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Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors.

Publication ,  Journal Article
Smith, SK; Zimmerman, S; Williams, CS; Preisser, JS; Clipp, EC
Published in: Journal of clinical oncology : official journal of the American Society of Clinical Oncology
February 2008

A large body of evidence suggests that being diagnosed with and treated for cancer adversely affects functioning and quality of life, yet less is known about longer term outcomes. Therefore, this study aims to estimate the prevalence of post-traumatic stress disorder (PTSD) symptoms in survivors of adult non-Hodgkin's lymphoma (NHL) who are at least 2 years postdiagnosis and identify the risk factors associated with PTSD symptoms, with a focus on those that are amenable for screening and modifiable.A total of 886 NHL survivors identified from the cancer registries of two hospitals in North Carolina participated, ranging in age from 25 to 92 years old and ranging from 2 to 44 years postdiagnosis. Survivors were mailed a survey that assessed PTSD symptoms and quality of life.Participants averaged 10.2 years postdiagnosis, and most (61%) reported no PTSD symptoms. The adjusted prevalence for full PTSD was 7.9%, with an additional 9.1% meeting criteria for partial PTSD. Modifiable risk factors that were independently associated with PTSD in multiple linear regression included less social support, negative appraisals of life threat and treatment intensity, and more employment and insurance issues. Additionally, several demographic characteristics (nonwhite race, less education, and younger age) and clinical or health-related factors (active disease, more recent diagnosis, and more comorbidity) were independently associated with PTSD.Although only 8% of survivors met PTSD diagnostic criteria, the impact of a cancer diagnosis and treatment persists for many survivors, as evidenced in 39% of this sample. Early identification of those at risk could enable treatment to minimize PTSD symptomatology.

Duke Scholars

Published In

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

DOI

EISSN

1527-7755

ISSN

0732-183X

Publication Date

February 2008

Volume

26

Issue

6

Start / End Page

934 / 941

Related Subject Headings

  • Survivors
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Social Support
  • Risk Factors
  • Quality of Life
  • Prevalence
  • Oncology & Carcinogenesis
  • North Carolina
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Smith, S. K., Zimmerman, S., Williams, C. S., Preisser, J. S., & Clipp, E. C. (2008). Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 26(6), 934–941. https://doi.org/10.1200/jco.2007.12.3414
Smith, Sophia K., Sheryl Zimmerman, Christianna S. Williams, John S. Preisser, and Elizabeth C. Clipp. “Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors.Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology 26, no. 6 (February 2008): 934–41. https://doi.org/10.1200/jco.2007.12.3414.
Smith SK, Zimmerman S, Williams CS, Preisser JS, Clipp EC. Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2008 Feb;26(6):934–41.
Smith, Sophia K., et al. “Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors.Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, vol. 26, no. 6, Feb. 2008, pp. 934–41. Epmc, doi:10.1200/jco.2007.12.3414.
Smith SK, Zimmerman S, Williams CS, Preisser JS, Clipp EC. Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2008 Feb;26(6):934–941.

Published In

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

DOI

EISSN

1527-7755

ISSN

0732-183X

Publication Date

February 2008

Volume

26

Issue

6

Start / End Page

934 / 941

Related Subject Headings

  • Survivors
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Social Support
  • Risk Factors
  • Quality of Life
  • Prevalence
  • Oncology & Carcinogenesis
  • North Carolina
  • Middle Aged