摘要
目的 阐明血液系统恶性肿瘤患者D型人格和领悟社会支持(PSS)与创伤后应激障碍(PTSD)症状之间的关系。方法 采用横断面调查方法,招募合格的住院患者256例进行自填式问卷调查,包括PTSD量表、D型人格量表和多维PSS量表,并收集临床资料。回收有效问卷222份(86.7%),其中男115例,女107例。应用多元分层线性回归分析D型人格和PSS与PTSD症状之间的关系,渐近-再抽样策略检验PSS的中介作用。结果 在男性和女性患者中,D型人格对PTSD症状均有显著的正向预测作用(β=0.304,0.527,P<0.01)。男性患者的PSS对PTSD症状有显著的负向预测作用(β=-0.180,P<0.05),而在女性患者中,PSS对PTSD症状无影响。男性患者的PSS在D型人格与PTSD症状的关系中的中介作用为0.059,其95%置信区间(CI)为0.010~0.155。结论 血液系统恶性肿瘤患者D型人格特征与PTSD症状密切相关,医护人员应对D型人格者实施有针对性的心理干预,对男性患者需同时注重提高其对社会支持的感知水平,进而减少PTSD症状。
Objective To clarify the associations of type D personality and perceived social support(PSS)with post-traumatic stress disorder(PTSD)symptoms,in patients with hematological malignancies.Methods We performed a cross-sectional study that included 256 inpatients.Patients were surveyed using a set of questionnaires that included the PTSD scale,type D personality scale,and multidimensional PSS scale,and clinical data were collected.In total,222(86.7%)patients provided completed surveys:115 men and 107 women.The associations of type D personality and PSS with PTSD symptoms were analyzed by multivariate hierarchical linear regression.In addition,asymptotic and resampling strategies were used to test the mediating effect of PSS.Results In both male and female patients,type D personality had a significant positive predictive effect on PTSD symptomsβ(=0.304,0.527,P<0.01).PSS had a significant negative predictive effect on PTSD symptoms in male patients(β=-0.180,P<0.05),whereas in female patients,PSS had no predictive effect on PTSD symptoms.The mediating effect of PSS in the association between type D personality and PTSD symptoms in male patients was 0.059(95%confidence interval,0.010-0.155).Conclusion Type D personality could be closely related to the symptoms of PTSD,in patients with hematological malignancies.We therefore suggest that medical staff perform targeted psychological interventions for patients who have a type D personality in order to reduce PTSD symptoms,and focus on improving the perception of social support among male patients.
作者
徐昕
刘利
XU Xin;LIU Li(Department of Clinical Epidemiology,Shengjing Hospital,China Medical University,Shenyang 110004,China;Department of Social Medicine,School of Public Health,China Medical University,Shenyang 110122,China)
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2018年第5期443-447,453,共6页
Journal of China Medical University
关键词
创伤后应激障碍
D型人格
领悟社会支持
血液系统恶性肿瘤
post-traumatic stress disorder
type D personality
perceived social support
hematological malignancies
