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癌症诊断后第一年心理障碍的病程。

The course of psychological disorders in the 1st year after cancer diagnosis.

作者信息

Kangas Maria, Henry Jane L, Bryant Richard A

机构信息

School of Psychology, University of New South Wales, Sydney, Australia.

出版信息

J Consult Clin Psychol. 2005 Aug;73(4):763-8. doi: 10.1037/0022-006X.73.4.763.

Abstract

This study investigated the relationship between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) and comorbid anxiety, depressive, and substance use disorders over the first 12-month period following a cancer diagnosis. Individuals recently diagnosed with 1st onset head and neck or lung malignancy were assessed for ASD within the initial month following their diagnosis and reassessed for PTSD and other psychological disorders at both 6 months and 12 months following their cancer diagnosis. The incidence for PTSD at 12 months (14%) was lower than the incidence for other anxiety (20%) and depressive (20%) disorders. This study points to the need for the development of valid therapeutic interventions to assist this population in the 1st year following their diagnosis.

摘要

本研究调查了癌症诊断后的前12个月内急性应激障碍(ASD)与创伤后应激障碍(PTSD)以及共病的焦虑、抑郁和物质使用障碍之间的关系。对近期首次诊断为头颈部或肺部恶性肿瘤的个体在诊断后的首个月内进行ASD评估,并在癌症诊断后的6个月和12个月时重新评估PTSD及其他心理障碍。12个月时PTSD的发病率(14%)低于其他焦虑障碍(20%)和抑郁障碍(20%)的发病率。本研究指出,需要开发有效的治疗干预措施,以帮助这一人群在诊断后的第一年。

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