The relationship between posttraumatic stress disorder, mood states, functional status, and quality of life in oncology outpatients
Journal of Pain and Symptom Management, 07/11/2012
Gold JI et al. – Early identification and interventions may mediate the onset of psychological distress and improve health outcomes.Methods
- As part of a larger clinical trial that evaluated the effects of a cognitive–behavioral intervention on cancer pain management, 289 adult oncology patients (Mage=61.3, SD=11.6) completed self–report measures that assessed PTSD, other mood states, functional status, and QOL.
- Forty–five percent of the sample met the diagnostic criteria for PTSD (n=78) and partial PTSD (n=53) and were younger than those with no PTSD.
- Patients with PTSD had a significantly lower Karnofsky Performance Status, shorter time since diagnosis, higher ratings of mood disturbance, lower ratings of functional status, and lower QOL than patients with no PTSD.
- A lower Karnofsky Performance Status, fewer months since diagnosis, and presence of bone metastases predicted a higher likelihood of being classified as having PTSD.