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[目的]探讨社会心理因素与乳腺癌的关联,为乳腺癌患者的心理干预提供理论依据。[方法]通过自行设计的一般人口学问卷、匹兹堡睡眠质量指数量表、简明职业紧张问卷、特质应对方式量表和社会支持量表对134对按照1∶1配对原则的病例组和对照组研究对象进行流行病学调查。[结果]病例组匹兹堡睡眠质量指数量表的睡眠质量、入睡时间、睡眠障碍、日间功能障碍、总分和特质应对方式量表的消极应对得分高于对照组(P<0.05);病例组简明职业紧张问卷的社会支持,社会支持量表的主观支持、支持利用度和总分低于对照组(P<0.05),其他各维度和总分两组间得分差异无统计学意义(P>0.05)。非条件logistic回归分析显示,睡眠时间、社会支持、支持利用度为乳腺癌的保护因素(OR=0.547、0.495、0.697,95%CI为0.310~0.967、0.245~0.997、0.591~0.821),睡眠障碍、积极应对、客观支持为乳腺癌的危险因素(OR=4.619、1.053、1.379,95%CI为2.406~8.866、1.000~1.108、1.177~1.615)。[结论]睡眠质量、职业紧张、应对方式和社会支持可能与乳腺癌发生相关。
[Objective] To explore the relationship between psychosocial factors and breast cancer and provide theoretical basis for psychological intervention in patients with breast cancer. [Methods] A total of 134 pairs of case-groups and control groups according to the 1: 1 matching principle were studied by self-designed general population questionnaire, Pittsburgh Sleep Quality Index Scale, Concise Occupational Stress Questionnaire, Trait Coping Style Scale and Social Support Scale Subject to epidemiological investigation. [Results] The negative response scores of the Pittsburgh Sleep Quality Index Scale for Sleep Quality, Sleeping Time, Sleep Disorders, Daytime Dysfunction, Total Score and Trait Coping Scale were higher in the case group than those in the control group (P <0.05) The social support, the subjective support, the supportive utilization and the total score of social support questionnaire were lower than those of the control group (P <0.05). There was no significant difference between the other dimensions and the total score (P> 0.05). Non-conditional logistic regression analysis showed that sleep time, social support, and supportive utilization were the protective factors of breast cancer (OR = 0.547,0.495,0.697,95% CI 0.310-0.967,0.245-0.997,0.591-0.821), sleep disorders (OR = 4.619,1.053,1.379, 95% CI 2.406 ~ 8.866,1.000 ~ 1.108,1.177 ~ 1.615). [Conclusion] The quality of sleep, occupational stress, coping style and social support may be related to the occurrence of breast cancer.