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Post‐traumatic stress symptoms in long‐term disease‐free cancer survivors and their family caregivers
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Post‐traumatic stress symptoms in long‐term disease‐free cancer survivors and their family caregivers
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Journal Article
Post‐traumatic stress symptoms in long‐term disease‐free cancer survivors and their family caregivers
2021
Overview
Background The experience of cancer is highly stressful and potentially traumatic. We assessed the presence of Post‐Traumatic Stress Symptoms (PTSS) in long‐term cancer survivors and their caregivers, while examining the association between PTSS and clinical, demographic and psychological variables in the long term. Methods In this cross‐sectional study 212 survivor‐family caregiver dyads completed measures of post‐traumatic stress symptoms (PTSS) (Impact of Event Scale), depression and anxiety (Hospital Anxiety Depression Scale). Coping strategies, fatigue, cognitive decline, stressful life events and psychopathological history were also assessed among survivors. Data were analyzed using mixed models, accounting both for individual and dyadic effects. Results Cancer survivors and their caregivers were assessed after a mean of 6 years after treatment. Twenty per cent of survivors and 35.5% of caregivers had possible posttraumatic stress disorder (PTSD), while 23 patients (11.0%) and 33 caregivers (15.6%) had probable PTSD. Among cancer patients, the severity of post‐traumatic symptoms was associated with an anxious coping style, previous psychopathology and depression (p < 0.001), whereas among caregivers it was associated with depression and having a closer relationship with patients (p < 0.001). Patients’ depression was associated with caregivers’ intrusion symptoms. Conclusions High levels of cancer‐related PTSS were still present several years after treatment in both survivors and caregivers. Psychopathology may derive from complex interactions among coping, previous disorders and between‐person dynamics. High levels of cancer‐related PTSS are still present several years after treatment in both testixular cancer survivors and caregivers. Psychopathology may derive from complex interactions between coping, previous disorders and between‐person dynamics.
Publisher
John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
Subject
/ Anxiety
/ Cancer
/ Cancer Survivors - psychology
/ Cancer Survivors - statistics & numerical data
/ Caregivers - statistics & numerical data
/ Cognitive Dysfunction - epidemiology
/ Female
/ Humans
/ Italy
/ Male
/ Patients
/ Post traumatic stress disorder
/ posttraumatic stress symptoms
/ Stress
/ Stress Disorders, Post-Traumatic - epidemiology
