DeKeyser Ganz Freda, Raz Haya, Gothelf Doron, Yaniv Isaac, Buchval Ilana
School of Nursing, Hadassah Hebrew University, Jerusalem, Israel.
Oncol Nurs Forum. 2010 Mar;37(2):160-7. doi: 10.1188/10.ONF.160-167.
PURPOSE/OBJECTIVES: To investigate the prevalence, symptom severity, and risk factors associated with post-traumatic stress disorder (PTSD) in childhood cancer survivors.
Descriptive, correlational study.
Follow-up clinic in Petach Tikva, Israel.
Convenience sample of 70 adult Israeli survivors of childhood cancer.
Questionnaires (the Post-Traumatic Diagnostic Scale and the Multidimensional Scale of Perceived Social Support) were distributed to participants, and demographic and clinical data were obtained from medical records.
Post-traumatic stress, social support, and clinical and demographic data.
Twenty (29%) of the participants met the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for PTSD; 10% experienced mild, 40% moderate, and 50% moderate to severe symptoms. Only 16% of the sample did not experience any symptoms of PTSD. A statistically significant negative relationship was found between PTSD symptom scores and the current age of the respondent (r(s) = -0.27, p = 0.03) and time since medical treatment (r(s) = -0.34, p = 0.004) but not any other demographic or clinical variables or social support.
Higher severity of PTSD symptoms was found, possibly because of local living conditions. Most clinical and demographic variables were not risk factors. This population should be studied further in an effort to prevent PTSD via early diagnosis.
Oncology nurses should be aware of the potential risk factors (recent completion of treatment and younger current age) and the high prevalence and severity of PTSD among survivors of childhood cancer to identify patients at higher risk and develop programs that prevent, limit, and treat PTSD.
目的/目标：调查儿童癌症幸存者中创伤后应激障碍（PTSD）的患病率、症状严重程度及相关危险因素。
描述性、相关性研究。
以色列佩塔提克瓦的随访诊所。
70名以色列成年儿童癌症幸存者的便利样本。
向参与者发放问卷（创伤后诊断量表和领悟社会支持多维量表），并从医疗记录中获取人口统计学和临床数据。
创伤后应激、社会支持以及临床和人口统计学数据。
20名（29%）参与者符合《精神疾病诊断与统计手册》（第4版）中PTSD的诊断标准；10%经历轻度症状，40%经历中度症状，50%经历中度至重度症状。样本中仅16%未出现任何PTSD症状。PTSD症状评分与受访者当前年龄（r(s)= -0.27，p = 0.03）及距治疗时间（r(s)= -0.34，p = 0.004）之间存在统计学上显著的负相关，但与其他任何人口统计学或临床变量或社会支持无关。
发现PTSD症状的严重程度较高，可能是由于当地生活条件所致。大多数临床和人口统计学变量并非危险因素。应进一步研究该人群，以便通过早期诊断预防PTSD。
肿瘤护理人员应意识到潜在的危险因素（近期完成治疗和当前年龄较小）以及儿童癌症幸存者中PTSD的高患病率和严重程度，以识别高危患者并制定预防、限制和治疗PTSD的方案。
