{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:10:58Z","timestamp":1790122258560,"version":"4.0.1"},"reference-count":52,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,11,13]],"date-time":"2011-11-13T00:00:00Z","timestamp":1321142400000},"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":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Acute leukemia is a condition with an acute onset that is associated with considerable morbidity and mortality. However, the psychological impact of this life\u2010threatening condition and its intensive treatment has not been systematically examined. In the present study, we investigate the prevalence and correlates of post\u2010traumatic stress symptoms in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with acute myeloid, lymphocytic, and promyelocytic leukemia who were newly diagnosed, recently relapsed, or treatment failures were recruited at a comprehensive cancer center in Toronto, Canada. Participants completed the Stanford Acute Stress Reaction Questionnaire, Memorial Symptom Assessment Scale, CARES Medical Interaction Subscale, and other psychosocial measures. A multivariate regression analysis was used to assess independent predictors of post\u2010traumatic stress symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 205 participants, 58% were male, mean age was 50.1\u2009\u00b1\u200915.4\u2009years, 86% were recently diagnosed, and 94% were receiving active treatment. The mean Stanford Acute Stress Reaction Questionnaire score was 30.2\u2009\u00b1\u200922.5, with 27 of 200 (14%) patients meeting criteria for acute stress disorder and 36 (18%) for subsyndromal acute stress disorder. Post\u2010traumatic stress symptoms were associated with more physical symptoms, physical symptom distress, attachment anxiety, and perceived difficulty communicating with health\u2010care providers, and poorer spiritual well\u2010being (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study demonstrates that clinically significant symptoms of traumatic stress are common in acute leukemia and are linked to the degree of physical suffering, to satisfaction with relationships with health\u2010care providers, and with individual psychological characteristics. Longitudinal study is needed to determine the natural history, but these findings suggest that intervention may be indicated to alleviate or prevent traumatic stress in this population. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.2092","type":"journal-article","created":{"date-parts":[[2011,11,14]],"date-time":"2011-11-14T05:42:43Z","timestamp":1321249363000},"page":"299-307","source":"Crossref","is-referenced-by-count":85,"title":["Traumatic stress in acute leukemia"],"prefix":"10.1002","volume":"22","author":[{"given":"Gary","family":"Rodin","sequence":"first","affiliation":[{"name":"Department of Psychosocial Oncology and Palliative Care Princess Margaret Hospital, University Health Network  Toronto Canada"},{"name":"Ontario Cancer Institute Princess Margaret Hospital, University Health Network  Toronto Canada"},{"name":"Behavioural Sciences and Health Research Division, Toronto General Research Institute University Health Network  Toronto Canada"},{"name":"Department of Psychiatry University of Toronto  Toronto 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