数: 0

摘要

目的：儿童癌症幸存者的长期心理影响已得到充分证实。然而，据我们所知，还没有研究调查过儿童癌症幸存者（CCS）中的强迫症和相关障碍（OCRD）：方法：利用大型电子病历数据库，计算相对风险，研究儿童癌症幸存者的人口统计学特征、儿童癌症类型和强迫症之间的关系：在121名确诊患有OCRD的儿童癌症幸存者中，57%为女性。最常见的儿童癌症诊断是白血病/淋巴瘤（41%）和中枢神经系统（CNS）恶性肿瘤（38%），最常见的OCRD诊断是强迫症（OCD；76%）和切除障碍（13%）。女性（RR= 1.39，95% 置信区间 (CI) 1.17-1.61）、白种人（RR= 1.28，95% CI 1.15-1.36）和中枢神经系统恶性肿瘤史（RR= 1.36，95% CI 1.18，1.92）与强迫症相关：包括性别、种族和癌症类型在内的众多因素被认为是导致慢性病患者（尤其是强迫症患者）与未确诊慢性病患者的风险差异的因素。这加深了人们对 OCRD 发病风险因素的了解，有助于改善对高危幸存者的早期识别和护理。

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Investigating and quantifying obsessive-compulsive and related disorders among childhood cancer survivors: a brief report.

Objective: Long-term psychological impacts are well--documented among childhood cancer survivors. To our knowledge, however, no research has been conducted to investigate obsessive--compulsive and related disorders (OCRD) among childhood -cancer survivors (CCS).

Methods: Using a large electronic medical record database, relative risk were calculated to examine associations between demographic characteristics and childhood cancer type and OCRDs among childhood cancer survivors.

Results: Among 121 survivors of childhood cancer diagnosed with OCRD, 57% were female. The most common childhood cancer diagnoses were leukemia/lymphoma (41%) and central nervous system (CNS) malignancies (38%), and OCRD diagnoses most frequently observed were obsessive-compulsive disorder (OCD; 76%) and excoriation disorder (13%). Female sex (RR= 1.39, 95% confidence interval (CI) 1.17-1.61), White race (RR= 1.28, 95% CI 1.15-1.36) and history of CNS malignancies (RR= 1.36, 95% CI 1.18, 1.92) were associated with OCD.

Conclusions: Numerous factors, including sex, race, and cancer type, were seen as contributors to risk variance for OCRDs, particularly OCD, among CCS, compared to CCS with no OCRD diagnosis. This provides an enhanced understanding of risk factors for OCRD development and may help improve early identification and care for at-risk survivors.

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

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.