Factors associated with PTSD symptoms following treatment for breast cancer: Test of the Andersen model

被引:130
作者
Andrykowski, MA [1 ]
Cordova, MJ [1 ]
机构
[1] Univ Kentucky, Coll Med, Lexington, KY 40536 USA
关键词
cancer; PTSD; prediction; adjustment;
D O I
10.1023/A:1024490718043
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The utility of Andersen's (1993, 1994) model of psychologic morbidity following cancer treatment for predicting PTSD symptoms in breast cancer survivors (N = 82) was examined. PTSD symptoms, physical comorbidity, social support, depression history, and pre-cancer traumatic stressors were assessed in a structured telephone interview. Multiple regression analysis indicated that Andersen model variables (physical comorbidity, education, disease stage, cancer treatment, depression history, social support) accounted for 39% of variance in PTSD symptom reports (p < .001). Addition to the model of rime since treatment completion pre-cancer traumatic stressors, age at diagnosis, and tamoxifen usage accounted for an additional 16% of variance (p < .001). Higher levels of PTSD symptoms were associated with less social support, greater pre-cancer trauma history, less time since treatment completion, and more advanced disease.
引用
收藏
页码:189 / 203
页数:15
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