Traumatic stress, life events, and emotional support in women with metastatic breast cancer: Cancer-related traumatic stress symptoms associated with past and current stressors
被引:121
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作者:
Butler, LD
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Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USAStanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USA
Butler, LD
[1
]
Koopman, C
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Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USAStanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USA
Koopman, C
[1
]
Classen, C
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Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USAStanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USA
Classen, C
[1
]
Spiegel, D
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Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USAStanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USA
Spiegel, D
[1
]
机构:
[1] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Psychosocial Res Lab, Stanford, CA 94305 USA
breast cancer;
traumatic stress;
intrusion;
avoidance;
life events;
emotional support;
D O I:
10.1037/0278-6133.18.6.555
中图分类号:
B849 [应用心理学];
学科分类号:
040203 ;
摘要:
This study examined levels of intrusion and avoidance symptoms and their relationships to past life stress, current emotional support, disease-related variables, and age in 125 women with metastatic breast cancer. The results indicate that a sizable proportion of these women experienced clinically significant levels of intrusion and avoidance symptoms related to their cancer, particularly those with both more stressful past life events and higher current levels of aversive emotional support. Additionally, both types of symptoms were associated with shorter time since recurrence, and avoidance symptoms were associated with smaller emotional support networks. These results indicate that metastatic breast cancer is an emotionally traumatic event for a significant proportion of women, particularly those with past life stressors and unsupportive social environments.
机构:
Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
Kaplan, Lynne M.
Kaal, Julia
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Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
Kaal, Julia
Bradley, Lauren
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Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
Bradley, Lauren
Alderfer, Melissa A.
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机构:
Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
机构:
Imperial Coll Healthcare NHS Trust, St Marys Hosp, ENT Dept, London, EnglandImperial Coll Healthcare NHS Trust, St Marys Hosp, ENT Dept, London, England
Dimitrov, Lilia
Moschopoulou, Elisavet
论文数: 0引用数: 0
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机构:
Queen Mary Univ London, Barts & London Sch Med & Dent, Ctr Primary Care & Publ Hlth, Blizard Inst, London, EnglandImperial Coll Healthcare NHS Trust, St Marys Hosp, ENT Dept, London, England
Moschopoulou, Elisavet
Korszun, Ania
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机构:
Queen Mary Univ London, Barts & London Sch Med & Dent, Ctr Psychiat, Wolfson Inst Prevent Med, London, EnglandImperial Coll Healthcare NHS Trust, St Marys Hosp, ENT Dept, London, England
机构:
Department of Psychiatry and Human Behavior, Philadelphia, PA
Jefferson-Myrna Brind Center of Integrative Medicine, Thomas Jefferson University and Hospital, 6215 Gibbon Building, Philadelphia, PA 19107Department of Psychiatry and Human Behavior, Philadelphia, PA
Monti D.A.
Stoner M.E.
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机构:
Jefferson-Myrna Brind Center of Integrative Medicine, Thomas Jefferson University and Hospital, 6215 Gibbon Building, Philadelphia, PA 19107Department of Psychiatry and Human Behavior, Philadelphia, PA
Stoner M.E.
Zivin G.
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Department of Psychiatry and Human Behavior, Philadelphia, PADepartment of Psychiatry and Human Behavior, Philadelphia, PA
Zivin G.
Schlesinger M.
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机构:
Jefferson-Myrna Brind Center of Integrative Medicine, Thomas Jefferson University and Hospital, 6215 Gibbon Building, Philadelphia, PA 19107Department of Psychiatry and Human Behavior, Philadelphia, PA
机构:
Alfred I duPont Hosp Children, Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1600 Rockland Rd, Wilmington, DE 19803 USA
Thomas Jefferson Univ, Dept Pediat, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USAAlfred I duPont Hosp Children, Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1600 Rockland Rd, Wilmington, DE 19803 USA
Alderfer, Melissa A.
Logan, Beth A.
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机构:
Alfred I duPont Hosp Children, Div Behav Hlth, Nemours Childrens Hlth Syst, Wilmington, DE USA
UPMC, Hillman Ctr Pediat Transplantat, Childrens Hosp Pittsburgh, Philadelphia, PA USA
Univ Pittsburgh, Sch Med, Philadelphia, PA USAAlfred I duPont Hosp Children, Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1600 Rockland Rd, Wilmington, DE 19803 USA
Logan, Beth A.
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DiDonato, Stephen
Jackson, Leela
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Philadelphia, Dept Child & Adolescent Psychiat & Behav Sci, Philadelphia, PA 19104 USA
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USAAlfred I duPont Hosp Children, Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1600 Rockland Rd, Wilmington, DE 19803 USA
Jackson, Leela
Hayes, Marie J.
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机构:
Univ Maine, Dept Psychol, Orono, ME 04469 USAAlfred I duPont Hosp Children, Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1600 Rockland Rd, Wilmington, DE 19803 USA
Hayes, Marie J.
Sigmon, Sandra T.
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Univ Maine, Dept Psychol, Orono, ME 04469 USAAlfred I duPont Hosp Children, Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1600 Rockland Rd, Wilmington, DE 19803 USA
机构:
Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Goldsmith, Rachel E.
Jandorf, Lina
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Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Jandorf, Lina
Valdimarsdottir, Heiddis
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机构:
Univ Reykjavik, Dept Hlth & Educ, Reykjavik, Iceland
Univ Iceland, Dept Psychol, IS-101 Reykjavik, IcelandMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Valdimarsdottir, Heiddis
Amend, Kandace L.
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机构:
Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Amend, Kandace L.
Stoudt, Brett G.
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Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Stoudt, Brett G.
Rini, Christine
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Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Rini, Christine
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Hershman, Dawn
Neugut, Alfred
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机构:
Columbia Univ, Med Ctr, Dept Med, New York, NY USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Neugut, Alfred
Reilly, James J.
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机构:
Kings Cty Hosp Ctr, Dept Surg, New York, NY USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Reilly, James J.
Tartter, Paul I.
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机构:
St Lukes Roosevelt Hosp, Dept Surg, New York, NY USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Tartter, Paul I.
Feldman, Sheldon M.
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机构:
Columbia Univ Coll Phys & Surg, Div Surg Oncol, New York, NY 10032 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Feldman, Sheldon M.
Ambrosone, Christine B.
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机构:
Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Roswell Pk Canc Inst, Dept Canc Prevent & Control, New York, NY USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA
Ambrosone, Christine B.
Bovbjerg, Dana H.
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机构:
Mt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USAMt Sinai Sch Med, Dept Oncol Sci, New York, NY 10029 USA