Athens Medical School, Greece.
Am J Mens Health. 2011 Jan;5(1):84-9. doi: 10.1177/1557988310365168. Epub 2010 May 18.
Psychological morbidity is increasingly reported in cancer survivors. The authors' objective was to determine the presence of acute posttraumatic stress disorder (PTSD) symptoms in prostate cancer (PC) patients following radical prostatectomy. Fifteen patients who underwent radical prostatectomy for localized prostate cancer were assessed for the presence of PTSD-related symptoms by completing the Davidson Trauma Scale (DTS), a month following the procedure. A group of 20 patients who underwent surgery for benign prostate hyperplasia (BPH) served as the control group. PTSD total scores were significantly higher in PC patients when compared with BPH patients, whose PTSD scores did not differ from those reported in the general population (32.6 ± 18.5 vs. 11.3 ± 9.7, p = .001). PTSD did not vary among PC patients when adjusted for educational status. PTSD symptoms are common among patients undergoing radical prostatectomy and independent of their educational level. Research investigating these aspects of posttreatment psychological adjustment is needed for developing well-targeted psychological interventions.
癌症幸存者的心理发病率越来越高。作者的目的是确定接受根治性前列腺切除术的前列腺癌(PC)患者是否存在急性创伤后应激障碍(PTSD)症状。对 15 名接受根治性前列腺切除术治疗局限性前列腺癌的患者进行了评估,通过完成 Davidson 创伤量表(DTS)来确定是否存在 PTSD 相关症状,该评估是在手术后一个月进行的。另一组 20 名接受良性前列腺增生(BPH)手术的患者作为对照组。与 BPH 患者相比,PC 患者的 PTSD 总分明显更高,而 BPH 患者的 PTSD 评分与一般人群报告的分数没有差异(32.6±18.5 对 11.3±9.7,p=.001)。在调整了教育程度后,PC 患者之间的 PTSD 没有差异。PTSD 症状在接受根治性前列腺切除术的患者中很常见,且与他们的教育程度无关。为了制定有针对性的心理干预措施,需要对这些治疗后心理调整方面进行研究。