在重症监护室的年轻和中年癌症患者中出现创伤后应激障碍的危险因素:一个病例对照研究
Lei Chen1, Guo-Zhou Wang2, Yuan-Yuan Chi2
1Intensive Care Unit, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.
World journal of clinical cases
|September 20, 2023
概括
在ICU的年轻癌症患者有患创伤后应激障碍 (PTSD) 的风险. 低收入,意外转移和较高的APACHE II分数增加了这种风险.
科学领域:
- 在瘤学瘤学.
- 密集护理医学 密集护理医学
- 精神病学是一个精神病学.
背景情况:
- 在ICU中的年轻和中年癌症患者经历了显著的压力.
- 在中国这个人口群体中,关于创伤后应激障碍 (PTSD) 的研究有限.
- 结合癌症和ICU体验的心理影响尚未得到充分理解.
研究的目的:
- 确定年轻和中年癌症患者进入ICU的PTSD风险因素.
- 了解癌症幸存者的重症监护的心理后果.
主要方法:
- 研究了一组150名年轻和中年癌症患者的队列,这些患者于2020年7月至12月期间入院了ICU.
- 收集了患者人口统计和PTSD指标的数据.
- 事件影响尺度修订 (IES-R) 评估了ICU退院后一个月的PTSD;二进制物流回归确定了风险因素.
主要成果:
- 在150名患者中,有32名患者 (21.33%) 患有PTSD.
- 较低的月收入 (OR=0.24) 和计划转移 (OR=0.208) 与降低PTSD风险有关.
- 较高的急性生理学和慢性健康评估 (APACHE II) 评分 (OR=1.171) 与增加PTSD风险有显著联系.
结论:
- 在这个人群中,低月收入和计划的转移似乎对PTSD有保护作用.
- 较高的APACHE II分数是发展PTSD的一个重要危险因素.
- 调查结果强调,需要为ICU中的易受伤害的癌症患者提供有针对性的心理支持.
相关概念视频
Post-traumatic Stress Disorder
54
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
54
Psychoneuroimmunology: Diabetes and Cancer
47
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
47
Psychoneuroimmunology: Cardiovascular Disease
49
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
49
Factors Affecting the Risk of Infection
11.9K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.9K
Psychological and Sociocultural Causes of Schizophrenia
107
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
107
Stress and Mental Health
179
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
179


