Travma sonrası stres bozukluğu olan ve olmayan meme kanserli bireyler arasında, travma sonrası büyümenin, depresyonun, anksiyetenin ve sosyal desteğin karşılaştırılması

Öz

Amaç: Bu çalışmadaki amacımız TSSB’si olan ve TSSB’si olmayan bireyler arasında TSB, depresyon, anksiyete, sosyal desteği karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya 18-65yaşlarında, Tıbbi Onkoloji Bilim Dalı polikliniğine ayaktan başvuran,en az bir yıl önce meme kanseri tanısı almış80 hasta dâhil edilmiştir. Bu hastalar Olay Etkisi Ölçeği (OEÖ), Travma Sonrası Büyüme Ölçeği(TSBÖ), Algılanan Sosyal Destek Ölçeği, Hastane Anksiyete ve Depresyon Ölçeği ve Sosyo-demografik Veri Formuile değerlendirilmiştir.  Bulgular: OEÖ puanına göre 30 (%37.5) katılımcıda geçirilen meme operasyonu ile ilişkili TSSB olduğu değerlendirildi.TSSB olan bireylerin TSBÖ skorlarının TSSB olmayan bireylerin skorlarından anılmalı derecede (p<0.001) düşük olduğu bulundu. Hiyerarşik regresyon analizine göre, TSSB’si olmayan meme kanserli bireylerde TSBÖ skorları, OEÖ ölçeği skorlarının %10’nunu açıklıyordu; fakat TSSB’si olan meme kanserli bireylerde TSB ölçeği skorları, OEÖ skorlarını açıklamada etkili değildi. Buna ek olarak TSSB’si olan bireylerin OEÖ skorlarını açıklamada hiyerarşik modele, ASD arkadaş alt ölçeği ve HADÖ-anksiyete alt ölçeği skorları eklendiğinde açıklayıcılık %36’ya çıkıyordu.  Sonuç: TSSB’si olan meme kanserli bireylerde TSB den önce sosyal desteği artırılmak ve bu bireylerde anksiyetenin tedavisine odaklanmak daha faydalı olabilir. Buna ek olarak TSSB’si olmayan meme kanserli bireylerde öncelikli olarak TSB gelişimini desteklemek, bu bireylerde hastalıkla ilişkili travmatik belirtilerin azaltılmasına aracılık edebilir.

Anahtar Kelimeler

• meme kanseri
• travma sonrası stres bozukluğu
• anksiyete
• travma sonrası büyüme, sosyal destek

Comparison of posttraumatic growth, depression, anxiety and social support in breast cancer patients with and without posttraumatic stress disorder

Öz

Aim: The aim of this study is to compare the posttraumatic growth (PTG), depression, anxiety and social security in individuals with and without posttraumatic stress disorder (PTSS). Material and Methods: 80 patients aged between 18 and 65, who presented to outpatient clinic of Medical Oncology Department, and who were diagnosed with breast cancer at least one year ago, were admitted to the study. These patients were assessed with the Impact of Event Scale (IES), Posttraumatic Growth Scale (PTGS), Perceived Social Support Scale (PSSS), Hospital Anxiety and Depression Scale (HADS) and Sociodemographic Data Collection Form. Results: Pursuant to IES score, it was observed that 30 participants (37.5%) had PTSD related to breast operation. Posttraumatic growth scores of patients suffering from posttraumatic stress disorder was found to be significantly (p<0.001) lower than patients without posttraumatic stress disorder. According to hierarchical regression analysis: posttraumatic growth scale scores explain 10% of IES scores in breast cancer patients without PTSD; however, posttraumatic growth scale scores in breast cancer patients with PTSD had no influence on explaining IES scores. In addition, in the event if PSS friend subscale and HADS anxiety subscale are included in IES scores of patients with PTSD, the explanatoriness was increased to 36%. Conclusion: Increasing social support prior to PTG in breast cancer patients with PTGS and focusing on anxiety treatment in such patients may be more beneficial. In addition, primarily supporting PTG development in breast cancer patients without PTSD may help to reduce traumatic symptoms related to disease in such patients.

Anahtar Kelimeler

• breast cancer
• posttraumatic stress disorder
• posttraumatic growth
• social support
• anxiety

Kaynakça

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