简短报告：儿童癌症幸存者成年早期的创伤后应激障碍
Brief report: post-traumatic stress during emerging adulthood in survivors of pediatric cancer.
作者信息
Gerhardt Cynthia A, Yopp Justin M, Leininger Lindsay, Valerius Kristin S, Correll Judy, Vannatta Kathryn, Noll Robert B
机构信息
Columbus Children's Research Institute, Center for Biobehavioral Health, Rm. G362, 700 Children's Drive, Columbus, OH 43205-2696, USA.
出版信息
J Pediatr Psychol. 2007 Sep;32(8):1018-23. doi: 10.1093/jpepsy/jsm038. Epub 2007 Jun 12.
OBJECTIVE
To examine post-traumatic stress symptoms (PTSS) and disorder (PTSD) among survivors of childhood cancer and comparison peers during the transition to emerging adulthood.
METHOD
From elementary and middle school, we prospectively followed a cohort of 56 cancer survivors, 60 comparison peers, and their parents. Assessments were completed after the youth's 18th birthday using questionnaires and a semi-structured psychiatric interview. Healthcare providers rated treatment severity and late effects.
RESULTS
Survivors and comparison peers did not differ on rates of PTSS or PTSD, but comparison peers reported more dissociative experiences than survivors. Late effects were associated with a greater number of past PTSS. Of the 16 cancer survivors who reported a traumatic event, five (31%) were cancer-related.
CONCLUSIONS
Levels of PTSS were similar for survivors and comparison peers. Research with other potentially traumatic diseases or treatments (e.g., amputations, brain tumors) is needed. The role of methodology and contextual factors in the assessment of PTSS/PTSD is discussed.
目的
研究儿童癌症幸存者及其对照同龄人在向成年早期过渡期间的创伤后应激症状（PTSS）和创伤后应激障碍（PTSD）。
方法
从小学和初中开始，我们前瞻性地跟踪了一组56名癌症幸存者、60名对照同龄人及其父母。在青少年18岁生日后，使用问卷和半结构化精神科访谈完成评估。医疗保健提供者对治疗严重程度和晚期效应进行评分。
结果
幸存者和对照同龄人在PTSS或PTSD发生率上没有差异，但对照同龄人报告的分离体验比幸存者更多。晚期效应与过去更多的PTSS相关。在报告有创伤事件的16名癌症幸存者中，5名（31%）与癌症相关。
结论
幸存者和对照同龄人PTSS水平相似。需要对其他潜在创伤性疾病或治疗（如截肢、脑肿瘤）进行研究。讨论了方法学和背景因素在PTSS/PTSD评估中的作用。
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