Karadeniz Cerit Kıvılcım, Cerit Cem, Nart Ömer, Eker Nurşah, Kıyan Gürsu, Dağlı Tolga, Ekingen Gülşen, Tokuç Gülnur, Karaca Ömer, Çorapçıoğlu Funda
Department of Pediatric Surgery, School of Medicine, Marmara University, Istanbul, Turkey.
Department of Psychiatry, School of Medicine, Kocaeli University, Izmit, Kocaeli, Turkey.
Pediatr Int. 2017 Sep;59(9):996-1001. doi: 10.1111/ped.13343. Epub 2017 Aug 7.
The aim of this study was to investigate the rate of post-traumatic stress disorder (PTSD) and associated risk factors among mothers of children who underwent cancer surgery.
This cross-sectional, multi-center study included a total of 60 mothers whose children underwent major thoraco-abdominal surgery and were under follow up in the outpatient setting between February 2016 and May 2016. Clinical Data Form, Hospital Anxiety and Depression Scale (HADS), and Clinician-Administered PTSD scale were used.
Of all participants, 13 (21.7%) were diagnosed with PTSD. These mothers had shorter duration of marriage, longer duration of hospital stay after surgery, and higher HADS scores, compared with the others without PTSD. Thoughts of guilt such as "I am being punished or tested" were more frequent in mothers with PTSD. Insomnia, irritability, concentration problems, and psychological reactivity were the most common symptoms.
Post-traumatic stress disorder is a severe disorder that may worsen the daily functioning of mothers and may also have an unfavorable effect on child. It is therefore of utmost importance for clinicians to recognize PTSD and the associated risk factors in order to guide these parents.
本研究旨在调查接受癌症手术患儿的母亲中创伤后应激障碍（PTSD）的发生率及相关危险因素。
这项横断面、多中心研究共纳入60名母亲，她们的孩子在2016年2月至2016年5月期间接受了重大胸腹手术，并在门诊接受随访。使用了临床数据表、医院焦虑抑郁量表（HADS）和临床医生管理的PTSD量表。
在所有参与者中，13名（21.7%）被诊断为PTSD。与未患PTSD的母亲相比，这些母亲的婚姻持续时间较短，术后住院时间较长，HADS评分较高。“我正在受到惩罚或考验”等内疚想法在患有PTSD的母亲中更为常见。失眠、易怒、注意力不集中和心理反应是最常见的症状。
创伤后应激障碍是一种严重的疾病，可能会使母亲的日常功能恶化，也可能对孩子产生不利影响。因此，临床医生识别PTSD及其相关危险因素以指导这些家长至关重要。
