结直肠癌术后患者人格特质与抑郁、焦虑症状的关联性

目的 探讨结直肠癌术后患者人格特质特征与抑郁、焦虑症状的关联性。 方法 选取2018年2月至12月在山东大学齐鲁医院普外科住院的结直肠癌术后患者162例,采用一般情况调查表、医院焦虑抑郁量表、艾森克人格测验成人版、生活方式自评量表于出院前1日分别测量患者的一般情况,抑郁、焦虑症状,外向性、神经质或情绪、精神病性、人格稳定性,生活方式健康状况,使用多元线性回归进行统计分析。 结果 结直肠癌术后患者中,有37.0%存在抑郁症状,40.2%存在焦虑症状。多元线性回归分析结果显示,外向性得分与抑郁(β=-0.492,P<0.001)、焦虑症状(β=-0.336,P<0.001)得分呈负向关联,神经质/情绪得分与抑郁(β=0.166,P=0.016)、焦虑症状(β=0.345,P<0.001)得分呈正向关联。 结论 结直肠癌术后患者的抑郁、焦虑症状、阳性率较高。患者越外向,其抑郁、焦虑症状越轻;越神经质,其抑郁、焦虑症状越严重。

Correlation among personality traits and depression,anxiety symptoms in patients after colorectal cancer resection

Objective To explore the correlation among personality traits and depression, anxiety symptoms in patients after colorectal cancer resection. Methods Totally 162 patients with colorectal cancer hospitalized in Department of General Surgery, Qilu Hospital of Shandong University from Feb. to Dec. 2018 were assessed before discharge with General Condition Questionnaire, Hospital Anxiety and Depression Scale, Eysenck Personality Questionnaire, and Lifestyle Self-Rating Scale, to measure the general condition, depression and anxiety symptoms, extraversion, neuroticism, psychoticism, personality stability, and health condition of living style. Data collected were analyzed with multiple linear regression. Results Depression and anxiety symptoms were reported by 37.0% and 40.2% patients, respectively. Multiple linear regression suggested that extraversion was negatively correlated with depression(β=-0.492, P<0.001)and anxiety symptoms(β=-0.336, P<0.001), while neuroticism was positively correlated with depression(β=0.166, P=0.016)and anxiety symptoms(β=0.345, P<0.001). Conclusion The positive rates of the depression and anxiety symptoms are high in patients after colorectal cancer resection. Extroversion is negatively correlated with depression and anxiety symptoms, while neuroticism is positively correlated with depression and anxiety symptoms.