论文部分内容阅读
目的探讨个性行为特征,情绪状态和生活事件等心理社会因素对大肠癌患者的影响,为心理干预提供理论依据,完善综合诊治方案。方法采用C型行为量表、自评抑郁量表(SDS)和生活事件量表(LES)分别对经临床病理诊断的大肠癌患者150例(病例组)和健康正常人(对照组)进行评定。结果C型行为量表评定结果显示,病例组在焦虑,抑郁,愤怒(向内)理智和控制上的得分高于对照组,在愤怒(向外)和社会支持上的得分低于对照组,二者差异具有显著性(P<0.05或<0.01)。SDS结果表明,病例组的得分显著高于对照组,具有明显差异(P<0.01)。LES结果显示,病例组的正性生活事件总分与对照组无显著性差异(P>0.05),负性生活事件总分显著高于对照组(P<0.01)。主成分logistic回归分析结果显示,C型行为中焦虑、抑郁、愤怒、愤怒向内、理智、控制、经历过多的负性生活事件与大肠癌的发生有联系。结论大肠癌患者具有浓厚的C型行为,具有较高的抑郁情绪发生率和经历过多的负性生活事件。
Objective To explore the impact of psychosocial factors such as personality traits, emotional status and life events on patients with colorectal cancer and to provide a theoretical basis for psychological intervention to improve the comprehensive diagnosis and treatment plan. Methods 150 cases of patients with colorectal cancer (case group) and healthy normal people (control group) were evaluated by C-type behavior scale, SDS and life event scale (LES) . Results The results of C-type behavioral scale assessment showed that the score of the case group was higher than that of the control group in anxiety, depression, anger (inward), and the scores in anger (outwards) and social support were lower than those in the control group The difference between the two groups was significant (P <0.05 or <0.01). The results of SDS showed that the score of case group was significantly higher than that of control group (P <0.01). The LES results showed that the total score of positive life events in case group was not significantly different from that in control group (P> 0.05), and the total score of negative life events was significantly higher than that in control group (P <0.01). Principal component logistic regression analysis showed that anxiety, depression, anger, anger inward, sensible, control, excessive negative life events associated with type C behavior were associated with colorectal cancer. Conclusion Colorectal cancer patients have a strong C-type behavior, with a high incidence of depression and experiencing excessive negative life events.