{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:37:06Z","timestamp":1787503026745,"version":"build-2736575974"},"reference-count":26,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"34","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCO"],"published-print":{"date-parts":[[2011,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Little is known about the trajectory of post-traumatic stress disorder (PTSD) symptoms in cancer survivors, despite the fact that such knowledge can guide treatment. Therefore, this study examined changes in PTSD symptoms among long-term survivors of non-Hodgkin's lymphoma (NHL) and identified demographic, clinical, and psychosocial predictors and correlates of PTSD symptomatology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Surveys were mailed to 682 NHL survivors who participated in an earlier survey and now were at least 7 years postdiagnosis. Information was obtained regarding PTSD symptoms, positive and negative perceptions of the cancer experience (ie, impact of cancer), and other potential correlates of PTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 566 individuals participated (83% response rate) with a median of 12.9 years since diagnosis; respondents were 52% female and 87% white. Although half (51%) of the respondents reported no PTSD symptoms and 12% reported a resolution of symptoms, more than one-third (37%) reported persistence or worsening of symptoms over 5 years. Survivors who reported a low income, stage \u2265 2 at diagnosis, aggressive lymphoma, having received chemotherapy, and greater impact of cancer (both positive and negative) at the initial survey had more PTSD symptoms at follow-up. In multivariable analysis, income and negative impacts of cancer were independent predictors of PTSD symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>More than one-third of long-term NHL survivors experience persisting or worsening PTSD symptoms. Providers should be aware of enduring risk; early identification of those at prolonged risk with standardized measures and treatments that target perceptions of the cancer experience might improve long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/jco.2011.37.2631","type":"journal-article","created":{"date-parts":[[2011,10,11]],"date-time":"2011-10-11T23:10:37Z","timestamp":1318374637000},"page":"4526-4533","source":"Crossref","is-referenced-by-count":72,"title":["Post-Traumatic Stress Symptoms in Long-Term Non-Hodgkin's Lymphoma Survivors: Does Time Heal?"],"prefix":"10.1200","volume":"29","author":[{"given":"Sophia K.","family":"Smith","sequence":"first","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheryl","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christianna S.","family":"Williams","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habtamu","family":"Benecha","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy P.","family":"Abernethy","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah K.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lloyd J.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. Williams, no affiliation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Ganz","sequence":"additional","affiliation":[{"name":"Sophia K. Smith and Amy P. Abernethy, Duke University, Durham; Sheryl Zimmerman, Habtamu Benecha, Deborah K. Mayer, and Lloyd J. Edwards, University of North Carolina at Chapel Hill, Chapel Hill, NC; Patricia A. Ganz, University of California at Los Angeles, Los Angeles, CA; Christianna S. 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