scholarly journals Posttraumatic Stress Disorder (PTSD) and Posttraumatic Stress Symptoms (PTSS) in Families of Adolescent Childhood Cancer Survivors

2004 ◽  
Vol 29 (3) ◽  
pp. 211-219 ◽  
Author(s):  
A. E. Kazak
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Childhood Cancer Survivors ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms

Prevalence and predictors of posttraumatic stress disorder in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

2009 ◽  
Vol 27 (18_suppl) ◽  
pp. CRA10002-CRA10002
Author(s):  
M. Stuber ◽  
K. Meeske ◽  
B. Zebrack ◽  
K. Krull ◽  
K. Stratton ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Posttraumatic Stress ◽  
Cancer Survivor ◽  
Stress Disorder ◽  
Childhood Cancer Survivors ◽  
Childhood Cancer Survivor ◽  
Self Report ◽  
Childhood Cancer Survivor Study

CRA10002 Background: This study examined prevalence and demographic- and disease-related correlates of posttraumatic stress disorder (PTSD) among 6,542 adult childhood cancer survivors and 368 siblings from the Childhood Cancer Survivor Study. Methods: Subjects were dichotomized based on full PTSD criteria, using the Foa PTSD self-report measure to assess posttraumatic stress symptoms of intrusion of unwanted memories, avoidance of event reminders, and increased startle response, and the Brief Symptom Inventory-18 and the SF-36 subscale, role limitation due to emotional health, to evaluate clinical distress or impaired function. A self-report questionnaire provided demographic information and medical abstraction provided cancer reatment data. Multivariable generalized linear models were used to compare prevalence of PTSD among cancer survivors to siblings and to examine relationships between PTSD and demographic and disease-related factors. Relative risks (RR) were calculated based on a Poisson distribution with robust error variances. Results: Five hundred eighty-nine (9%) childhood cancer survivors and 8 (2%) siblings met criteria for a diagnosis of PTSD (RR = 3.83, 95% CI 1.96–7.48, p < 0.0001). Among cancer survivors, there was significantly more PTSD reported by women from minority backgrounds (p < 0.05). Other demographic factors associated with PTSD were having less than a college education (p < 0.05), being unmarried (p < 0.001), having an annual income less than $20,000 (p < 0.05) and being unemployed (p = 0.001). Risk of PTSD was significantly higher for survivors diagnosed at ages 15 to 20 years (p < 0.05). PTSD was more common among survivors treated with intensive chemotherapy (p < 0.05) or radiation therapy (p < 0.001) and who relapsed or developed a second malignant neoplasm (p < 0.001). Neuroblastoma and Wilms tumor survivors had a significantly lower risk of PTSD than did leukemia survivors (p < 0.05). Conclusions: While the majority of childhood cancer survivors did not demonstrate PTSD, a clinically significant number did meet diagnostic criteria. Prospective assessment of survivors with high risk demographic-, diagnosis-, and treatment-related characteristics should be considered as part of long-term health screening. No significant financial relationships to disclose.

Posttraumatic Stress Symptoms During Treatment in Parents of Children With Cancer

2005 ◽  
Vol 23 (30) ◽  
pp. 7405-7410 ◽  
Author(s):  
Anne E. Kazak ◽  
C. Alexandra Boeving ◽  
Melissa A. Alderfer ◽  
Wei-Ting Hwang ◽  
Anne Reilly
Keyword(s):  
Cancer Survivors ◽  
Childhood Cancer ◽  
Posttraumatic Stress ◽  
Well Being ◽  
Childhood Cancer Survivors ◽  
Posttraumatic Stress Symptoms ◽  
Treatment Intensity ◽  
Mothers And Fathers ◽  
Stress Symptoms ◽  
Time Since Diagnosis

Purpose The conceptualization of childhood cancer and its treatment as traumatic has gained increasing support in the growing literature on medically related posttraumatic stress. Posttraumatic stress symptoms (PTSS) such as intrusive thoughts, physiologic arousal, and avoidance have been documented in mothers and fathers of childhood cancer survivors. In this study we investigated the presence of PTSS in parents of children currently in treatment and their association with treatment intensity and length of time since diagnosis. Methods Mothers (N = 119) and fathers (N = 52) of children currently in treatment for a childhood malignancy completed questionnaire measures of PTSS. Outcomes on these measures were compared with a sample of parents of childhood cancer survivors from our hospital. Oncologist ratings of treatment intensity were obtained based on diagnosis, treatment modalities, and protocol number. Results All but one parent reported PTSS. Mean scores indicated moderate PTSS for both mothers and fathers. In families with two participating parents, nearly 80% had at least one parent with moderate-to-severe PTSS. There were minimal associations between PTSS and length of time since diagnosis. Conclusion PTSS are common among parents of children currently undergoing cancer treatment. Trauma-informed psychosocial interventions can be used to help patients and families, including normalizing the experience as potentially traumatic and using evidence-based interventions that are emerging to facilitate long-term well-being.

Predictors of Posttraumatic Stress Symptoms in Childhood Cancer Survivors

PEDIATRICS ◽  
1997 ◽  
Vol 100 (6) ◽  
pp. 958-964 ◽  
Author(s):  
M. L. Stuber ◽  
A. E. Kazak ◽  
K. Meeske ◽  
L. Barakat ◽  
D. Guthrie ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Childhood Cancer ◽  
Posttraumatic Stress ◽  
Childhood Cancer Survivors ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms

scholarly journals Evaluation of posttraumatic stress disorder in childhood cancer survivors

2016 ◽  
Vol 18 (2) ◽  
pp. 7
Author(s):  
Elisa Kern de Castro ◽  
Maria Júlia Armiliato ◽  
Renata Klein Zancan ◽  
Lauro Jose Gregianin
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Childhood Cancer Survivors

Patterns of Posttraumatic Stress Symptoms in Parents of Childhood Cancer Survivors.

2005 ◽  
Vol 19 (3) ◽  
pp. 430-440 ◽  
Author(s):  
Melissa A. Alderfer ◽  
Avital Cnaan ◽  
Rachel A. Annunziato ◽  
Anne E. Kazak
Keyword(s):  
Cancer Survivors ◽  
Childhood Cancer ◽  
Posttraumatic Stress ◽  
Childhood Cancer Survivors ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms

Posttraumatic Stress Symptoms in a Population of Rural Children in South Africa

1999 ◽  
Vol 85 (2) ◽  
pp. 646-650 ◽  
Author(s):  
Karl Peltzer
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Posttraumatic Stress Symptoms ◽  
Unexpected Death ◽  
Loved One ◽  
Stress Symptoms ◽  
Life Threatening ◽  
Age Range

The purpose of the study was to identify exposure to experiences such as violence and the consequences for health in children in a rural South African community. The stratified random sample included 148 children below 17 yr., which comprised 68 (46%) boys and 80 (54%) girls in the age range of 6 to 16 years ( M = 12.1 yr., SD = 3.1). Their ethnicity was Northern Sotho. The interviews included the Children's Posttraumatic Stress Disorder Inventory and the Reporting Questionnaire for Children. The experiences could be grouped into either traumatic or other events. 99 (67%) had directly or vicariously experienced a traumatic event which included witnessing someone killed or seriously injured, serious accident, violent or very unexpected death or suicide of loved one, sexual abuse or rape of relative or friend, violent crime, child abuse, and other life-threatening situations. Scores on the Children's Posttraumatic Stress Disorder Inventory of 17 (8.4%) fulfilled the criterion for posttraumatic stress disorder. 71% had more than one score and 53% had more than four scores on the Reporting Questionnaire for Children. Posttraumatic stress symptoms were significantly related to age and experiences such as those mentioned above.

Posttraumatic Stress Disorder in Posttransplant Children: Creating a Clinical Program to Address Their Needs

CNS Spectrums ◽  
2006 ◽  
Vol 11 (2) ◽  
pp. 118-126 ◽  
Author(s):  
Sukru Emre
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Medical Center ◽  
Integrated Approach ◽  
Posttraumatic Stress Symptoms ◽  
Solid Organ ◽  
Transplant Recipients ◽  
Newyork City ◽  
Stress Symptoms

AbstractPosttraumatic stress symptoms have been shown to occur in pediatric and adult solid-organ transplant recipients. The presence of these symptoms is associated with non-adherence to medications, increased distress, and poor outcome. Because posttraumatic stress disorder is treatable and because a transplant operation usually is an “anticipated trauma,” it is possible to address posttraumatic stress disorder symptoms in transplant recipients and attempt to prevent their development. Under my direction, the pediatric liver transplant program at Mount Sinai Medical Center in NewYork City created research and clinical programs to address posttraumatic stress symptoms and their consequences. Specifically, the focus on non-adherence to immunosuppressive medications in transplant recipients who are distressed and their parents. This article begins with a review of the data that led to the decision to start these programs. I then present the basic elements that are in place, in this particular program, to address patients' needs. I end this review with preliminary outcome data that illustrate the potential impact of such an integrated approach to patient care on medical outcomes.

scholarly journals A Cross-sectional Study of Mental Health, Posttraumatic Stress Symptoms and Post Exposure Changes in Norwegian Ambulance Personnel

2021 ◽  
Author(s):  
Bjørn Ole Reid ◽  
Lars Eide Næss-Pleym ◽  
Karin Elvenes Bakkelund ◽  
Jostein Dale ◽  
Oddvar Uleberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Personal Growth ◽  
Stress Disorder ◽  
Posttraumatic Stress Symptoms ◽  
Ambulance Personnel ◽  
Cross Sectional ◽  
Stress Symptoms

Abstract Background Posttraumatic Stress Disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and implementing safeguard measures. The goal of this study is therefore to report the prevalence of depression, anxiety, posttraumatic development, and PTSD in Norwegian ambulance personnel. Methods This study is a cross-sectional, anonymous, web-based survey (Questback®), performed among operative personnel employed in the Emergency Medical Services in the Regional Health Trust of Central Norway between 18. February and 9. April 2021. The study was sent to 1052 eligible participants. Questions reported demographic data, a traumatic events exposure index, Patient Health Questionnaire-9 (Depression), Generalized Anxiety Disorder-7 scale, Posttraumatic symptom scale (PTSD) and Posttraumatic change scale. Results The response rate in this study was 45.5 % (n=479/1052). The mean age of respondents was 37.1 years (std. 11.1) and 52.8 % (n=253) were male. Of the respondents, 80.6% (n=386) were married or had a partner, and 91.6% (n=439) reported having access to a peer support programme, with 34.9% (n=167) reporting that they had utilized peer support. In this study, 5 % (n=24) showed a prevalence of manifest posttraumatic stress disorder symptoms, while 8.6 % (n=41) reported moderate to severe depression and 2.9 % (n=14) presented moderate to severe symptoms of general anxiety. Of the respondents, 77.2 % (n=370) reported personal growth because of their work experiences. Conclusions This study indicates that Norwegian ambulance personnel report a prevalence of posttraumatic stress symptoms and depression, which is slightly higher for men, and lower for the female proportion in this study, when compared to an adult Norwegian population. The vast majority of respondents reported personal growth because of their work experience, and both the degree of peer support and having a partner seem to influence levels of posttraumatic stress and -development.

Sign in / Sign up

Export Citation Format

Share Document