{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:00:32Z","timestamp":1792512032197,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,7,19]],"date-time":"2006-07-19T00:00:00Z","timestamp":1153267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed at the identification of acute and post\u2010traumatic stress responses, and comorbid mental disorders in breast cancer patients. Structured clinical interviews for DSM\u2010IV (SCID) were conducted post\u2010surgery with 127 patients (t1). Screening measures were used to assess post\u2010traumatic stress responses, anxiety, and depression at t1 and at 6 months follow\u2010up (t2). Based on the SCID, prevalence rates were 2.4% for both, cancer\u2010related ASD and PTSD. Experiences most frequently described as traumatic were the cancer diagnosis itself and subsequent feelings of uncertainty. Patients with lifetime PTSD (8.7%) were more likely to meet the criteria for cancer\u2010related ASD or PTSD (OR=14.1). Prevalence estimates were 7.1% for Adjustment Disorder, 4.7% for Major Depression, 3.1% for Dysthymic Disorder and 6.3% for Generalized Anxiety Disorder. Using the screening instruments, IES\u2010R, PCL\u2010C and HADS, we found PTSD in 18.5% at t1 and 11.2\u201316.3% at t2. The estimates of anxiety and depression reveal rates of 39.6% (t1) and 32.7% (t2) for anxiety, as well as 16.0% (t1) and 13.3% (t2) for depression (t1) (cut\u2010off\u2a7e8). The diagnosis of a life\u2010threatening illness has been included as a potential trauma in the DSM\u2010IV. However, it has to be critically evaluated whether subjective feelings of uncertainty like fears of treatment count among traumatic stressors, and thus, whether the diagnosis of PTSD is appropriate in this group of cancer patients. However, a large number of women with emotional distress illustrate the need for psychosocial counseling and support in this early treatment phase. Copyright \u00a9 2006 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1057","type":"journal-article","created":{"date-parts":[[2006,7,19]],"date-time":"2006-07-19T19:20:37Z","timestamp":1153336837000},"page":"181-188","source":"Crossref","is-referenced-by-count":303,"title":["Prevalence of acute and post\u2010traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: a prospective study"],"prefix":"10.1002","volume":"16","author":[{"given":"Anja","family":"Mehnert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Koch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,7,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.08.149"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1611(199911\/12)8:6<521::AID-PON423>3.0.CO;2-X"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(01)00118-0"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000116755.71033.10"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.08.149"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1020572505095"},{"key":"e_1_2_1_8_2","volume-title":"Effective Treatments for PTSD","author":"Foa EB","year":"2000"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.54.101601.145112"},{"key":"e_1_2_1_10_2","first-page":"19","article-title":"Quality of life in osteosarcoma survivors","volume":"8","author":"Greenberg DB","year":"1994","journal-title":"Oncology"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(98)71356-8"},{"key":"e_1_2_1_12_2","volume-title":"Diagnostisches and statistisches Manual psychischer St\u00f6rungen (DSM\u2010IV)","author":"Sa\u00df H","year":"1996"},{"key":"e_1_2_1_13_2","volume-title":"SKID. 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