Abstract

Problem identification

Dissociation is a common presentation of trauma, distinguishable from classic post-traumatic stress disorder (PTSD) symptoms. While pre-cancer and cancer-related traumatic experiences are prevalent among cancer-affected individuals, the specific impact of traumatic dissociation is unclear.

Literature search

This scoping review includes a search of English articles published between 1980 and 2019 referencing dissociation in the context of cancer-affected adults.

Data evaluation/synthesis

Articles assessed how dissociation was addressed in relation to pre-cancer and cancer-related trauma exposure and treatment. Out of 1,265 articles, 71 met inclusion criteria, and 15 underwent a full review. Two studies addressed dissociation related to pre-cancer trauma, nine in regard to cancer-related trauma only, and four in relation to both trauma types. No studies included experimental designs or described interventions.

Conclusions

Despite high rates of trauma exposure among cancer-affected adults, limited studies specifically address the impact of dissociation. Further inquiry on this topic is needed, especially on treatment implications.

中文翻译：

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接受癌症治疗的个体之间的分离：范围审查

摘要

问题识别

分离是创伤的常见表现，与经典的创伤后应激障碍 (PTSD) 症状不同。虽然癌症前和癌症相关的创伤经历在受癌症影响的个体中普遍存在，但创伤分离的具体影响尚不清楚。

文献检索

该范围审查包括对 1980 年至 2019 年间发表的英文文章的搜索，这些文章引用了受癌症影响的成年人背景下的分离。

数据评估/综合

文章评估了如何解决与癌前和癌症相关的创伤暴露和治疗相关的分离问题。在 1,265 篇文章中，71 篇符合纳入标准，15 篇接受了全面审查。两项研究涉及与癌前创伤相关的分离，九项仅与癌症相关的创伤有关，四项与两种创伤类型有关。没有研究包括实验设计或描述的干预措施。

结论

尽管受癌症影响的成年人的创伤暴露率很高，但有限的研究专门解决了分离的影响。需要对该主题进行进一步调查，尤其是在治疗影响方面。