并发抑郁症头颈癌患者的身体自我特点研究

Study on characteristics of physical self of head and neck cancer patients with depression

目的观察头颈癌并发抑郁患者的身体自我特点及相关因素。方法对128例头颈癌并发抑郁患者进行症状自评量表、身体自我量表、负面身体自我量表测验，同时进行临床结构性访谈。使用SPSSl6．0录入数据并进行统计分析。结果身体自我概念中的具体表现为男性患者身体自我概念总平均分（3．33±0．56）分对各维度的评分显著高于女性患者身体自我概念总平均分（2．87±0．32）分，P〈0．05]；在身体自我概念各维度上，不同年龄段的患者对4个维度（身体样貌特征、身体运动特征、身材特征、性特征）在性别上存在显著差异，其相貌特征、运动特征和身材特征的评价有显著差异，45岁以下患者对自己的身体最满意，60岁以上患者次之，46—59岁患者对自己的身体最不满意。结论患者的身体样貌特征与症状自评各因子之间存在显著的负相关；患者对其自身负面的矮、面貌、胖的评定与症状自评各因子之间存在显著的正相关。

Objective To study the relationship between depression and physical self and related factors of head and neck cancer patients（HNCPs）. Methods One hundred and twenty-eight HNCPs were assessed with self-rating depression scale, physical self scale, negative physical self scale and symptom checklist-90（SCL-90）. SPSS 16.0 was used to analyze the data. Results The evaluation of appearance, sport characters and figure characters were significantly different between sexual groups, the average physical self scale level of the male patients was higher than that of the females （3.33±0.56 vs. 2.87 ±0.32, P 〈 0.05 ）. The appearance, sport characters, figure characters and sexual characters of physical self-concept were significantly different between age groups, the body satisfaction scale from higher to lower were under 45 years old patients, beyond 60 years old, between 46 and 59 years old . Conclusion The evaluation of appearance is reversely correlated with the score of SCL-90, the e- valuation of short, appearance and fat in negative physical self are positively correlated with the score of SCL-90.