Frequency and Correlates of Posttraumatic-Stress-Disorder-Like Symptoms After Treatment for Breast Cancer

Matthew J. Cordova, Michael A. Andrykowski, Daniel E. Kenady, Patrick C. McGrath, David A. Sloan, William H. Redd

Research output: Contribution to journalArticlepeer-review

362 Scopus citations

Abstract

Diagnosis of life-threatening illness now meets Diagnostic and Statistical Manual of Mental Disorders(4th ed.; DSM-IV; American Psychiatric Association, 1994)criteria for traumatic stressor exposure for posttraumatic stress disorder (PTSD). Quality of life (QOL) and PTSD-like symptoms were assessed in 55 women posttreatment for breast cancer. PTSD symptom measures included the PTSD Checklist-Civilian Version (PCL-C) and the Impact of Events Scale. QOL was assessed using the 20-item Medical Outcomes Study Questionnaire. PTSD symptomatology was negatively related to QOL, income, and age. Time since treatment, type of cytotoxic treatment, and stage of disease were unrelated to PTSD symptoms. With suggested criteria for the PCL-C, 5% to 10% of the sample would likely meet DSM-IVPTSD criteria. Findings suggest that in survivors of breast cancer, these symptoms might be fairly common, may exceed the base rate of these symptoms in the general population, are associated with reports of poorer QOL, and, therefore, warrant further research and clinical attention.

Original languageEnglish
Pages (from-to)981-986
Number of pages6
JournalJournal of Consulting and Clinical Psychology
Volume63
Issue number6
DOIs
StatePublished - Dec 1995
Externally publishedYes

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