乳腺癌幸存者的创伤后压力轨迹中的种族和种族差异
Melissa Mazor1, Alex Nelson2, Krystina Mathelier3
1Division of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of psychosocial oncology
|September 1, 2023
概括
种族和民族少数群体患有糖尿病的乳腺癌幸存者经历了更高的创伤后压力症状. 这些症状持续至少12个月,突出了需要有针对性的支持.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 健康差异 在健康上的差异
背景情况:
- 患有糖尿病的乳腺癌幸存者 (BCS) 面临着独特的挑战.
- 癌症生存率的种族和民族差异已经得到了充分的证据.
- 创伤后压力 (PTS) 是癌症幸存者的一个重要问题.
研究的目的:
- 为了检查PTS症状的纵向变化.
- 为了比较PTS症状轨迹在种族/少数民族和非西班牙裔白人的BCS与糖尿病之间.
- 为了识别特定的PTS症状的不同,随着时间的推移.
主要方法:
- 多站点纵向研究设计.
- 178名糖尿病患者的治疗后BCS从三级医疗中心招募.
- 自我报告的PTS症状,在基线,6个月和12个月使用事件影响修订规模 (IES-R) 进行评估.
主要成果:
- 与非西班牙裔白人BCS相比,少数民族BCS在所有时间点上报告了更高的整体IES-R得分.
- 拉丁裔女性始终报告了较高的IES-R总得分.
- 拉丁裔和"其他"种族/民族群体报告了更高的回避症状得分.
结论:
- 少数患有糖尿病的乳腺癌幸存者经历了持续的,癌症相关的PTS症状升高.
- 这些PTS症状在治疗后至少持续12个月.
- 这些发现强调了在幸存者护理中需要对文化敏感的心理社会支持.
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