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Journal of Pediatric Psychology 23(6) pp. 357-366, 1998
© 1998 Society of Pediatric Psychology

research-article

Posttraumatic Stress Disorder Among Mothers of Pediatric Cancer Survivors: Diagnosis, Comorbidity, and Utility of the PTSD Checklist as a Screening Instrument

Sharon L. Manne, PhD1, Katherine Du Hamel, PhD2, Kim Gallelli3, Karen Sorgen3 and William H. Redd, PhD2

1Fox Chase Cancer Center, 2Mt. Sinai School of Medicine, 3Memorial Sloan-Kettering Cancer Center

Objective: To examine posttraumatic stress disorder (PTSD) in mothers of survivors of childhood cancer. Comorbidity of anxiety and depressive disorders, prevalence of subclinical PTSD, and the utility of a self report measure as a screening instrument for PTSD were also investigated.

Method: Mothers (n = 65) completed a questionnaire self-report PTSD checklist (PCL-C). Mothers were administered several modules of the SCID: nonpatient edition by telephone, including the PTSD, Generalized Anxiety, and Major Depressive Disorder modules.

Results: We diagnosed 6.2% of the sample with current PTSD. An additional 20% had subclinical PTSD. One of four mothers with PTSD diagnoses had a comorbid diagnosis of an anxiety and depressive disorder. The PCL-C evidenced diagnostic utility as a screening instrument. However, a moderate number of false-positives would result if the recommended cut-off on the instrument was used.

Conclusions: The PCL-C had diagnostic utility in screening mothers of childhood cancer survivors. The presence of comorbid diagnoses such as anxiety and depression should be examined.

Key words: posttraumatic stress disorder; childhood cancer; mothers; survivorship.


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