早期与进展期胃癌患者抑郁情绪、个性特征和应对方式比较

Comparison of depressive emotion,personality characteristics and coping style between patients with early and advanced gastric carcinoma

目的:调查不同胃癌分期患者抑郁情绪、个性特征和应对方式表现。方法:2000-05/2004-10在肇庆市第一人民医院门诊就诊和住院治疗的胃癌患者163例。经临床、影像学和病理确诊为胃癌,且自愿接受各种心理、个性和行为量表调查测试的137例,男87例,女50例。早期胃癌组71例,进展期胃癌组66例。患者治疗前1周内分别接受了汉密顿抑郁量表、艾森克个性问卷和医学应对方式问卷中文版调查,以评估患者的抑郁状态、个性特征、应对方式。结果:最终完成调查137例。汉密顿抑郁量表评估中焦虑躯体化、体质量变化、认知障碍、昼夜变化、迟缓、睡眠障碍和绝望感因子评分在进展期胃癌组(4.5±1.0,1.6±0.2,1.8±0.2,0.9±0.2,5.8±1.1,3.6±0.4,3.3±0.6)明显高于早期胃癌组(2.8±2.1,0.7±0.4,0.7±0.3,0.4±0.3,3.6±1.9,1.8±0.7,1.4±0.8)(t=2.275～3.228,P<0.05～0.01)。艾森克个性问卷评估中精神病性、神经质或情绪和人格稳定性得分在进展期胃癌组(8.29±1.14,10.54±1.72,7.73±1.84)明显高于早期胃癌组(5.80±2.18,6.76±3.35,6.85±3.24)(t=2.190,2.347,2.682,P<0.05)。医学应对方式问卷评估中屈从应对方式得分在进展期胃癌组(3.37±0.74)明显高于早期胃癌组(2.78±0.93)(t=2.367,P<0.05)。结论:进展期胃癌患者有较?

AIM:To investigate the depressive emotions,personality characteristics and coping style in patients with gastric carcinoma of different phases. MEHTODS:Totally 137 patients(87 males and 50 females),who were diagnosed to have gastric carcinoma by clinical,imaging and pathological examinations and voluntarily accepted inquisition of various psychological, personality and behavior scales,were selected from 163 patients with gastric carcinoma,who were treated or hospitalized in Zhaoqing First People's Hospital between May 2000 and October 2004.Patients in the early gastric carcinoma group(n=71) and advanced gastric carcinoma group(n=66) were surveyed with Hamilton depression scale(HAMD),Eysenck personality questionnaire(EPQ) and the Chinese version of medical coping modes questionnaire(MCMQ) one week before treatment,so as to assess the depressive status,personality characteristics and coping style of the patients. RESULTS:All the 137 cases finished the inquisition.In the evaluation of HAMD,the scores of anxiety somatization,change of body mass,cognitive disorder,diurnal change,retardation,sleep disorder and feeling of despair were all obviously higher in the advanced gastric carcinoma group(4.5±1.0,1.6±0.2,1.8±0.2,0.9±0.2,5.8±1.1,3.6±0.4,3.3±0.6) than in the early gastric carcinoma group(2.8±2.1,0.7±0.4,0.7±0.3,0.4±0.3,3.6±1.9,1.8±0.7,1.4±0.8)(t=2.275 to 3.228, P< 0.05 to 0.01).In the evaluation of EPQ,the scores of psychoticism, neuroticism or emotion and personality stability in the advanced gastric carcinoma group(8.29±1.14,10.54±1.72, 7.73±1.84) were significantly higher than those in the early gastric carcinoma group(5.80±2.18,6.76±3.35,6.85±3.24)(t=2.190,2.347,2.682,P< 0.05). In the evaluation of MCMQ,the score of submit coping style was markedly higher in the advanced gastric carcinoma group(3.37±0.74) than those in the early gastric carcinoma group(2.78±0.93)(t=2.367,P< 0.05). CONCLUSION:Patients with advanced gastric carcinoma have severe depressive emotion,their manifestations of personality characteristics are psychoticism,neuroticism and personality unstability,and their main behavioral manifestation is submit coping style.