PittsburghV1, Main, Merge, bibRecord, 001B33

Posttraumatic Stress and Psychological Growth in Children With Cancer: Has the Traumatic Impact of Cancer Been Overestimated?

Identifieur interne : 001B33 ( Main/Merge ); précédent : 001B32; suivant : 001B34

Posttraumatic Stress and Psychological Growth in Children With Cancer: Has the Traumatic Impact of Cancer Been Overestimated?

Auteurs : Sean Phipps ; James L. Klosky ; Alanna Long ; Melissa M. Hudson ; Qinlei Huang ; Hui Zhang ; Robert B. Noll

Source :

Journal of Clinical Oncology [ 0732-183X ] ; 2014.

RBID : PMC:3927732

Descripteurs français

KwdFr :
- Adaptation psychologique, Adolescent, Autorapport, Développement de l'enfant, Enfant, Enquêtes et questionnaires, Femelle, Humains, Mâle, Stress psychologique (épidémiologie), Stress psychologique (étiologie), Troubles de stress post-traumatique (épidémiologie), Troubles de stress post-traumatique (étiologie), Tumeurs (psychologie), États-Unis d'Amérique (épidémiologie), Études cas-témoins.
MESH :
- psychologie : Tumeurs.
- épidémiologie : Stress psychologique, Troubles de stress post-traumatique, États-Unis d'Amérique.
- étiologie : Stress psychologique, Troubles de stress post-traumatique.
- Adaptation psychologique, Adolescent, Autorapport, Développement de l'enfant, Enfant, Enquêtes et questionnaires, Femelle, Humains, Mâle, Études cas-témoins.
Wicri :
- geographic : États-Unis.

English descriptors

KwdEn :
- Adaptation, Psychological, Adolescent, Case-Control Studies, Child, Child Development, Female, Humans, Male, Neoplasms (psychology), Self Report, Stress Disorders, Post-Traumatic (epidemiology), Stress Disorders, Post-Traumatic (etiology), Stress, Psychological (epidemiology), Stress, Psychological (etiology), Surveys and Questionnaires, United States (epidemiology).
MESH :
- geographic , epidemiology : United States.
- epidemiology : Stress Disorders, Post-Traumatic, Stress, Psychological.
- etiology : Stress Disorders, Post-Traumatic, Stress, Psychological.
- psychology : Neoplasms.
- Adaptation, Psychological, Adolescent, Case-Control Studies, Child, Child Development, Female, Humans, Male, Self Report, Surveys and Questionnaires.

Abstract

Purpose

To examine posttraumatic stress disorder and posttraumatic stress symptoms (PTSD/PTSS) in children with cancer using methods that minimize focusing effects and allow for direct comparison to peers without a history of cancer.

Patients and Methods

Children with cancer (n = 255) stratified by time since diagnosis, and demographically matched peers (n = 101) were assessed for PTSD using structured diagnostic interviews by both child and parent reports, and survey measures of PTSS and psychological benefit/growth by child report.

Results

Cancer was identified as a traumatic event by 52.6% of children with cancer, declining to 23.8% in those ≥ 5 years from diagnosis. By diagnostic interview, 0.4% of children with cancer met criteria for current PTSD, and 2.8% met lifetime criteria by self-report. By parent report, 1.6% of children with cancer met current criteria and 5.9% met lifetime criteria for PTSD. These rates did not differ from controls (all Ps >.1). PTSS levels were descriptively lower in children with cancer but did not differ from controls when all were referring to their most traumatic event (P = .067). However, when referring specifically to cancer-related events, PTSS in the cancer group were significantly lower than in controls (P = .002). In contrast, perceived growth was significantly higher in the cancer group when referring to cancer (P < .001).

Conclusion

These findings suggest no evidence of increased PTSD or PTSS in youths with cancer. Although childhood cancer remains a significant and challenging event, these findings highlight the capacity of children to adjust, and even thrive, in the face of such challenge.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927732

DOI: 10.1200/JCO.2013.49.8212
PubMed: 24449230
PubMed Central: 3927732

Links to Exploration step

PMC:3927732

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Posttraumatic Stress and Psychological Growth in Children With Cancer: Has the Traumatic Impact of Cancer Been Overestimated?</title>
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<term>Adolescent</term>
<term>Case-Control Studies</term>
<term>Child</term>
<term>Child Development</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Neoplasms (psychology)</term>
<term>Self Report</term>
<term>Stress Disorders, Post-Traumatic (epidemiology)</term>
<term>Stress Disorders, Post-Traumatic (etiology)</term>
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<term>Développement de l'enfant</term>
<term>Enfant</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Stress psychologique (épidémiologie)</term>
<term>Stress psychologique (étiologie)</term>
<term>Troubles de stress post-traumatique (épidémiologie)</term>
<term>Troubles de stress post-traumatique (étiologie)</term>
<term>Tumeurs (psychologie)</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
<term>Études cas-témoins</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term>
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term>
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neoplasms</term>
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<term>Troubles de stress post-traumatique</term>
<term>États-Unis d'Amérique</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Stress psychologique</term>
<term>Troubles de stress post-traumatique</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To examine posttraumatic stress disorder and posttraumatic stress symptoms (PTSD/PTSS) in children with cancer using methods that minimize focusing effects and allow for direct comparison to peers without a history of cancer.</p>
</sec>
<sec><title>Patients and Methods</title>
<p>Children with cancer (n = 255) stratified by time since diagnosis, and demographically matched peers (n = 101) were assessed for PTSD using structured diagnostic interviews by both child and parent reports, and survey measures of PTSS and psychological benefit/growth by child report.</p>
</sec>
<sec><title>Results</title>
<p>Cancer was identified as a traumatic event by 52.6% of children with cancer, declining to 23.8% in those ≥ 5 years from diagnosis. By diagnostic interview, 0.4% of children with cancer met criteria for current PTSD, and 2.8% met lifetime criteria by self-report. By parent report, 1.6% of children with cancer met current criteria and 5.9% met lifetime criteria for PTSD. These rates did not differ from controls (all <italic>P</italic>
s >.1). PTSS levels were descriptively lower in children with cancer but did not differ from controls when all were referring to their most traumatic event (<italic>P</italic>
 = .067). However, when referring specifically to cancer-related events, PTSS in the cancer group were significantly lower than in controls (<italic>P</italic>
 = .002). In contrast, perceived growth was significantly higher in the cancer group when referring to cancer (<italic>P</italic>
 < .001).</p>
</sec>
<sec><title>Conclusion</title>
<p>These findings suggest no evidence of increased PTSD or PTSS in youths with cancer. Although childhood cancer remains a significant and challenging event, these findings highlight the capacity of children to adjust, and even thrive, in the face of such challenge.</p>
</sec>
</div>
</front>
</TEI>
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Posttraumatic Stress and Psychological Growth in Children With Cancer: Has the Traumatic Impact of Cancer Been Overestimated?

Posttraumatic Stress and Psychological Growth in Children With Cancer: Has the Traumatic Impact of Cancer Been Overestimated?

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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