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Posttraumatic Stress Disorder Symptoms in Lymphoma Patients: A Prospective Study
Claire Camille1, Chloé Dimeglio2, Antoine Yrondi1
1Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, France.
Frontiers in Psychiatry
|March 29, 2020
Summary
Lymphoma patients experiencing distress and dissociation upon diagnosis are at higher risk for developing partial Post-Traumatic Stress Disorder (PTSD). Early assessment of these stressors is crucial for timely intervention.
Area of Science:
- Oncology
- Psychiatry
- Psychology
Background:
- Cancer diagnosis, particularly lymphoma, can be a significant source of psychological distress.
- Repeat stressors and traumas are common in the cancer experience, potentially leading to mental health issues like Post-Traumatic Stress Disorder (PTSD).
Purpose of the Study:
- To assess traumatic events in lymphoma patients.
- To determine which events contribute to the development of Post-Traumatic Stress Disorder (PTSD).
Main Methods:
- 129 lymphoma patients were assessed for peritraumatic distress and dissociation two weeks post-diagnosis.
- Three months post-diagnosis, PTSD symptoms (using PTSD CheckList/PCL), anxiety (Hospital Anxiety and Depression/HAD), and depression (Beck Depression Inventory/BDI-II) were evaluated.
Main Results:
- 49% of patients reported peritraumatic distress and 20% peritraumatic dissociation immediately after diagnosis.
- While no patients had full PTSD, 23% exhibited partial PTSD, linked to diagnosis, informing family, or adverse effects.
- Peritraumatic distress, dissociation, anxiety, and mucositis were significantly associated with PTSD symptoms, explaining 35.8% of symptom load.
Conclusions:
- Clinicians should assess stressors from the initial lymphoma diagnosis onwards.
- Early identification of risk factors for PTSD symptoms in lymphoma patients is essential.
- Peritraumatic distress and dissociation are key indicators for potential PTSD development in cancer patients.
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