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青少年癌症患者的创伤后应激障碍与家庭功能

Posttraumatic stress disorder and family functioning in adolescent cancer.

作者信息

Pelcovitz D, Libov B G, Mandel F, Kaplan S, Weinblatt M, Septimus A

机构信息

North Shore University Hospital-NYU School of Medicine, New York 14853, USA.

出版信息

J Trauma Stress. 1998 Apr;11(2):205-21. doi: 10.1023/A:1024442802113.

DOI:10.1023/A:1024442802113
PMID:9565912
Abstract

Twenty three adolescents with a history of cancer, 27 physically abused adolescents, and 23 healthy, nonabused adolescents were administered structured posttraumatic stress disorder (PTSD) interviews and self-report questionnaires regarding family functioning. Thirty five percent of adolescent cancer subjects met criteria for lifetime PTSD as compared to only 7% of the abused adolescents: 17% of the cancer subjects and 11% of the abuse subjects met criteria for current PTSD. Adolescents with cancer viewed their mothers and fathers as significantly more caring and more protective than the comparison and abused adolescents. Cancer subjects who met criteria for lifetime PTSD saw their families as significantly more chaotic than those who did not have PTSD. Eighty three percent of cancer subjects who had lifetime PTSD also had mothers who had PTSD.

摘要

对23名有癌症病史的青少年、27名受身体虐待的青少年以及23名健康、未受虐待的青少年进行了结构化创伤后应激障碍(PTSD)访谈,并发放了关于家庭功能的自我报告问卷。35%的患癌青少年符合终生PTSD标准,相比之下,受虐待青少年中只有7%符合该标准:17%的患癌青少年和11%的受虐待青少年符合当前PTSD标准。患癌青少年认为他们的父母比对照组和受虐待青少年的父母更有爱心、更具保护欲。符合终生PTSD标准的患癌青少年认为他们的家庭比未患PTSD的青少年的家庭更加混乱。有终生PTSD的患癌青少年中,83%的人的母亲也患有PTSD。

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