Journal of Clinical Psychology in Medical Settings

, Volume 8, Issue 4, pp 307–323

Posttraumatic Stress in Survivors of Childhood Cancer and Mothers: Development and Validation of the Impact of Traumatic Stressors Interview Schedule (ITSIS)

  • Anne E. Kazak
  • Lamia P. Barakat
  • Melissa Alderfer
  • Mary T. Rourke
  • Kathleen Meeske
  • Paul R. Gallagher
  • Avital Cnaan
  • Margaret L. Stuber
Article

DOI: 10.1023/A:1011977031826

Cite this article as:
Kazak, A.E., Barakat, L.P., Alderfer, M. et al. Journal of Clinical Psychology in Medical Settings (2001) 8: 307. doi:10.1023/A:1011977031826

Abstract

This study presents initial data validating the use of a new instrument, the Impact of Traumatic Stressors Interview Schedule (ITSIS), to assess the occurrence of cancer-related posttraumatic stress in childhood cancer survivors and their mothers. Sixty-six child/adolescent cancer survivors and 64 of their mothers, as well as 130 young adult survivors, completed the ITSIS and other measures of posttraumatic stress and general distress. Five ITSIS factors were identified for the mothers and for the young adult survivors, and three ITSIS factors were identified for the child/adolescent survivors. Factors in all three samples reflected symptoms of posttraumatic distress, concern over medical late effects, communication, and changes in self due to cancer. Only young adult survivors had a factor reflecting a positive engagement with the cancer history. Factors correlated with validation measures in predicted ways. The findings further the conceptualization of posttraumatic stress in pediatric cancer by describing the traumatic experience for survivors and mothers. Comparing factors across samples allows an examination of different influences of cancer within families and over the course of development.

childhood cancerposttraumatic stress disorder (PTSD)familiessurvival

Copyright information

© Plenum Publishing Corporation 2001

Authors and Affiliations

  • Anne E. Kazak
    • 1
    • 2
  • Lamia P. Barakat
    • 3
  • Melissa Alderfer
    • 2
  • Mary T. Rourke
    • 2
  • Kathleen Meeske
    • 4
  • Paul R. Gallagher
    • 2
  • Avital Cnaan
    • 1
    • 2
  • Margaret L. Stuber
    • 5
  1. 1.Department of PediatricsThe University of PennsylvaniaPhiladelphia
  2. 2.The Children's Hospital of PhiladelphiaPhiladelphia
  3. 3.Department of PsychologyDrexel UniversityPhiladelphia
  4. 4.Children's Hospital of Los AngelesLos Angeles
  5. 5.The University of California at Los AngelesLos Angeles