{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:44:19Z","timestamp":1787510659357,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"17","license":[{"start":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T00:00:00Z","timestamp":1493856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01 CA136782"],"award-info":[{"award-number":["R01 CA136782"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The medical traumatic stress model is commonly applied to childhood cancer, assuming that the diagnosis of cancer is a traumatic event. However, to the authors' knowledge, little is known regarding what specifically children perceive as stressful about cancer or how it compares with other stressful events more often experienced by children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\n                      Children with cancer (254 children) and demographically similar peers without a history of serious illness (202 children) identified their most stressful life event as part of a diagnostic interview assessing for symptoms of posttraumatic stress disorder (PTSD). The events identified as most stressful were categorized thematically, with categories established separately for cancer\u2010related and non\u2010cancer\u2010related events. Events also were examined to assess whether they met\n                      <jats:italic>Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic>\n                      (DSM) A criteria for PTSD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>In the group of children with cancer, 54% described a cancer\u2010related event as the most stressful event they had experienced. Six distinct categories of cancer\u2010related events and 10 categories of non\u2010cancer\u2010related events were identified. The same noncancer events were identified by children in both groups, and occurred at similar frequencies. The percentage of cancer\u2010related events that met DSM A criteria for PTSD differed dramatically depending on which version of the DSM was applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>\n                      Children do not necessarily view their cancer experience as their most stressful life event. The findings of the current study suggest that the diagnosis of cancer might be better viewed as a manageable stressor rather than a major trauma, and are consistent with the change in the fifth edition of the DSM to eliminate the diagnosis of a life\u2010threatening illness as a qualifying trauma for PTSD.\n                      <jats:bold>\n                        <jats:italic>Cancer<\/jats:italic>\n                        2017;123:3385\u201093\n                      <\/jats:bold>\n                      . \u00a9\n                      <jats:italic>2017 American Cancer Society<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.30741","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T13:22:40Z","timestamp":1493904160000},"page":"3385-3393","source":"Crossref","is-referenced-by-count":19,"title":["Cancer as a stressful life event: Perceptions of children with cancer and their peers"],"prefix":"10.1002","volume":"123","author":[{"given":"Katianne M. Howard","family":"Sharp","sequence":"first","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"},{"name":"Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital Columbus Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Lindwall","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"},{"name":"Department of Psychiatry School of Medicine, University of Colorado Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3340-1460","authenticated-orcid":false,"given":"Victoria W.","family":"Willard","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna M.","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen M.","family":"Martin\u2010Elbahesh","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2995-8162","authenticated-orcid":false,"given":"Sean","family":"Phipps","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.10.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsj054"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-4993(18)30266-9"},{"key":"e_1_2_8_5_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders DSM\u2010IV\u2010TR","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsr054"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.761"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v4i0.20436.eCollection2013"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.09.003"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2004.06.002"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_12_1","first-page":"138","article-title":"Determining, ranking and comparing treatment stressors in children and adolescents with cancer in Tehran","volume":"5","author":"Azizi N","year":"2012","journal-title":"Iran J Cancer Prev"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpon.2003.76"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2003.09.001"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.49.8212"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsj018"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024465415620"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0103340"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsv047"},{"key":"e_1_2_8_20_1","unstructured":"BarrattW.The Barratt Simplified Measure of Social Status (BSMSS).http:\/\/www2.uncp.edu\/home\/marson\/syllabi\/1020BSMSS.pdf. 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