Cancer and post-traumatic stress disorder: Diagnosis, pathogenesis and treatment considerations
Abstract
Objective: The purpose of this article was to review the literature regarding diagnosis, pathogenesis, and treatment of post-traumatic stress disorder (PTSD) associated with cancer. Method: We surveyed studies examining the validity of diagnostic scales commonly used to measure PTSD in patients with cancer. Neurobiological underpinnings of PTSD and cancer, including inflammation as the physiological mechanism linking these comorbidities, were examined. Psychopharmacologic and psychotherapeutic treatment of PTSD symptoms in patients with cancer was reviewed. In addition, potential drug–drug interactions between psychotropic medications commonly used to treat PTSD and anti-cancer agents were reviewed. Results: Multiple studies demonstrated the validity of the PTSD Checklist Civilian Version (PCL-C) in diagnosing PTSD in patients with cancer. Research has shown that PTSD as defined in DSM-IV appears to be a better model for conceptualizing distress in patients with cancer than a generalized “distress” model. Epidemiologic studies have shown an increased incidence of PTSD associated with cancer; however, literature regarding characteristics of PTSD in patients with cancer is cross-sectional in nature. Significance of results: Future research focusing on longitudinal, prospective studies to identify patients at risk, determine causal or aggravating factors, and develop preventive interventions is needed. Further study of PTSD in patients with cancer may help increase recognition of this disorder, optimize treatment, and enhance the quality of life of these individuals.
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About 50% to 60% of patients with breast cancer perceive cancer diagnosis and treatment as a severe threat to life and physical health.
“In this regard, studies show that about 50% to 60% of patients with breast cancer perceive cancer diagnosis and treatment as a severe threat to life and physical health.”
From Acceptance and commitment therapy for demoralization syndrome and cancer-related trauma: A randomized clinical trial study (2021) · cites this paper as [8]
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- Authors
- Rustad, J. K., David, D., & Currier, M. B.
- Affiliations
- University of Miami (US)
- Corresponding author
- Currier, M. Beatriz
- ORCID
- David, Daniella
- Venue
- Palliative and Supportive Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-03-22
- Volume
- 10
- Issue
- 3
- Pages
- 213-223
- ISSN
- 1478-9515 (ISSN-L)
- 1478-9523
- OpenAlex
- W2168071004
- Cited by
- 48
- References
- 66
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 6 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Palliative & Supportive Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- post-traumatic stress disorder, cancer, PTSD diagnosis, PTSD pathogenesis, PTSD Checklist-Civilian Version, inflammation, psychopharmacology, psychotherapy, drug-drug interactions, anticancer agents, psychotropic drugs, cancer-related distress, quality of life
- MeSH terms
- Adult, Antineoplastic Agents, Drug Interactions, Humans, Neoplasms, Psychotropic Drugs, Stress Disorders, Post-Traumatic, Comorbidity
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