摘要
目的 探讨癌症抑郁患者的功能失调性认知模式。方法 以功能失调性态度问卷 (DAS)和贝克抑郁问卷 (BDI)对 10 0例癌症患者、3 7例抑郁症患者及 40例正常人进行问卷。按一定的分值界限 ,65例癌症患者被划定为伴有抑郁情绪组 ,3 5例被划定为不伴有抑郁情绪组。结果 癌症抑郁组在DAS总分与完美化、强制性、寻求赞许、依赖性、自主性态度、认知哲学六因子以及BDI总分方面均显著高于正常人对照组 (P <0 .0 5或P <0 .0 1)。三组患者DAS总分无显著性差异 (P >0 .0 5 ) ,仅在依赖性与认知哲学因子及BDI总分上存在显著性差异 (P <0 .0 5或P <0 .0 1)。结论 癌症抑郁患者存有明显的功能失调性认知心理症状 ,且这种失调性认知心理症状并不依附于抑郁症状。
Objective To discuss the dysfunctional attitude in cancer patients with depressive emotion. Methods 100 cancer patients were assessed with the Dysfunctional Attitudes Scales (DAS) and Beck Depression Inventory (BDI). They were divided into two groups (65 ones with depressive emotion and 35 ones without depressive emotion according to a certain scores). Both 37 depression patients and 40 normal subjects as controls were assessed with BDI and DAS as well. Results Compared with normal subjects, the cancer patients with depressive emotion had significantly higher total DAS and BDI scores and had higher scores in agents of perfectionism, compulsion, seeking applause, dependence, self-determination attitude, cognition philosophy. There were no differences in total DAS scores among the cancer patients with depressive emotion, the cancer patients without depressive emotion and the depression patients ( P >0.05), though the three groups were different in total BDI scores ( P <0.01), cognition philosophy agent ( P <0.01) , and dependence agent ( P <0.05). Conclusion There are significant cognitive dysfunction psychological symptoms in cancer patients with depressive emotion, and such cognitive dysfunction is not unique to depression patients.
出处
《中国行为医学科学》
CSCD
2003年第5期525-526,共2页
Chinese Journal of Behavioral Medical Science
关键词
功能失调性问卷
癌症
抑郁
Dysfunctional Attitudes Scales
Cancer
Depression
