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Sophia K. Smith PhD Christianna S. Williams PhD Catherine R. Zimmer PhD Sheryl Zimmerman PhD 《Journal of psychosocial oncology》2013,31(1):19-34
Given that more than one third of some cohorts of cancer survivors exhibit post-traumatic stress disorder (PTSD) symptomatology, this study examines how trauma outcomes might relate to quality of life (QOL). Eight hundred thirty survivors of adult lymphoma were assessed for PTSD, post-traumatic growth (PTG) and QOL. Structural equation modeling revealed that QOL was best explained by the model in which stressors (e.g., co-morbidities) were mediated by PTSD and PTG. Trauma outcomes mediated the relationship between specific stressors and QOL. These findings support using PTSD and PTG as a diagnostic framework in understanding symptomatology in survivors. 相似文献
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Post-traumatic Stress Disorder and Post-traumatic Growth in Breast Cancer Patients - a Systematic Review 下载免费PDF全文
《Asian Pacific journal of cancer prevention》2015,16(2):641-646
Breast cancer (BC) is potentially a traumatic stressor which may be associated with negative outcomes,such as post-traumatic stress disorder (PTSD) or positive changes, such as post-traumatic growth (PTG). Thisstudy aims to identify the core issues of BC related PTSD, PTG and psychological distress by interrogatingthe literature in BC survivors. We have also highlighted issues related to the assessment, diagnosis and clinicalmanagement of PTSD and PTG. The authors systematically reviewed studies published from 1985 to 2014pertaining to PTSD, psychological distress and PTG in BC survivors with particular attention paid to incidencerates and causative factors. Multiple studies intimated that women with BC have evidence of PTSD at the initialstages of diagnosis, whereas PTG develops once patients undergo treatment. Early diagnosis and treatment ofPTSD/PTG is paramount from literature review but the previously mentioned relationship between PTSD andPTG in BC patients could not be verified. It is evident from the literature that a small percentage of BC patientsexperience PTSD, while the majority experience PTG after BC diagnosis and treatment. Future research shouldinclude prospective studies focusing on high-risk patients, causative factors and the development of psychologicalinterventions. 相似文献
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Objective
Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) causes multiple endocrine deficiencies, oral candidiasis and different forms of ectodermal dystrophy including enamel hypoplasia, documented in permanent teeth. Our purpose was to examine dental aberrations associated with APECED, including possible manifestations in primary teeth.Design
We studied clinically, radiographically, and by scanning electron microscopy (SEM) teeth of children belonging to two APECED families with different mutations in the AIRE gene.Results
In addition to enamel defects in the permanent teeth we observed hypoplastic pits and hypomaturated patches in the deciduous teeth with underlying changes in the prismatic ultrastructure. The enamel of the permanent molars exhibited a layered arrangement with included whirl-like formations.Conclusions
Our findings confirm that APECED causes enamel defects that are individually but chronologically distributed, and can alter enamel development early enough to affect deciduous teeth. 相似文献6.
Irene Gullo Vitor Devezas Manuela Baptista Luzia Garrido Sérgio Castedo Rui Morais Xiaogang Wen Elisabete Rios Jorge Pinheiro Inês Pinto-Ribeiro Rui M. Ferreira John Preto João Santos-Antunes Margarida Marques Miquel Campos Filipe Almeida Maria do Céu Espinheira Jorge Amil Dias Fátima Carneiro 《Gastrointestinal endoscopy》2018,87(6):1566-1575
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Objective
Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) causes multiple endocrine deficiencies, oral candidiasis and different forms of ectodermal dystrophy including enamel hypoplasia, documented in permanent teeth. Our purpose was to examine dental aberrations associated with APECED, including possible manifestations in primary teeth.Design
We studied clinically, radiographically, and by scanning electron microscopy (SEM) teeth of children belonging to two APECED families with different mutations in the AIRE gene.Results
In addition to enamel defects in the permanent teeth we observed hypoplastic pits and hypomaturated patches in the deciduous teeth with underlying changes in the prismatic ultrastructure. The enamel of the permanent molars exhibited a layered arrangement with included whirl-like formations.Conclusions
Our findings confirm that APECED causes enamel defects that are individually but chronologically distributed, and can alter enamel development early enough to affect deciduous teeth. 相似文献8.
目的:研究车祸伤者创伤后成长状况(PTG),并探讨其相关影响因素。方法选取2014年1月—2015年8月116例车祸幸存伤者,利用基础情况调查表及创伤后成长评定量表(PTGI)调查伤者的一般资料及创伤后成长状态,利用多元线性回归分析影响伤者创伤后成长的相关因素。结果116例车祸幸存伤者的创伤后成长总分为(85.55±13.69)分,性别、损伤程度、预计康复结局是其主要的影响因素,差异均有统计学意义(P<0.05)。结论车祸幸存伤者创伤后成长水平较好,不同类别患者评分不同,临床医护人员应针对不同类别伤者进行护理和心理干预,以促进伤者的信心重建和心理康复。 相似文献
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目的:探讨舟曲泥石流幸存者创伤后成长特点,并比较其与西方幸存者表达的创伤后成长的差异.方法:以2010年8月7日舟曲泥石流灾区为例,运用目的性抽样的方法,对63名幸存者进行了个案访谈,收集了他们在灾难后感知到的创伤后成长相关资料.结果:中国自然灾害幸存者创伤后成长发生率高,其内容包含七个维度(积极信念、生活的积极改变和新的计划、利他行为、积极的自我感知、感激、珍惜和人际关系改善),其中利他行为维度未包括在Tedeschi和Calhoun提出的五因素模型中.结论:中国文化背景下创伤后成长有其独特之处,这与其对宗教的认同度和文化因素的差异有关. 相似文献
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《L'Encéphale》2022,48(5):560-562
People who experience major life crises often report post-traumatic stress. However, the literature suggests that traumatic experiences can also be “catalysts” for positive change (i.e., post-traumatic growth; PTG). PTG can include improved relationships, new possibilities for one's life, a greater appreciation for life, a greater sense of personal strength, and spiritual development. Furthermore, it has been suggested that PTG may decrease feelings of distress following exposure to trauma. While a large number of factors may help promote PTG, others may impede the development of growth (e.g., attachment style). These factors constitute key aspects for clinicians working with victims of trauma. Thus, this review aims to present these hindering factors in order to provide guidance for trauma psychologists and future research. 相似文献