To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This cross-sectional survey examined changes in perceived relationships and sexual activity in a sample of thyroid cancer patients and their partners, taking into account sociodemographic and disease-related variables, as well as such outcome measures as anxiety, depression, fatigue, and quality of life (QoL).
A total of 38 patients with thyroid cancer who were being treated at the department of nuclear medicine in Zürich or Lucerne over the preceding seven years, as well as their partners, completed questionnaires about the quality of their relationships (RQ), about perceptions of changes in their relationships, and about their frequency of sexual activity. They also filled out prevalidated questionnaires related to anxiety, depression, fatigue, and QoL.
Some 17 patients (44.7%) and 16 partners (42.1 %) reported that the cancer diagnosis had changed their relationships. Of these, 10 (26.3%) patients and 9 (23.7%) partners reported positive changes only, while 7 patients (18.4%) and 7 partners (18.4%) reported mixed or negative changes. A perceived mixed/negative relationship change was associated with increased depression and lower RQ in patients and partners, as well as with increased anxiety in patients. While the frequency of sexual activity only changed in roughly half of patients and partners (16 patients [42.1%] and 20 partners [52.6%]), increased sexual activity was associated with lower physical QoL scores and a higher depression score than in counterparts who reported no change.
Significance of Results:
Compared to other cancer sites, in our sample thyroid cancer had a relatively small impact on patient–partner relationships and levels of intimacy. We found that screening patients and their partners with a simple question—“Did the diagnosis of cancer change your relationship?”—can lead to early detection of couples who are potentially at risk for perceived negative relationship changes and can facilitate timely psychosocial referral for couple's therapy.
Long-term data on post-traumatic stress disorder (PTSD) following
accidents are scarce.
To assess and predict PTSD in people 3 years after severe accidental
Severely injured patients were recruited consecutively from the intensive
care unit (n=121) and assessed within 1 month of the
trauma. Follow-up interviews were conducted 6 months, 12 months and 36
months later; 90 patients participated in all four interviews. Symptoms
were assessed using the Clinician-Administered PTSD Scale.
Post-traumatic stress disorder was diagnosed in 6% of patients 2 weeks
after the accident, in 2% after 1 year and in 4% after 3 years. Robust
predictors of later PTSD symptom level were intrusive symptoms shortly
after the accident and biographical risk factors. There were individual
changes over time between the categories PTSD, sub-threshold PTSD and no
PTSD. Whereas PTSD symptom severity was low or decreased for most of the
patients, some of them showed an increase or a delayed onset. Patients
with persisting PTSD symptoms at 6 months and patients with delayed onset
of symptoms are at risk of long-term PTSD.
The prevalence of PTSD was low over the whole period of 3 years.
Email your librarian or administrator to recommend adding this to your organisation's collection.