老年恶性肿瘤患者抑郁症状与个性及社会支持的关系

Relationship of depressive symptoms with personality and social support in senile patients with malignant tumors

目的探讨老年恶性肿瘤患者抑郁症状的相关因素。方法共计92例老年恶性肿瘤患者,存在抑郁症状的32例患者为研究组,而无抑郁症状的60例为对照组,问卷评定采用汉密顿抑郁量表、艾森克个性问卷及社会支持评定量表。结果老年恶性肿瘤患者的抑郁症状检出率为34.78%。研究组的E维度、L维度因子分评分显著低于对照组(t=-2.54～-2.40,P<0.05),而研究组的N维度因子分评分显著高于对照组(t=3.02,P<0.05)。研究组的客观支持、主观支持、利用度因子评分显著低于对照组(t=-6.33～-4.36,P<0.05)。结论老年恶性肿瘤患者存在较明显的抑郁症状,其与个性特征及社会支持等因素有关。

Objective To explore the relationship of depressive symptoms with personality and social support in senile patients with malignant tumors. Methods A total of 92 senile patients with malignant tumors were involoved in this study. The study group included 32 cases with depressive symptoms and the control group included 60 cases without depressive symptoms. All the patients were assessed with Hamilton Depression Scale （ HAMD ）, Eysenck Personality Questionnaire （EPQ） and Social Support Rating Scale （SSRS）. Results The detection rate of depressive symptoms in senile patients with malignant tumors was 34.78%. Compared with the control group, scores of E dimension and L dimension of EPQ in study group were significantly lower than that of control group （ t = - 2. 54 - - 2.40, P 〈 0.05 ）, but score of N dimension was significantly higher than that of control group （ t = 3.02, P 〈 0.05 ）. Scores of objective support, subjective support and availability of SSRS in study group were significantly lower than those in control group （t = - 6.33 - - 4.36, P 〈 0.05 ）. Conclusion Senile patients with malignant tumors have serious depressive symptoms, which are related to personality and social support of the patients.