人格个性因素对癌症患者疼痛行为和情感障碍的影响

目的：探讨人格个性因素对癌症患者疼痛行为和情感障碍的影响。方法：采用“癌症疼痛调查表”、汉密顿情感量表、生活事件量表、艾森克个性问卷和A型行为问卷对患者进行调查。结果：性别和文化程度不同，其焦虑抑郁情感障碍和疼痛行为差异显著。P，N，E量表分越高，疼痛程度和焦虑抑郁障碍也越严重。A型行为者焦虑抑郁情感障碍和疼痛的表现程度也较重。神经质个性者及精神不稳定个性者与其焦虑抑郁情感障碍及疼痛行为明显相关。结论：患者病理性人格、负性情感反应和个性人格特征对疼痛的控制和病情的转归将产生消极影响。

Influence of Personality-Individual Character Factor on Pain Behavior and Emotion Disorder in Cancer Patients

Aim: To explore the influence of personality-individual character on pain and emotion disorder in cancer patients. Methods: The questionnaire of painful situation in cancer patients, the Hamilton anxious scale and Hamilton depression scale and life incidents scale, Eysenck individual character questionnaire (EPQ) and Model A behavior questionnaire were adopted to determine the personality-individual character and behavior character of the patients. Results: A total of 1 197 cancer patients, including 637 patients with slight pain (53.3%); 276 cases with midrange degree of pain (23.01%); 132 cases with serious degree of pain (11.0%) and 152 cases who have no pain (12.7%), were investigated. In various degree painful incidence of all kinds of cancer patients, there were significant differences. However, Different jobs, sex, age did not exhibit any significant influence on the personality-individual characters. The incidence of its anxious-depressed emotion disorder did not also have a statistic difference in the patients with different jobs. Anxious-depressed disorder persons who are higher educated had lower incidences than those with the junior-middle education. The persons in the A type behavior had severe anxious-depressed emotion disorder. EPQ showed that the highly spiritual quality, P levels were the higher, its pain degree was obviously, had remarkable statistic differences.The patients with unstable spirit aggravated painful degree, N levels were the higher, its pain degree were obvious. The introverted patients were relatively light painful, the extroversion patients were slightly serious painful. The correlation analysis showed that the nervousness individual character and unstable individual character patients had obvious dependence with the anxious depressed emotion disorder. In addition, the incidence of anxious depressed emotion disorder was obviously relevant to negativity life events and anxious mood. The multiple correlation analyses showed that it was obviously relevant among the negativity life events and the anxious emotion disorder, the negativity life events and the nervousness individual character and unstable indi-vidual character. Conclusion: General decline of psychological quality and the pathology personality existed before illness, make the patient to display a series of the abnormal feeling, the personality changes , the anxious and depressed, the social adaptive capacity badly, not good at to protect oneself using the psychology-defend-mechanism. A series of the negativity emotional responses and the individual character will bring about the passive influence on the turnover of diseases and controlling diseases necessarily.Then it brings the patients about harmful effects on the patient's psychological activities, such as memory, attention, thinking flexibility, etc. The pain should be controlled with psychology and psychotherapy therapy, changing the painful response of patients and relieving painful with cognitive-behavior-therapy and communication among doctors and patients.