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2019 | 120 | 2 | 266-274
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Aspects of Post-Traumatic Stress Disorder symptomatology in patients with breast cancer: a review of prevalence, risk and mediating factors

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It is widely accepted that a cancer diagnosis is a stressful and often traumatic experience for patients. Stress as a psychological side-effect of diagnosis has been well-researched. However, it is also possible that the life changing and potentially life-threatening aspects of disease may lead to symptoms of Post-Traumatic Stress Disorder (PTSD), including heightened anxiety, intrusive and distressing thoughts, avoidance of reminders of the trauma and sleeping disturbances. These symptoms may be of short duration but studies show that is possible for patients to live with PTSD for years after diagnosis and treatment. Even if not all the criteria for a full PTSD diagnosis are present, subthreshold or subsyndromal PTSD has been shown to cause significant distress and affect the quality of life of breast cancer patients. Given that with earlier diagnoses and ever more effective treatment interventions, the number of women who survive cancer and whose survival intervals are longer, identification, monitoring and treatment of patients living with PTSD becomes ever more important.
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  • Durban Oncology Centre, Durban, South Africa
  • [1] Vin-Raviv N, Hillyer GC, Hershman DL, et al. Racial disparities in post-traumatic stress after diagnosis of localized breast cancer: the BQUAL study. J Natl Cancer Inst. 2013; 105(8): 563–572
  • [2] Chan, C. M. H., Ng, C. G., Taib, N. A., Wee, L. H., Krupat, E. and Meyer, F. (2018), Course and predictors of post-traumatic stress disorder in a cohort of psychologically distressed patients with cancer: A 4-year follow-up study. Cancer, 124: 406–416. doi:10.1002/cncr.30980
  • [3] Global Health Estimates, WHO (2013)
  • [4] GLOBOCAN 2012: Estimated incidence, mortality and world prevalence.
  • [5] Voigt V. Cognitive impairment and posttraumatic stress in breast cancer patients during the first year after diagnosis. PhD thesis, 2016. Ludwig-Maximilian University, Munich.
  • [6] Jeffreys M. Clinician’s guide to medications for PTSD. US Department for Veterans Affairs:National Center for PTSD. 2017
  • [7] Bulotiene G, Matuiziene M. Posttraumatic stress in breast cancer patients. Acta Medica Lituanica 2014; 21(2): 43-50
  • [8] Cordova MJ, Riba MB, Spiegel D. Post-traumatic stress disorder and cancer. Lancet Psychiatry 2017; 4(4): 330-338
  • [9] O’Connor M, Christensen S, Jensen AB, Møller S, Zachariae1 R. How traumatic is breast cancer? Post-traumatic stress symptoms (PTSS) and risk factors for severe PTSS at 3 and 15 months after surgery in a nationwide cohort of Danish women treated for primary breast cancer. Br J Cancer 2011; 104(3): 419–426
  • [10] Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM-4) Washington, DC: American Psychiatric Association; 1994.
  • [11] Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5). Washington, DC: American Psychiatric Association; 2013.
  • [12] Wu X, Wang J, Cofie R, Kaminga AC, Liu A. Prevalence of post-traumatic stress disorder among breast cancer patients: a meta-analysis. Iran J Public Health 2016; 45(12): 1533–1544
  • [13] Arnaboldi P, Riva S, Crico C, Pravettoni G. A systematic literature review exploring the prevalence of post-traumatic stress disorder and the role played by stress and traumatic stress in breast cancer diagnosis and trajectory. Breast Cancer 2017; 9: 473-485
  • [14] Naidich JB, Motta RW. PTSD-related symptoms in women with breast cancer. Journal of Psychotherapy in Independent Practice 2000; 1 (1): 35-54
  • [15] Meyer F, Lynn R. Breast cancer: what psychiatrists need to know. Psychiatric Times 2016; 33 (6)
  • [16] Alkhyatt MK, Elham Kh, Abdullah EK, Ibraim RH, Anee BA, Raho JA. Post-traumatic stress in women with breast cancer. J Med J. 2012; 46(4): 315-319
  • [17] O’Connor M., Zachariae R. (2016) Post-Traumatic Stress Symptoms in Breast Cancer: Prevalence, Predictors, Consequences, and Treatment. In: Martin C., Preedy V., Patel V. (eds) Comprehensive Guide to Post-Traumatic Stress Disorders. Springer, Cham.
  • [18] Utzon-Frank N, Breinegaard N, Bertelsen M, Borritz M, Eller NH, Nordentoft M, Olesen K, Rod NH, Rugulies R, Bonde JP. Occurrence of delayed-onset post-traumatic stress disorder: a systematic review and meta-analysis of prospective studies. Scand J Work Environ Health 2014; 40 (3): 215-229
  • [19] Mehnert A, Koch U. Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: a prospective study. Psychooncology 2007; 16(3): 181-188
  • [20] Elklit A, Blum A. Psychological adjustment one year after the diagnosis of breast cancer: a prototype study of delayed post-traumatic stress disorder. Br J Clin Psychol. 2011; 50(4): 350–363.
  • [21] Shelby RA, Golden-Kreutz DM, Anderson BL. PTSD diagnoses, subsyndromal symptoms and comorbidities contribute to impairments for breast cancer survivors. J Traumatic Stress 2008; 21(2), 165-172
  • [22] Palmer SC, Kagee A, Coyne JC, DeMichele A. Experience of trauma, distress and posttraumatic stress disorder among breast cancer patients. Psychosom Med. 2004; 66(2): 258-64
  • [23] McLaughlin KA, Koenen KC, Friedman MJ, Ruscio AM, Karam EG, Shahly V et al. Subthreshold posttraumatic stress disorder in the world health organization world mental health surveys. Biol Psychiatry 2015; 77(4): 375-84
  • [24] Stanton AL, Bower JE. (2015). Psychological adjustment in breast cancer survivors. In: Ganz PA (Ed) Improving outcomes for breast cancer survivors: perspectives on research challenges and opportunities. Springer, Cham.
  • [25] Matsuoka Y., Nagamine M., Uchitomi Y. (2006) Intrusion in Women with Breast Cancer. In: Kato N., Kawata M., Pitman R.K. (eds) PTSD. Springer, Tokyo
  • [26] Marshall RD, Olfson M, Hellman F, Blanco C, Guardino M, Struening EL. Comorbidity, impairment and suicidality in subthreshold PTSD. Am J Psychiat. 2001; 158(9): 1467-73
  • [27] Vazquez DA, Rosenberg SM, Gelber SI, Ruddy KJ, Morgan E, Recklitis CJ et al. Post-traumatic stress disorder in young breast cancer survivors, J Clin Oncol. 2016; 34(3): 202
  • [28] Perez S, Galdon MJ, Andreu Y, Ibanez E, Dura E, Conchado A et al. Posttraumatic stress symptoms in breast cancer patients: temporal evolution, predictors and mediation. J Traumatic Stress. 2014; 27(2): 224-231
  • [29] Hermelink K, Voigt V, Kaste J, et al. Elucidating pretreatment cognitive impairment in breast cancer patients: the impact of cancer-related post-traumatic stress. J Natl Cancer Inst. 2015; 107 (7)
  • [30] Shand LK, Cowlishaw S, Brooker JE, Burney S, Ricciardelli LA. Correlates of post-traumatic stress symptoms and growth in cancer patients: a systematic review and meta-analysis. Psychooncology 2015; 24(6): 624-34
  • [31] Gros DF, Flanagan JC, Korte KJ, Mills AC, Brady KT, and Back SE. Relations between Social Support, PTSD Symptoms, and Substance Use in Veterans. Psychol Addict Behav. 2016; 30(7): 764–770.
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