French-Rosas Lindsay N, Moye Jennifer, Naik Aanand D
Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, 1977 Butler Blvd, Houston, TX 77030, USA.
J Psychiatr Pract. 2011 Jul;17(4):270-6. doi: 10.1097/01.pra.0000400264.30043.ae.
Life-threatening illness has been identified as a stressor that can precipitate posttraumatic stress disorder (PTSD). Major advances in cancer treatment have led to increased survival periods. At the same time, there is a growing awareness of the psychological impact of cancer diagnosis and treatment on the patient. Cancer survivors report that cancer can elicit symptoms of traumatic stress. When cancer-related PTSD is untreated, medical and psychiatric morbidity increase. Despite the prevalence, impact, and morbidity of cancer-related PTSD, access to mental health care in cancer patients remains limited. It is important to increase mental health providers' awareness of cancer-related PTSD, given rising cancer rates and the potential for enhancing quality of life. This article presents an overview of the recognition, diagnosis, management, and follow-up of cancer-related PTSD for the mental health clinician.
危及生命的疾病已被确认为一种可引发创伤后应激障碍（PTSD）的应激源。癌症治疗的重大进展使生存期延长。与此同时，人们越来越意识到癌症诊断和治疗对患者的心理影响。癌症幸存者报告称，癌症会引发创伤应激症状。当与癌症相关的PTSD得不到治疗时，医疗和精神疾病的发病率会增加。尽管与癌症相关的PTSD普遍存在、影响重大且会导致发病，但癌症患者获得心理健康护理的机会仍然有限。鉴于癌症发病率不断上升以及改善生活质量的潜力，提高心理健康服务提供者对与癌症相关的PTSD的认识非常重要。本文为心理健康临床医生概述了与癌症相关的PTSD的识别、诊断、管理和随访。
