浙江省兰溪市某医院宫颈癌患者认知情绪调节与焦虑、抑郁相关性研究

Correlation Study Among Cognitive Emotion Regulation,Depression and Anxiety with Cervical Cancer Patients in Lanxi City,Zhejiang

目的:探讨兰溪市某医院宫颈癌术后化疗患者的认知情绪调节与焦虑、抑郁水平的相关性,为宫颈癌患者心理疏导和术后康复提供依据。方法:采用认知情绪调节问卷中文版(Cognitive Emotion Regulation Questionnaire,CERQ)、Beck抑郁自评量表和Beck焦虑量表对86例宫颈癌术后化疗患者的认知情绪调节与焦虑、抑郁水平进行调查,运用Pearson相关分析等方法测量其认知情绪调节与抑郁、焦虑的相关性。结果:71.89%的宫颈癌患者有抑郁症状,54.38%的宫颈癌患者有焦虑症状;沉思默想、积极调整、关注计划、积极重评、灾难化和责备他人的调节策略在不同抑郁状态组宫颈癌术后化疗患者中的应用情况存在明显的差异(P<0.01),积极调整、关注计划、自我安慰、灾难化和责备他人的调节策略在不同焦虑状态组患者中的应用情况有明显差异(P<0.01);宫颈癌术后化疗患者抑郁与自责、沉思默想、灾难化、责备他人等策略呈正相关,与关注计划、积极重评呈负相关。结论:宫颈癌患者的认知情绪调节与抑郁、焦虑有密切联系,其中灾难化和沉思默想分别为宫颈癌患者抑郁和焦虑的主要预测因子。

Objective：cancer after chemotherapy cognitive emotion regulation and anxiety and depression levels were correlated to provide evidence for psychological counseling and rehabihtation of cancer patients after surgery. Methods：Cognitive Emotion Regnlatitm Questionnaire Chinese version （Cognitive Emotion Regulation Questionnaire, CERQ）, Beck Depression Scale and Beck Anxiety Scale cognitive emotion regulation and anx- iety and depression levels of 86 cases of cervical cancer were investigated in patients with postoperative chemotherapy , using Pearson and other methods to measure cognitive emotion regulation and depression, anxiety correlation. Results： 71.89% of cervical cancer patients with depressive symptoms, 54.38% of cervical cancer patients have symptoms of anxiety ; Contemplative, and actively adjust, awareness programs, positive reappraisal, there are obvious differences regulation strategies catastrophizing and blaming others in different groups of depression in cancer patients after chemotherapy application （P 〈 0.01 ）, positive adjustment, awareness programs, self- comforting, regulation strategies catastrophizing and blaming others for patients with different anxiety states in the application of the group were significantly different （ P 〈 0.01 ） ; cancer patients after chemother- apy depression and remorse, contemplative, catastrophizing , blaming others, such strategies were positively correlated with awareness programs to actively re - assessment was negatively correlated. Conclusion： cognitive emotion regulation in patients with cervical cancer, depression, anxiety are closely linked, which catastrophizing and contemplation were the main predictors of depression and anxiety in patients with cervical cancer.