Focusing on Posttraumatic Stress of Survivors of Childhood Cancer.

Accession number;02A0351394
Title;Focusing on Posttraumatic Stress of Survivors of Childhood Cancer.
Author; IZUMI MAYUKO (Ochanomizu Univ., Graduate School, JPN) OZAWA MIWA (Seirokakokusaibyoin Shonika) HOSOYA RYOTA (Seirokakokusaibyoin Shonika)
Journal Title;Journal of the Japan Pediatric Society
Journal Code:F0896A
ISSN:0001-6543
VOL.106;NO.4;PAGE.464-471(2002)
Figure&Table&Reference;FIG.1, TBL.4, REF.18
Pub. Country;Japan
Language;Japanese
Abstract;This study analyzed the psychological distress among survivors of childhood cancer, from the perspective of PTSD (Posttraumatic Stress Disorder) induced by the traumatic experiences of the sudden diagnosis of illness, severe treatments, or hospitalization. Fifty-eight children completed questionnaires and psychiatric interviews assessing posttraumatic stress, anxiety, and perceptions of their illness, treatment and social support. Factor analysis found five typical factors composing PTSD in those survivors; I) emotion control difficulties and stigmatic memory of the hard treatments, II) spiritual and sensory sensitiveness and numbness, III) denial of the experiences of the hard treatments, and low self-esteem, IV) desocialization and defense mechanisms, and V) indifference to other people. Analysis of the relations between these five factors and background factors and subjective factors (manifest anxiety, survivors perceptions of intensity of treatments, risk of life, and social supports) showed that the following factors had strong relations with the respective five PTSD factors; sex (factor II & III), age at diagnosis (II & III), whether or not informed (III), strength of manifest anxiety (I & II), subjective perception of the intensity of treatments (I), and subjective perception of the social support (IV). (author abst.)