Araştırma Makalesi
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KANSER HASTALARINDA TRAVMA SONRASI STRES BOZUKLUĞU, SOSYAL DESTEK VE STRESLE BAŞA ÇIKMA ARASINDAKİ İLİŞKİ

Yıl 2014, Cilt: 3 Sayı: 1, 16 - 21, 30.04.2014

Öz


AMAÇ: Bu çalışma, kanser tanısı alan hastalarda travma sonrası stres bozukluğu (TSSB) sıklığını, stresle başa çıkma biçimlerini, algılanan sosyal destek düzeylerini ve aralarındaki ilişkiyi belirlemek amacıyla yapılmıştır.


YÖNTEMLER: Araştırma iki üniversite hastanesinin onkoloji bölümlerinde yapılmıştır. Çalışmada örneklem, altı aylık süre içinde kanser tanısı konulan 300 hastadan oluşmuştur. Veriler Kişisel Bilgi Formu, DSM- IV Eksen I Bozuklukları İçin Yapılandırılmış TSSB Klinik Görüşme Formu, Çok Boyutlu Algılanan Sosyal Destek Ölçeği ve Stresle Başa Çıkma Tarzları Ölçeği aracılığıyla toplanmıştır. BULGULAR: Hastalarda TSSB görülme oranı %52 olarak bulunmuştur. Kadın, genç- orta yaş grubunda olan, ailesiyle yaşayan, stresle başa çıkma ve sosyal destek düzeyleri düşük olan hastaların TSSB oranlarının anlamlı derecede yüksek olduğu belirlenmiştir.


SONUÇ: Çalışma sonuçları, kanser tanısı alan hastaların TSSB yönünden risk taşıdıklarını, sosyal destek ve stresle başa çıkma tarzlarının kanser hastalarının hastalıklarına uyum ve baş etmelerinde etkili olduğunu göstermektedir. Bu riskin azaltılmasında hastaların psikososyal açıdan desteklenmeleri önemli görünmektedir.

Kaynakça

  • 1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), 4th Edition, American Psychiatric Association, Washington (1994).
  • 2. Kangas M, Henry J, Bryant R. Post-traumatic stress disorder following cancer: a conceptual and empirical review. Clinical Psycology Review. 2002;22(4):499–524.
  • 3. Kangas M, Henry JL, Bryant RA. Correlates of acute stress disorder in cancer patients. Journal of Traumatic Stress. 2007;20(3):325–334.
  • 4. Sareen J, Cox BJ, Asmundson GJG. The relationship between anxiety disorders and physical disorders in the U.S. national comorbidity survey. Depression and Anxiety. 2005;21:193–202.
  • 5. Salsman JM, Segerstrom SC, Brechting EH, Carlson CR, Andrykowski MA. Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: a 3-month longitudinal examination og cognitive processing. Psycho-Oncology. 2009;18(1):30–41.
  • 6. Shelby RA, Golden-Kreutz DM, Andersen BL. Mismatch of Posttraumatic Stress Disorder (PTSD) symptoms and DSM-IV symptom clusters in a cancer sample: exploratory factor analysis of the PTSD checklist- civilian version. Journal of Traumatic Stress. 2005;18(4): 347–357.
  • 7. Rourke MT, Hobbie WL, Schwartz L, Kazak AE. Posttraumatic stress disorder (PTSD) in young adult survivors of childhood cancer. Pediatric Blood & Cancer. 2007;49(2):177–182.
  • 8. Guay S, Bilette V, Marchand A. Exploring the links between posttraumatic stress disorder and social support: processes and potential research avenues. Journal of Traumatic Stress. 2006;19(3):327–338.
  • 9. Devine D, Parker PA, Fouladi RT, Cohen L. The association between social support, intrusive thoughts, avoidance, and adjustment following an experimental cancer treatment. Psycho-Oncology. 2003;12:453–462.
  • 10. Wong M, Looney E, Michaels J, Palesh O, Koopman C. A preliminary study of peritraumatic dissociation, social support, and coping in relation to posttraumatic stress symptoms for a parent’s cancer. Psycho-Oncology. 2006;15(12):1093–1098.
  • 11. Kazak AE. Post- traumatic stress, family functioning and social support in survivors of childhood leukemia and their mathers and fathers. J. Consult Clin Psychol. 1997;65(1):120–129.
  • 12. Gates RA, Nishimoto PW: Communicating, caring, coping, “Gates RA, Fink RM (eds): Oncology Nursing Secrets, 3. baskı kitabında” s. 428–436, W.B. Saunders Company, Philedelphia (2008).
  • 13. Passik SD, Grummon KL: PTSD. “Holland JC (ed): Textbook of Psycho-Oncology kitabında” s. 595–608, Oxford University Press, New York (1998).
  • 14. Seng JS. Acknowledging post-traumatic stress effects and health: a nursing ıntervention model. Clinical Nurse Specialist. 2003;17(1):34–41.
  • 15. Jenkins V. Effective communication skills are the key to good cancer care. European Journal of Cancer. 1999;35(11):1592–1597.
  • 16. Aydemir Ö, Köroğlu E (eds) Psikiyatride Kullanılan Klinik Ölçekler, Hekimler Yayın Birliği, İstanbul (2001).
  • 17. Eker D, Arkar H, Yaldız H. Çok boyutlu algılanan sosyal destek ölçeğinin gözden geçirilmiş formunun faktör yapısı geçerlik güvenirliği. Türk Psikiyatri Dergisi. 2001;12(1):17–25.
  • 18. Şahin NH, Durak A. Stresle başa çıkma tarzları ölçeği: üniversite öğrencileri için uyarlanması. Türk Psikoloji Dergisi. 1995;10(34):57–70.
  • 19. Amir M, Romati A. Post-traumatic symptoms, emotional distress and quality of life in long- term survivors of breast cancer: a preliminary research. J Anxiety Disord. 2002;6(2):195–206.
  • 20. Wenninger K, Helmes A, Bengel J, Lauten M, Völkel S, Niemeyer CM. Coping in long‐term survivors of childhood cancer: relations to psychological distress. Psycho-Oncology. 2013;22(4):854-861.
  • 21. Berger AM, Gerber LH, Mayer DK. Cancer-related fatigue. Cancer. 2012;118(8):2261-2269.
  • 22. Smith MY, Redd WH. Posttraumatic stress disorder in cancer: a review. Psycho-Oncology. 1999;8(6):521–537.
  • 23. Gurevich M, Devins GM, Rodin GM. Stress responsesyndromes and cancer: conceptual and assessment issues. Psychosomatics. 2002;43:259-281.
  • 24. Matulonis UA, Kornblith A, Lee H, Bryan J, Gibson C, Wells C, Lee J, Sullivan L, Penson R. Long-term adjustment of early-stage ovarian cancer survivors. İnt J. Gynecol Cancer. 2008;18(6):1183-93.
  • 25. Tokgöz G, Yaluğ İ, Özdemir S, Yazıcı A, Uygun K, Aker T. Kanserli hastalarda travma sonrası stres bozukluğunun yaygınlığı ve ruhsal gelişim. New/Yeni Symposium Journal. 2008;46(2):51-61.
  • 26. Breslau N, Davis GC, Andreski P. Sex differences in the PTSD. Arch Gen Psychiatry. 1997;54:1044–1048.
  • 27. Breslau N, Davis GC. PTSD in an urban population of young adults: risk factors for chronicity. Am J Psychiatry. 1992;149:671–675.
  • 28. Kornblith AB, Powell M, Regan MM, Bennett S, Krasner C, Moy B, Younger J, Goodman A, Berkowitz R, Winer E. Long-term psychosocial adjustment of older vs younger survivors of breast and endometrial cancer. Psycho-Oncology. 2007;16:895–903.
  • 29. Andrykowski MA, Cardova MJ. Factors associated with PTSD symptoms following treatment for breast cancer: test of the andersen model. Journal of Traumatic Stress. 1998;11:189–203.
  • 30. Wong M, Looney E, Michaels J, Palesh O, Kopman C. A preliminary study of peritraumatic dissociation, social support, and coping in relation to posttraumatic stress symptoms for a parent's cancer. Psycho-Oncology.2006;15(12): 1093–1098.

POSTTRAUMATIC STRESS DISORDER IN CANCER PATIENTS, THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND COPING WITH STRESS

Yıl 2014, Cilt: 3 Sayı: 1, 16 - 21, 30.04.2014

Öz


OBJECTIVE: The research has been carried out among patients diagnosed with cancer in order to determine the prevalance Posttraumatic Stress Disorder and to define the styles of coping with stres, levels of perceived social support and the relationship between.

METHODS: The research has been performed at two University Hospital Oncology departments in Ankara. The sample of the study 300 cancer patients diagnosed in the period of 6 months and taking care at each hospital. The data were gathered by using four different forms. 1. Personal Information Form, 2. Structured Clinical Interview for DSM-IV, Clinical Version for PTSD, 3. Multidimensional Scale of Perceived Social Support, 4. Ways of Coping Inventory. RESULTS: The Posttraumatic Stress Disorder rate of the patients are found %52. The Posttraumatic Stress Disorder rates among women, young and middle-aged patients, patients living with their families, low levels of coping with stress and social support are determined to be significantly high.



CONCLUSION: The results of this study show that patients diagnosed with cancer carry Posttraumatic Stress Disorder risk. Cancer patients’ accommodation and harmony with their illness play an effective role due to the social support and their style with coping stress. In order to decrease the risk, patients must be supported emotionally and socially.


Kaynakça

  • 1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), 4th Edition, American Psychiatric Association, Washington (1994).
  • 2. Kangas M, Henry J, Bryant R. Post-traumatic stress disorder following cancer: a conceptual and empirical review. Clinical Psycology Review. 2002;22(4):499–524.
  • 3. Kangas M, Henry JL, Bryant RA. Correlates of acute stress disorder in cancer patients. Journal of Traumatic Stress. 2007;20(3):325–334.
  • 4. Sareen J, Cox BJ, Asmundson GJG. The relationship between anxiety disorders and physical disorders in the U.S. national comorbidity survey. Depression and Anxiety. 2005;21:193–202.
  • 5. Salsman JM, Segerstrom SC, Brechting EH, Carlson CR, Andrykowski MA. Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: a 3-month longitudinal examination og cognitive processing. Psycho-Oncology. 2009;18(1):30–41.
  • 6. Shelby RA, Golden-Kreutz DM, Andersen BL. Mismatch of Posttraumatic Stress Disorder (PTSD) symptoms and DSM-IV symptom clusters in a cancer sample: exploratory factor analysis of the PTSD checklist- civilian version. Journal of Traumatic Stress. 2005;18(4): 347–357.
  • 7. Rourke MT, Hobbie WL, Schwartz L, Kazak AE. Posttraumatic stress disorder (PTSD) in young adult survivors of childhood cancer. Pediatric Blood & Cancer. 2007;49(2):177–182.
  • 8. Guay S, Bilette V, Marchand A. Exploring the links between posttraumatic stress disorder and social support: processes and potential research avenues. Journal of Traumatic Stress. 2006;19(3):327–338.
  • 9. Devine D, Parker PA, Fouladi RT, Cohen L. The association between social support, intrusive thoughts, avoidance, and adjustment following an experimental cancer treatment. Psycho-Oncology. 2003;12:453–462.
  • 10. Wong M, Looney E, Michaels J, Palesh O, Koopman C. A preliminary study of peritraumatic dissociation, social support, and coping in relation to posttraumatic stress symptoms for a parent’s cancer. Psycho-Oncology. 2006;15(12):1093–1098.
  • 11. Kazak AE. Post- traumatic stress, family functioning and social support in survivors of childhood leukemia and their mathers and fathers. J. Consult Clin Psychol. 1997;65(1):120–129.
  • 12. Gates RA, Nishimoto PW: Communicating, caring, coping, “Gates RA, Fink RM (eds): Oncology Nursing Secrets, 3. baskı kitabında” s. 428–436, W.B. Saunders Company, Philedelphia (2008).
  • 13. Passik SD, Grummon KL: PTSD. “Holland JC (ed): Textbook of Psycho-Oncology kitabında” s. 595–608, Oxford University Press, New York (1998).
  • 14. Seng JS. Acknowledging post-traumatic stress effects and health: a nursing ıntervention model. Clinical Nurse Specialist. 2003;17(1):34–41.
  • 15. Jenkins V. Effective communication skills are the key to good cancer care. European Journal of Cancer. 1999;35(11):1592–1597.
  • 16. Aydemir Ö, Köroğlu E (eds) Psikiyatride Kullanılan Klinik Ölçekler, Hekimler Yayın Birliği, İstanbul (2001).
  • 17. Eker D, Arkar H, Yaldız H. Çok boyutlu algılanan sosyal destek ölçeğinin gözden geçirilmiş formunun faktör yapısı geçerlik güvenirliği. Türk Psikiyatri Dergisi. 2001;12(1):17–25.
  • 18. Şahin NH, Durak A. Stresle başa çıkma tarzları ölçeği: üniversite öğrencileri için uyarlanması. Türk Psikoloji Dergisi. 1995;10(34):57–70.
  • 19. Amir M, Romati A. Post-traumatic symptoms, emotional distress and quality of life in long- term survivors of breast cancer: a preliminary research. J Anxiety Disord. 2002;6(2):195–206.
  • 20. Wenninger K, Helmes A, Bengel J, Lauten M, Völkel S, Niemeyer CM. Coping in long‐term survivors of childhood cancer: relations to psychological distress. Psycho-Oncology. 2013;22(4):854-861.
  • 21. Berger AM, Gerber LH, Mayer DK. Cancer-related fatigue. Cancer. 2012;118(8):2261-2269.
  • 22. Smith MY, Redd WH. Posttraumatic stress disorder in cancer: a review. Psycho-Oncology. 1999;8(6):521–537.
  • 23. Gurevich M, Devins GM, Rodin GM. Stress responsesyndromes and cancer: conceptual and assessment issues. Psychosomatics. 2002;43:259-281.
  • 24. Matulonis UA, Kornblith A, Lee H, Bryan J, Gibson C, Wells C, Lee J, Sullivan L, Penson R. Long-term adjustment of early-stage ovarian cancer survivors. İnt J. Gynecol Cancer. 2008;18(6):1183-93.
  • 25. Tokgöz G, Yaluğ İ, Özdemir S, Yazıcı A, Uygun K, Aker T. Kanserli hastalarda travma sonrası stres bozukluğunun yaygınlığı ve ruhsal gelişim. New/Yeni Symposium Journal. 2008;46(2):51-61.
  • 26. Breslau N, Davis GC, Andreski P. Sex differences in the PTSD. Arch Gen Psychiatry. 1997;54:1044–1048.
  • 27. Breslau N, Davis GC. PTSD in an urban population of young adults: risk factors for chronicity. Am J Psychiatry. 1992;149:671–675.
  • 28. Kornblith AB, Powell M, Regan MM, Bennett S, Krasner C, Moy B, Younger J, Goodman A, Berkowitz R, Winer E. Long-term psychosocial adjustment of older vs younger survivors of breast and endometrial cancer. Psycho-Oncology. 2007;16:895–903.
  • 29. Andrykowski MA, Cardova MJ. Factors associated with PTSD symptoms following treatment for breast cancer: test of the andersen model. Journal of Traumatic Stress. 1998;11:189–203.
  • 30. Wong M, Looney E, Michaels J, Palesh O, Kopman C. A preliminary study of peritraumatic dissociation, social support, and coping in relation to posttraumatic stress symptoms for a parent's cancer. Psycho-Oncology.2006;15(12): 1093–1098.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Dilek Avcı

Selma Doğan Bu kişi benim

Yayımlanma Tarihi 30 Nisan 2014
Gönderilme Tarihi 10 Ekim 2013
Yayımlandığı Sayı Yıl 2014 Cilt: 3 Sayı: 1

Kaynak Göster

APA Avcı, D., & Doğan, S. (2014). KANSER HASTALARINDA TRAVMA SONRASI STRES BOZUKLUĞU, SOSYAL DESTEK VE STRESLE BAŞA ÇIKMA ARASINDAKİ İLİŞKİ. Balıkesir Sağlık Bilimleri Dergisi, 3(1), 16-21.

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