摘要
目的 探讨肿瘤患者的情绪障碍及心理社会影响因素。方法 用病例对照和多因素统计分析法 ,随机选取肿瘤患者 3 7例 ,年龄 4 3~ 82岁 ,男性 61例 ,女性 1 3例。采用心理问卷测试和心理量表评定 ,一次性完成EPQ、SCL 90、SAS、SDS、LES、SSRS、DSQ、HAMD、HAMA等量表的测试和评定。结果 肿瘤组与对照组情绪障碍发病率分别为 89.1 9%和 1 3 .51 %(P <0 .0 1 )。情绪障碍的发生与性别、年龄、文化程度、EPQ量表P分和E分、SCL 90总分、负性生活事件、社会支持量表总分等因素相关。结论 肿瘤患者具有更高的情绪障碍发生率 ,后者与负性生活事件、内向性格、文化程度及对疾病的自我认识密切相关。
Objective To investigate the influence of psychosocial factors to emotional disorder of tumor patients.Method Total sample:74,the tumor patient group consists of 37 patients(male 31,female 6),age between 54~82years(68.86±7.04).There is no significant difference between the two groups in age,gender and educational level(P>0.05) All the patients themselves completed once through the following questionnaires:Eysenck Personality Questionnaire(EPQ),Symptom Check List(SCL 90),Self rating Anxiety Scale(SAS),Self rating Depression Scale(SDS),Life Event Scale(LES),Social Support Rating Scale(SSRS).Defense Style Questionnaire(DSQ).However,Hamilton Depression rating scale(HAMD) and Hamilton Anxiety rating Scale(HAMA) were rated by the researcher.The data is analyzed by computer using t test,χ 2 test,stepwise multiple regression.Results The occurrence rate of depression and anxiety among tumor patients is clearly higher than the control group(P<0.01).The correlation analysis suggest that the emotional disorder(depression and anxiety)among tumor patients is associated with gender,age,educational level,P level,E level,SCL 90 level,LES level,SSRS level.Conclusion The occurrence rate of the emotional disorder among tumor patients is clearly higher than the control group.The emotional disorder among tumor patients is related to LES level,introversion personality,educational level and recognition about the tumor.
出处
《中国行为医学科学》
CSCD
2001年第6期545-547,共3页
Chinese Journal of Behavioral Medical Science