中国临床心理学杂志

晚期癌症患者焦虑抑郁及相关因素的研究

作者：陈虹姜潮刘启贵刘艳娥李艳红

关键词：晚期癌症焦虑抑郁相关因素

分类号：R395.1

出版年,卷(期):页码：2002,10(2):108-110

摘要：

目的:探讨晚期癌症患者的焦虑抑郁及相关因素,以指导心理干预,提高生存质量。方法:选用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价病人的情绪障碍。采用卡氏功能量表(KPS)、疼痛问卷(VRS)、医学应对问卷(MCMQ)、社会支持量表及照顾者S-AI总分、照顾者SDS评分等作为相关因素,对102例晚期癌症病人进行评定。结果:晚期癌症病人SAS、SDS评分明显高于常模;多元回归分析显示:SAS评分与年龄、回避、支持利用负相关,与疼痛程度、照顾者S-AI总分正相关;SDS评分与KPS评分、回避、支持利用、主观支持负相关,与屈服、疼痛程度及照顾者S-AI总分正相关。结论:晚期癌症患者存在明显的焦虑抑郁,并受多种因素影响,应有针对性地给予心理帮助和指导

Objective:To explored anxiety,depression and related factors in terminal cancer patient,for purpose of guiding psychological intervention and improving quality of life.Methods:Self-Rating Anxiety Scale (SAS),Self-Rating Depression Scale (SDS),Karnofsky Performance Status (KPS),Verbal Rating Scale,Medical Coping Modes Questionnaire,Social Support Inventory were administered to 102 later cancer patients.Results:The scores of SAS and SDS of late cancer patients were significantly higher than the norm;multiple stepwise regression analysis showed that SAS scores were negatively correlated with age,avoidance,and utilization on support,and positively correlated with degree of pain,S-AI total scores of caregivers;SDS scores were negatively related to KPS scores,avoidance,utilization on support,subjective support,and positively related to resignation,degree of pain,S-AI total scores of caregivers.Conclusion:The late cancer patients have significant problems with anxiety and depression,that are adversely affected by a wide range of psychological factors.Palliative care and Hospice are important in therapy of terminal cancer patients.

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