Adverse childhood experiences and psychotropic medication prescription among cancer patients.
J Psychosoc Oncol
; 42(4): 543-557, 2024.
Article
em En
| MEDLINE
| ID: mdl-38127059
ABSTRACT
BACKGROUND:
This study aimed at identifying and characterizing adverse childhood experiences (ACEs) in a sample of cancer patients and subsequently evaluating the relationship between ACEs and prescription of psychotropic medication among them. Individuals with ACEs have a higher risk of mental health conditions and are more likely to be prescribed psychotropic medications.METHODS:
A sample of 178 adult patients receiving Supportive Oncology & Survivorship (SOS) services at Huntsman Cancer Hospital in Utah was obtained. ACEs and Brief Resilient Coping Scale (BRCS) questionnaires were administered confidentially. A multivariable mixed effect model, adjusting for sex, age, and insurance type while controlling for zip-codes clustering were employed.RESULTS:
Compared to the prevalence of ACEs in the general population, from the CDC-Kaiser Permanente ACEs Study, we found no significant difference in the prevalence of people who had experienced an adverse childhood event (ACEs score > = 1) between our study of cancer patients and the CDC-Kaiser study (67.4% vs. 63.6%, p = 0.29372), but found a significant difference in the prevalence of people who had experienced severe adverse childhood experiences (ACES score > =4) (25.3% vs. 12.1%, p < 0.00001). Furthermore, this study reveals a significant association between an increase of one unit in the total ACEs score and the odds of psychotropic medication prescription in the past 12 months (OR 1.233; 95% CI 1.025, 1.483). Those with a total ACEs score of three or more were found to have 280% higher odds of being prescribed psychotropic medication compared to those with ACEs ≤ 2 (OR 3.822; 95% CI 1.404,10.407).CONCLUSION:
A significant proportion of cancer patients have a history of ACEs, and thus trauma-informed care approach is essential during their treatment.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Psicotrópicos
/
Experiências Adversas da Infância
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Neoplasias
Limite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Psychosoc Oncol
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos