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Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress

OBJECTIVE: Post‐traumatic stress disorder (PTSD) is a severe psychiatric disorder, which might develop after a traumatic event, like cancer diagnosis, and threatens the patient's psychological and/or physiological integrity. Anxiety, depression, and mental distress are known to be common in can...

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Autores principales: Unseld, Matthias, Krammer, Katharina, Lubowitzki, Simone, Jachs, Mathias, Baumann, Lukas, Vyssoki, Benjamin, Riedel, Jasmin, Puhr, Hanna, Zehentgruber, Stefan, Prager, Gerald, Masel, Eva Katharina, Preusser, Matthias, Jaeger, Ulrich, Gaiger, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916606/
https://www.ncbi.nlm.nih.gov/pubmed/31679172
http://dx.doi.org/10.1002/pon.5239
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author Unseld, Matthias
Krammer, Katharina
Lubowitzki, Simone
Jachs, Mathias
Baumann, Lukas
Vyssoki, Benjamin
Riedel, Jasmin
Puhr, Hanna
Zehentgruber, Stefan
Prager, Gerald
Masel, Eva Katharina
Preusser, Matthias
Jaeger, Ulrich
Gaiger, Alexander
author_facet Unseld, Matthias
Krammer, Katharina
Lubowitzki, Simone
Jachs, Mathias
Baumann, Lukas
Vyssoki, Benjamin
Riedel, Jasmin
Puhr, Hanna
Zehentgruber, Stefan
Prager, Gerald
Masel, Eva Katharina
Preusser, Matthias
Jaeger, Ulrich
Gaiger, Alexander
author_sort Unseld, Matthias
collection PubMed
description OBJECTIVE: Post‐traumatic stress disorder (PTSD) is a severe psychiatric disorder, which might develop after a traumatic event, like cancer diagnosis, and threatens the patient's psychological and/or physiological integrity. Anxiety, depression, and mental distress are known to be common in cancer patients; however, the frequency of PTSD was not investigated thoroughly in this patient group so far. Here, we aim to screen cancer patients for PTSD symptoms and determine a possible correlation with anxiety, depression, and distress. METHODS: The study was performed at the Divisions of Hematology and Oncology of the Medical University of Vienna from 2010 to 2018. Following written consent, patients were asked to fill out the validated self‐assessment questionnaire for PTSS‐10 and HADS. The study was approved by the institutional ethics committee of the Medical University of Vienna (EC Nr: 2255/2016). RESULTS: A total of 1017 adult cancer patients (513 male, 504 female) were included in a cross‐sectional single‐center study. Mean age was 57.6 years (SD 14.4 years); 31.7%, 14.6%, 13.2%, and 27.4% of patients outscored the predefined thresholds for self‐assessed cases of PTSD, anxiety, depression, and distress, respectively. Compared with men, women showed a higher prevalence of symptoms for PTSD (38.9% vs 24.5%; P < .001) and anxiety (20.4% vs 8.6%; P < .001). The scores of HADS‐A, HADS‐D, and the combined HADS score (distress) were significantly correlated with PTSS‐10 scores (P < .01). No differences in age were observed among the different score groups. CONCLUSION: The study shows a significant prevalence as well as a correlation of PTSD symptoms with anxiety, depression, and distress among cancer patients. Findings underscore the necessity of a serious screening for psychiatric disorders, especially in female patients. In order to enable multidisciplinary care for cancer patients and to reduce the burden for psychiatric disorders, interdisciplinary screening and treatment concepts, which take into account gender aspects, are urged.
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spelling pubmed-69166062019-12-23 Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress Unseld, Matthias Krammer, Katharina Lubowitzki, Simone Jachs, Mathias Baumann, Lukas Vyssoki, Benjamin Riedel, Jasmin Puhr, Hanna Zehentgruber, Stefan Prager, Gerald Masel, Eva Katharina Preusser, Matthias Jaeger, Ulrich Gaiger, Alexander Psychooncology Papers OBJECTIVE: Post‐traumatic stress disorder (PTSD) is a severe psychiatric disorder, which might develop after a traumatic event, like cancer diagnosis, and threatens the patient's psychological and/or physiological integrity. Anxiety, depression, and mental distress are known to be common in cancer patients; however, the frequency of PTSD was not investigated thoroughly in this patient group so far. Here, we aim to screen cancer patients for PTSD symptoms and determine a possible correlation with anxiety, depression, and distress. METHODS: The study was performed at the Divisions of Hematology and Oncology of the Medical University of Vienna from 2010 to 2018. Following written consent, patients were asked to fill out the validated self‐assessment questionnaire for PTSS‐10 and HADS. The study was approved by the institutional ethics committee of the Medical University of Vienna (EC Nr: 2255/2016). RESULTS: A total of 1017 adult cancer patients (513 male, 504 female) were included in a cross‐sectional single‐center study. Mean age was 57.6 years (SD 14.4 years); 31.7%, 14.6%, 13.2%, and 27.4% of patients outscored the predefined thresholds for self‐assessed cases of PTSD, anxiety, depression, and distress, respectively. Compared with men, women showed a higher prevalence of symptoms for PTSD (38.9% vs 24.5%; P < .001) and anxiety (20.4% vs 8.6%; P < .001). The scores of HADS‐A, HADS‐D, and the combined HADS score (distress) were significantly correlated with PTSS‐10 scores (P < .01). No differences in age were observed among the different score groups. CONCLUSION: The study shows a significant prevalence as well as a correlation of PTSD symptoms with anxiety, depression, and distress among cancer patients. Findings underscore the necessity of a serious screening for psychiatric disorders, especially in female patients. In order to enable multidisciplinary care for cancer patients and to reduce the burden for psychiatric disorders, interdisciplinary screening and treatment concepts, which take into account gender aspects, are urged. John Wiley and Sons Inc. 2019-11-03 2019-12 /pmc/articles/PMC6916606/ /pubmed/31679172 http://dx.doi.org/10.1002/pon.5239 Text en ©2019 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Papers
Unseld, Matthias
Krammer, Katharina
Lubowitzki, Simone
Jachs, Mathias
Baumann, Lukas
Vyssoki, Benjamin
Riedel, Jasmin
Puhr, Hanna
Zehentgruber, Stefan
Prager, Gerald
Masel, Eva Katharina
Preusser, Matthias
Jaeger, Ulrich
Gaiger, Alexander
Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
title Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
title_full Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
title_fullStr Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
title_full_unstemmed Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
title_short Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
title_sort screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916606/
https://www.ncbi.nlm.nih.gov/pubmed/31679172
http://dx.doi.org/10.1002/pon.5239
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