大肠癌患者个性行为特征及心理社会因素的研究

目的探讨个性行为特征，情绪状态和生活事件等心理社会因素对大肠癌患者的影响，为心理干预提供理论依据，完善综合诊治方案。方法采用C型行为量表、自评抑郁量表（SDS）和生活事件量表（LES）分别对经临床病理诊断的大肠癌患者150例（病例组）和健康正常人（对照组）进行评定。结果C型行为量表评定结果显示，病例组在焦虑，抑郁，愤怒（向内）理智和控制上的得分高于对照组，在愤怒（向外）和社会支持上的得分低于对照组，二者差异具有显著性（P〈0．05或〈0．01）。SDS结果袁明，病例组的得分显著高于对照组，具有明显差异（P〈0．01）。LES结果显示，病例纽的正性生活事件总分与对照组无显著性差异（P〉0．05），负性生活事件总分显著高于对照组（P〈0．01）。主成分logistic回归分析结果显示，C型行为中焦虑、抑郁、愤怒、愤怒向内、理智、控制、经历过多的负性生活事件与大肠癌的发生有联系。结论大肠癌患者具有浓厚的C型行为，具有较高的抑郁情绪发生率和经历过多的负性生活事件。

Study on Personality and Behavior Characteristics and Psycho-social Factors of Colorectal Cancer Patients

Objective To explore the effect of personality and behavior characteristics,emotional state and life events on colorectal cancer patients, so as to provide a theoretical basis of psychological intervention. Methods Both 150 colorect,al cancer patients with the diagnosis of clinical pathology（Patient group）and 60 normal（Control group）were tested with the C-type behavior scale, SDS and LES. Results C-type behavior scale showed that anxiety,depression,anger （inward）, rational and control scores were higher in patient group than those in the control group, anger （outward） and social support scores in patient group were lower than those in the control group,and the differences were significant （P〈0. 05 or P〈0. 01）. SDS score in patient group was higher than that in the control group（P〈0.01）. LES showed that positive life events scores had no difference between patient group and control group （P〈0. 05）,negative life events scores in patient group were higher than those in the control group （P〈0. 01）. Principal component logistic regression analysis showed that anxiety ,depression, anger, anger （inward） rational, control and experiencing excessive negative life events were linked with the occurrence of colorectal cancer. Conclusion The colorectal cancer patients have a typical C-type behavior characteristic, with a higher incidence of depression and experiencing excessive negative life events.