Symptoms of posttraumatic stress disorder among hospitalized patients with cancer
| Autor: | P. Connor Johnson, Barbara J. Cashavelly, William F. Pirl, Andrew T. Chan, Joseph A. Greer, Vicki A. Jackson, Ryan D. Nipp, Areej El-Jawahri, David P. Ryan, Ephraim P. Hochberg, Charn-Xin Fuh, Risa L. Wong, Jennifer S. Temel, Lara Traeger, Sara D'Arpino, Daniel E. Lage |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Population Lower risk behavioral disciplines and activities Article Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Cost of Illness Neoplasms Surveys and Questionnaires Internal medicine mental disorders medicine Humans 030212 general & internal medicine education Depression (differential diagnoses) Aged Psychological Tests education.field_of_study business.industry Hazard ratio Middle Aged Patient Acceptance of Health Care Hospitalization Patient Health Questionnaire Mood Massachusetts Oncology 030220 oncology & carcinogenesis Anxiety Female Outcomes research medicine.symptom business |
| Zdroj: | Cancer. 124:3445-3453 |
| ISSN: | 1097-0142 0008-543X |
| Popis: | BACKGROUND Patients with cancer experience many stressors placing them at risk for posttraumatic stress disorder (PTSD) symptoms, yet little is known about factors associated with PTSD symptoms in this population. This study explored relationships among patients' PTSD symptoms, physical and psychological symptom burden, and risk for hospital readmissions. METHODS We prospectively enrolled patients with cancer admitted for an unplanned hospitalization from August 2015-April 2017. Upon admission, we assessed patients' PTSD symptoms (Primary Care PTSD Screen), as well as physical (Edmonton Symptom Assessment System [ESAS]) and psychological (Patient Health Questionnaire 4 [PHQ-4]) symptoms. We examined associations between PTSD symptoms and patients' physical and psychological symptom burden using linear regression. We evaluated relationships between PTSD symptoms and unplanned hospital readmissions within 90-days using Cox regression. RESULTS We enrolled 954 of 1,087 (87.8%) patients approached, and 127 (13.3%) screened positive for PTSD symptoms. The 90-day hospital readmission rate was 38.9%. Younger age, female sex, greater comorbidities, and genitourinary cancer type were associated with higher PTSD scores. Patients' PTSD symptoms were associated with physical symptoms (ESAS physical: B = 3.41; P |
| Databáze: | OpenAIRE |
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