Posttraumatic stress disorder after treatment for breast cancer: Prevalence of diagnosis and use of the PTSD checklist - Civilian version (PCL-C) as a screening instrument

被引:339
作者
Andrykowski, MA [1 ]
Cordova, MJ [1 ]
Studts, JL [1 ]
Miller, TW [1 ]
机构
[1] Univ Kentucky, Coll Med, Dept Behav Sci, Lexington, KY 40536 USA
关键词
D O I
10.1037/0022-006X.66.3.586
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The presence of a posttraumatic stress disorder (PTSD) diagnosis in women (n = 82) diagnosed with Stage O-IIIA. breast cancer was assessed 6 to 72 months after cancer therapy The PTSD Checklist-Civilian Version (PCL-C) and the PTSD module for the Structured Clinical Interview for DSM-IV, Nonpatient Version, PTSD module (SCID-NP-PTSD) were administered in a telephone interview. SCID-NP-PTSD results indicated prevalence rates of 6% and 4% for current and lifetime PTSD, respectively. Use of the recommended cutoff score of 50 on the PCL-C to determine diagnosis of current cancer-related PTSD resulted in a sensitivity of .60 and a specificity of .99 with 2 false-negative diagnoses. In conclusion, PTSD can be precipitated by diagnosis and treatment of breast cancer, and the PCL-C can be a cost-effective screening tool for this disorder.
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收藏
页码:586 / 590
页数:5
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