人格特征对肺癌围手术期患者心理健康状况的影响

目的 探讨人格特征对肺癌围手术期患者心理健康状况的影响.方法 以97名中南大学湘雅二医院普胸外科肺癌围手术期患者作为研究对象,采用自制的一般资料问卷、艾森克人格问卷成人版、抑郁自评量表、焦虑自评量表、症状自评量表对他们的一般资料、人格特征以及心理状况进行调查.结果肺癌围手术期患者症状自评量表中总分( 153.28±41.98)分]、躯体化(1.78±0.42)分]、强迫症状(1.96±0.52)分]、抑郁(1.77±0.67)分]、焦虑(1.82±0.56)分]、敌对(1.68±0.87)分]、恐怖(1.44±0.75)分]、精神病性因子(1.56±0.51)分]均高于中国常模(p＜0.05).艾森克人格问卷中P量表得分( 10.96±2.65)分]高于国内常模(5.84±3.27)分](P＜0.001)；神经质维度、精神质维度与症状自评量表各因子分均呈正相关.结论 肺癌围手术期患者心理状态较差,人格方面喜欢独处,不关心他人,心理状态与人格特征之间存在相关性,且人格特征的内外向维度和神经质维度可以预测负性心理的发生.

Effects of personality features on psychological status of patients with lung cancer in perioperative period

Objective To discuss the effects of personality features on psychological status of patients with lung cancer in perioperative period.Methods Choosing 97 patients from the thoracic department of the second Xiangya Hospital of Central South University as the study objects.The general information,psychological status and personality features were investigated by using the self-made General Information Questionnaire,Eysenck Personality Questionnaire( EPQ),Self-rating Depression Scale (SDS),Self-rating Anxiety Scale(SAS) and Self-rating Symptom Scale(SCL-90).Results The scores of seven factors including total scores( 153.28±41.98),somatization ( 1.78 ± 0.42 ),compulsion ( 1.96 ± 0.52 ),depression ( 1.77 ± 0.67 ),anxiety ( 1.82 ± 0.56 ),hostility ( 1.68 ± 0.87 ),panic ( 1.44 ± 0.75 ) and psychosis ( 1.56 ± 0.51 ) in SCL-90 were higher than domestic norm (P ＜ 0.05 ).The score of EPQ-P(Psychoticism) ( 10.96 ± 2.65 ) were higher than the domestic norm ( 5.84 ± 3.27 )(P＜0.001 ),and EPQ-N(neuroticism) and EPQ-P were positively correlated with the scores of seven factors in SCL-90.Conclusion The mental status of patients with lung cancer in perioperative period is poor.Solitude and uncaring others are the features of personality,which is correlated with psychological status,and EPQ-E (introvertion-extroversion) and EPQ-N can predict the happening of negative psychology.