Prevalence of medically induced psychological trauma and its influence on women's health

Abstract

Objective The aim of the present study was three‐fold. One, to assess the prevalence of medical traumatization in outpatients of a gynecologic department; two, to analyze the relationship of medical traumatization with adverse childhood events; and three, to investigate the extent to which medical traumatization affects the health outcomes of woman. Methods Between January and September 2022, a prospective cross‐sectional study recruited patients of a gynecologic outpatient clinic at St. Gallen Cantonal Hospital in Switzerland. Medical trauma was a self‐reported item. The presence of adverse childhood events was assessed using the Childhood Trauma Questionnaire. The severity of post‐traumatic stress was evaluated using the Impact of Event Scale Revised questionnaire. Results In total, 227 patients were recruited. Medical trauma was reported by 20% of the interviewees and it was strongly associated with obesity (A = 0.005). Undergoing surgery was most commonly the source of psychological distress (5.7%) followed by delivery (4.8%), pregnancy loss (4.8%), and cancer diagnosis (4.0%). Yet, fewer than 1% of the patients reached the threshold suggesting post‐traumatic stress disorder. Conclusions We found no relationship between the medical trauma, adverse childhood events, cardiovascular disease, or substance abuse. The presence of medical trauma was associated with the patient's body mass index (calculated as weight in kilograms divided by the square of height in meters).

Communication with physicians and family about breast Cancer recurrence

“…However, BCR may be inadequately communicated with breast cancer survivors, such that survivors are unaware of (1) their recurrence risk, (2) factors that influence risk, and (3) health behaviors to decrease their risk [ [22] , [23] , [24] ]. Along with challenges of limited clinician time restricting communication, patients may not remember that risk information was being communicated (perhaps due to the trauma of diagnosis [ 25 , 26 ], chemotoxicity [ 27 ], or challenges with numeracy [ 28 ] or health disparities [ 29 ]). Adequate physician-patient communication about recurrence is vital to quality of life [ 30 ] and to informed decision-making about survivorship care [ 21 , 31 , 32 ].…”