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首页> 外文学位 >Posttraumatic Stress, Quality of Life, Depression, and Physical Health in Cancer Survivors: The Buffering Effect of Posttraumatic Growth.
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Posttraumatic Stress, Quality of Life, Depression, and Physical Health in Cancer Survivors: The Buffering Effect of Posttraumatic Growth.

机译：癌症幸存者的创伤后压力，生活质量，抑郁和身体健康：创伤后生长的缓冲作用。

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摘要

The current study attempted to use an online data collection system to replicate and extend our previous findings on the interaction of posttraumatic growth and post-traumatic stress disorder (PTSD) symptoms in predicting depressive symptoms and quality of life in cancer survivors (Morrill et al., 2008). Participants were 165 survivors of a diverse range of cancers who completed an Internet-based questionnaire designed to assess perceived stress, PTSD symptoms, and posttraumatic growth, and three health outcomes (distress about physical health symptoms, quality of life, and depressive symptoms). The results of this study suggest that the online questionnaire is a feasible, efficient, reliable, and "user-friendly" tool to assess bio-psychosocial health factors in cancer survivors. PTSD symptoms were associated with more distress about physical health symptoms, poorer quality of life, and more depressive symptoms; perceived stress was associated with more depressive symptoms; and posttraumatic growth was associated with better quality of life (p .01) and fewer depressive symptoms (p .01). Results failed to support the hypothesized buffering effect of posttraumatic growth. However, the interaction of PTSD symptoms and personal growth initiative accounted for a statistically significant (p .05) amount of the variance in quality of life indicating a potential buffering effect of personal growth on the deleterious relation between posttraumatic stress and quality of life. Finally, of the 47 participants that reported clinically significant levels of depressive and/or PTSD symptoms only 27 (57%) reported being treated for a psychiatric disorder. Conclusions. The findings of the current study indicate that as many as 10% of those suffering from cancer may have clinically significant PTSD symptoms which are associated with poorer health outcomes. Only 57% of the cancer survivors in the current study who reported clinically significant symptoms of PTSD or depression reported receiving treatment for a psychiatric disorder. These results highlight the importance of screening for PTSD and depression in cancer patients and survivors in both research and clinical settings, followed by referral for diagnostic assessment and subsequent treatment when appropriate. Additionally, Internet-based data collection may have important implications regarding screening, referral, and ongoing assessment of psychological distress in clinical care.
机译：当前的研究试图使用在线数据收集系统来复制和扩展我们先前关于创伤后生长和创伤后应激障碍（PTSD）症状相互作用的发现，以预测癌症幸存者的抑郁症状和生活质量（Morrill等。 ，2008）。参与者是165名各种癌症的幸存者，他们完成了一项基于互联网的问卷调查，该问卷旨在评估感知到的压力，PTSD症状和创伤后生长情况，以及三项健康结果（对身体健康症状，生活质量和抑郁症状的困扰）。这项研究的结果表明，在线调查表是评估癌症幸存者生物心理社会健康因素的可行，有效，可靠和“用户友好”的工具。 PTSD症状与对身体健康症状的困扰更大，生活质量较差和抑郁症的症状相关；感觉到的压力与更抑郁的症状有关；创伤后的成长与生活质量更好（p <.01）和抑郁症状更少（p <.01）有关。结果未能支持创伤后生长的假设缓冲作用。但是，PTSD症状与个人成长主动性的相互作用导致了生活质量方差的统计学显着（p <.05），表明个人成长对创伤后压力与生活质量之间的有害关系具有潜在的缓冲作用。最后，在报告临床上显着水平的抑郁和/或PTSD症状的47位参与者中，只有27位（57％）报告接受了精神病治疗。结论。当前研究的结果表明，多达10％的癌症患者可能具有临床上显着的PTSD症状，这与健康状况较差有关。在本研究中，只有57％的癌症幸存者报告了PTSD的临床显着症状或抑郁，他们表示接受了精神病治疗。这些结果凸显了在研究和临床环境中筛查癌症患者和幸存者中PTSD和抑郁症的重要性，然后在适当时转诊以进行诊断评估和后续治疗。此外，基于Internet的数据收集可能对临床护理中的心理困扰的筛查，转诊和持续评估具有重要意义。

著录项

  • 作者

    Morrill, Edward Forrest.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Psychology Behavioral Sciences.;Health Sciences Oncology.;Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 104 p.
  • 总页数 104
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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