癌症相关创伤后应激障碍与应对方式的相关研究

目的:探讨癌症相关创伤后应激障碍(PTSD)患者心理应对方式特点。方法:采用临床用创伤后应激障碍诊断量表(CAPS)对67例癌症患者进行诊断性访谈,分为PTSD组(n=37)和对照组(n=30)。完成一般情况调查表、癌症应对问卷(CCMQ)。结果:PTSD组较少采取面对(1.95±0.45)的应对方式,而多采用回避和压抑(2.30±0.44)、屈服(2.45±0.72)、幻想(2.32±0.50)、发泄(2.16±0.53)的应对方式(P<0.01或P<0.05),癌症相关PTSD症状的严重程度与面对的应对方式显著负相关(r=-0.455,P<0.01),与回避和压抑、屈服、发泄显著正相关(r=0.470,P<0.01;r=0.349,P<0.05;r=0.354,P<0.01)。结论:心理应对方式不良与癌症相关PTSD的严重程度密切相关。

A Correlative Study of Coping Styles in Patients with Cancer-related Post-traumatic Stress Disorders

Objective： To explore the features of coping styles in patients with cancer-related post-traumatic stress disorders（PTSD）. Methods： The Clinician-Administered PTSD Scale （CAPS） was applied to evaluated 67 cancer patients. The patients were divided into the PTSD group （n=37） and control group （n=30）. All patients were interviewed with the general condition questionnaire and the Cancer Coping Modes Questionnaire （CCMQ）. Results： Fewer in the PTSD group had taken facing coping style （1.95±0.45）, but majority of them were likely to choose the coping styles of avoidance and repression （2.30±0.44）, yield （2.45±0.72）, fantasy （2.32±0.50） and vent （2.16 ±0.53） （P 〈0.05）. The severity of cancer-related PTSD was negatively correlated with confront （r= - 0.455, P〈 0.01）, and positively correlated with avoidance and repression, yield, vent （r= 0.470, P〈 0.01 ; r= 0.349, P〈 0.05 ; r= 0.354, P〈 0.01）. Conclusion： Patients with poor coping style were significantly correlated with the severity of cancer-related PTSD.