Butler Lisa D, Field Nigel P, Busch Amy L, Seplaki Julie E, Hastings T Andrew, Spiegel David
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Room 2320, Stanford, CA 94305-5718, USA.
Psychooncology. 2005 Jun;14(6):492-502. doi: 10.1002/pon.865.
This study examined pre- and post-loss levels of posttraumatic stress symptoms (intrusion and avoidance) in partners of metastatic/recurrent breast cancer patients, and the relationship of these symptoms to past, current, and anticipatory stressors. The results indicate that 34% (17/50) of the partners experienced clinically significant symptom levels prior to the patients' deaths. Prior to loss, partners' symptoms were positively associated with their current level of perceived stress and anticipated impact of the loss; whereas following loss, partners' symptoms were predicted by higher pre-loss levels of symptoms, past family deaths, and anticipated impact of the loss. Limitations and treatment implications of the present research and directions for future research are discussed.
本研究调查了转移性/复发性乳腺癌患者伴侣在患者死亡前后创伤后应激症状(侵入性症状和回避性症状)的水平,以及这些症状与过去、当前和预期应激源之间的关系。结果表明,34%(17/50)的伴侣在患者死亡前经历了具有临床意义的症状水平。在患者死亡前,伴侣的症状与他们当前感知到的压力水平和预期的丧失影响呈正相关;而在患者死亡后,伴侣的症状可由丧失前较高的症状水平、过去家族成员的死亡以及预期的丧失影响来预测。本文讨论了本研究的局限性、治疗意义以及未来研究的方向。