摘要
目的:调查不同治疗阶段乳腺癌患者的焦虑、抑郁、幸福感指数和社会支持情况,分析社会支持与情绪状况的关系。方法:收集术前组、术后组与康复组的乳腺癌患者各105例为病例组,以及年龄与教育年限匹配的健康对照105例,应用汉密顿焦虑量表(HAMA,≥8分为可疑焦虑)、汉密顿抑郁量表(HAMD,≥8分为可疑抑郁)、幸福感指数量表(Index of Well-being)和领悟社会支持量表(PSSS)进行有关测评。结果:病例组的可疑焦虑、抑郁发生率均高于健康对照(42.9%,61.9%,59.0%vs.9.5%;33.3%,60.0%,46.7%vs.5.7%;均P<0.01),病例组的HAM A、HAM D得分均高于健康对照[(7.2±4.3),(9.4±5.1),(9.2±5.6)vs.(3.9±3.1);(6.2±3.8),(9.2±4.8),(7.9±4.6)vs.(3.1±2.4),均P<0.01];术前组与术后组的幸福感指数低于健康对照[(10.6±2.3),(10.5±2.6)vs.(11.5±2.2),均P<0.01]。病例组中,有可疑焦虑患者的幸福感指数、PSSS得分均低于无焦虑组[如,术后组PSSS得分(63.0±10.1)vs.(70.4±9.1),P<0.01];有可疑抑郁患者的幸福感指数、PSSS得分低于无抑郁组[如,康复组PSSS得分(63.8±10.6)vs.(70.1±8.4),P<0.01]。结论:本研究提示,不同治疗阶段的乳腺癌患者的可疑焦虑、抑郁发生率和焦虑、抑郁得分均高于健康人群;有可疑焦虑、抑郁患者的幸福感指数和社会支持相对更低。
Objectives： To investigate the anxiety, depression, index of well-being, and social support condi- tions among breast cancer patients in different treatment stage, and to explore the association between social support and emotional status. Methods： Totally 315 breast cancer patients were recruited as case group, including preopera- tive group （ 105 cases, before the operation）, postoperative group （ 105 cases, within 6 months after the operation） and rehabilitation group （ 105 cases, more than 6 months after the operation）, and another 105 healthy volunteers were collected as normal control group whose ages and the years of education were matched with the case group. Anxiety, depression, index of well-being, and social support were measured with the Hamilton Anxiety Scale （HAMA, those with the total score of ≥ 8 were identified as suspected anxiety）, Hamilton Depression Scale （HAMD, those with the total score of ≥8 were identified as suspected depression）, Index of Well-being, and Per- ceived Social Support Scale （PSSS）. Results： The suspected anxiety and depression incidence rates were higher in the patients group than in the control group [（42.9%, 61.9%, 59.0% vs. 9.5%; 33.3%, 60.0%, 46.7% vs. 5.7 %, Ps 〈 0. 01 ]. The scores of HAMA and HAMD in the preoperative, postoperative, and rehabilitation groups were higher than that. in the control group [ （7.2± 4. 3）, （ 9.4±5.1 ）, （ 9.2 ± 5.6） vs. （ 3.9 ± 3.1 ） ; （ 6. 2 ± 3.8）, （9. 2± 4. 8）, （ 7.9 ± 4. 6） vs. （ 3.1 ±2.4）, Ps 〈 0. 01 ]. The scores of index of well-being in the preoperative and postoperative group were lower than that in the control group [ （ 10. 6± 2. 3） vs. （ 10. 5 ± 2. 6） vs. （ 11.5± 2. 2）, Ps 〈 0.01 ]. The scores of index of well-being and PSSS in the patients with suspected anxiety were lower than that in those without anxiety [e. g., the postoperative group, （63.0 ± 10. 1） vs. （70. 4±9. 1）, P 〈0. 01]. The scores of in- dex of well-being and
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2013年第6期473-478,共6页
Chinese Mental Health Journal
基金
"十一五"国家科技支撑计划:癌症病人心理问题的早期识别和预警
癌症后抑郁干预研究(2009BAI77B06)
关键词
乳腺癌
焦虑
抑郁
社会支持
幸福感指数
breast cancer
anxiety
depression
social support
index of well-being
