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目的:研究乳腺癌患者是否知道自己所患疾病真相、对治疗的信心与期望及其应对方式等因素对人格和精神障碍影响。方法:乳腺癌妇女精神心理状态和人格评定采用临床晤谈、MMPI人格问卷和生活事件量表及基本情况问卷的方法,以SPSS10.0软件进行统计学处理。结果:①208例年龄为24～83岁乳腺癌妇女,MMPI测量结果高于70分的临床量表:疑病(Hs)为40.9%,抑郁(D)为72.6%,癔症(Hy)为38.5%,偏执(Pd)为17.8%;男女性能度(Mf)高于60分占50.0%,但都低于70分;妄想(Pa)和精神衰弱(Pt)分别有42.8%和54.8%高于70分,精神分裂(Sc)为76.9%,躁狂(Ma)为17.8%,而7例(3.4%)社会内向(Si)高于70分,58.6%高于60分。②多因素Logistic分析发现,知道自己所患癌症诊断真相和疾病的性质使Pa(OR=3.79,P=0.003)、Pt(OR=3.85,P=0.01)、Sc(OR=14.6,P=0.00001)量表分值增高,心理社会调节能力差,而对MMPI测量值其他量表没有影响。结论:知道癌症诊断真相和疾病的性质是Pa,Pt和Sc量表增高的重要危险因素;不知道疾病真相的乳癌妇女心理调节和社会责任能力良好,不支持径告患者癌症真相。
Objectives: To study whether breast cancer patients know the truth of their illness, the confidence and expectation of treatment, and the coping style and other factors on personality and mental disorders. Methods: Psychological status and personality assessment of breast cancer women using clinical interviews, MMPI personality questionnaire and life event scales and the basic situation questionnaire, using SPSS10.0 software for statistical analysis. Results: ①208 cases of women aged 24-83 years with breast cancer, MMPI measurement of more than 70 points of the clinical scale: Hypusosis (40.9%), depression (72.6%), Hysteria (38.5% , Paranoid (Pd) was 17.8%; male and female performance (Mf) higher than 60 points accounted for 50.0%, but less than 70 points; paranoid (Pa) and mental breakdown (Pt) were 42.8% and 54.8% , Schizophrenia (Sc) was 76.9% and mania (Ma) was 17.8%. In 7 cases (3.4%), social inwardness (Si) was higher than 70 points and 58.6% higher than 60 points. ② Logistic analysis showed that Pa (OR = 3.79, P = 0.003), Pt (OR = 3.85, P = 0.01) and Sc (OR = 14.6, P = 0.00001 ) Scale scores increased, poor psychosocial adjustment ability, but no effect on other scales MMPI measurement. Conclusion: Knowing the truth of cancer diagnosis and the nature of the disease is an important risk factor for the increase of the Pa, Pt and Sc scales. Breast cancer women who do not know the truth of the disease have good psychological adjustment and social responsibility and do not support the cancer truth of the patient.