Green B L, Rowland J H, Krupnick J L, Epstein S A, Stockton P, Stern N M, Spertus I L, Steakley C
Department of Psychiatry, Georgetown University, Washington, DC 20007, USA.
Psychosomatics. 1998 Mar-Apr;39(2):102-11. doi: 10.1016/S0033-3182(98)71356-8.
This study investigated whether diagnosis and treatment of breast cancer produced posttraumatic stress disorder (PTSD) in adult women. One hundred sixty women with early stage node-negative breast cancer completed self-report questionnaires and underwent a full diagnostic assessment (Structured Clinical Interview for DSM-III-R). PTSD symptoms were common; however, only 3% of the women interviewed met stringent criteria for cancer-related PTSD in the 4-12 months following the completion of their medical treatment. Thus, breast cancer produced considerable distress, but low rates of PTSD, and may not fit well as a Criterion A stressor event for PTSD. Caution is urged for an assumption of a PTSD diagnosis based on self-reported symptoms.
本研究调查了乳腺癌的诊断和治疗是否会在成年女性中引发创伤后应激障碍(PTSD)。160名早期淋巴结阴性乳腺癌女性完成了自我报告问卷,并接受了全面的诊断评估(DSM-III-R结构化临床访谈)。PTSD症状很常见;然而,在完成治疗后的4至12个月内,接受访谈的女性中只有3%符合与癌症相关的PTSD的严格标准。因此,乳腺癌会造成相当大的痛苦,但PTSD发生率较低,作为PTSD的A类应激源事件可能不太合适。强烈建议谨慎根据自我报告症状进行PTSD诊断。