癌症患者抑郁状态的心理社会因素分析

目的分析癌症患者与抑郁有关的心理社会因素。方法对81例癌症患者进行症状自评量表(SCL-90)、社会支持评定量表(SSRS)、艾森克人格评定量表(EPQ)、防御方式问卷(DSQ)、生活事件量表(LES)以及汉密尔顿抑郁量表(HAMD)的评定,60例健康体检者为正常对照组,行SCL-90、EPQ、DSQ评定。结果并发症重的癌症患者HAMD得分要高于无并发症及并发症轻者;癌症抑郁组SCL-90总分、总均分、躯体化分、强迫状态分、抑郁分、焦虑分、其他分显著高于非抑郁组与对照组;癌症抑郁组EPQ的N因子分与非抑郁组及对照组比较有显著性差异;且负性生活事件多,强度大。结论躯体症状的严重程度、负性生活事件、癌症患者的人格特征、心理防御机制使用不当与癌症患者抑郁情绪的发生和持续有关。

Psychosocial Factors Related with Depression in Patients with Cancer

Objective To investigate the psychosocial factors in cancer patients with depression.Methods 81 cancer patients were surveyed with Hamilton Depression Scale(HAMD),Eysenck Personality Questionnaire(EPQ),Defense Style Questionnaire(DSQ),Social Support Rating Scale(SSRS),Life Events Scale(LES),Symptom Checklist 90(SCL-90).60 health persons as normal controls were surveyed with SCL-90,EPQ and DSQ.Results The score of HAMD was higher in cancer patients with more complication than that with less or no complication.There was significant difference in total score,somatization,obsessive-compulsive,anxiety,depression,other score of SCL-90 among groups of cancer patients with depression,caner patients without depression and normal controls,as well as the N factor of EPQ,negative life events and immature defense.Conclusion The severity of the complications,negative life events,personality,defense style may related with the occurring and persisting of the depression in cancer patients.