胃癌患者心理弹性与情绪调节方式相关性研究

Study on correlation between psychological resilience and emotional regulation modes in patients with gastric cancer

目的探讨胃癌患者心理弹性水平与情绪调节方式、人格特征相关性,为干预措施提供理论参考。方法选取147例胃癌患者作为研究对象(胃癌组),选取同期150例门诊健康体检者作为对照组。采用情绪调节方式问卷、艾森克人格问卷以及心理弹性问卷(CD-RISC)进行调查,分析心理弹性水平与情绪调节方式、人格特征相关性。结果胃癌组患者整体CD-RISC得分为(58.12±9.19)分,属于较差范围;胃癌组人格特征、情绪调节方式、心理弹性评分与对照组比较,均差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,内外向、神经质、宣泄调节、抑郁调节对胃癌患者心理弹性水平较低有较大影响(P<0.05);患者的心理弹性与宣泄、抑制调节呈正相关(r=0.287、0.136,P<0.05),与内外向、神经质呈负相关(r=-0.232、-0.789,P<0.05)。结论胃癌患者的内外向、神经质、宣泄调节、抑郁调节是影响心理弹性水平的重要因素,应采取多角度干预措施提高胃癌心理弹性水平。

Objective To explore the correlation between the psychological resilience levels with the emotional regulation modes and personality characteristics in the patients with gastric carcinoma to provide the theoretical reference for the intervention measures. Methods One hundred and forty-seven patients with gastric cancer were selected as the research subjects （gastric cancer group） and contemporaneous 150 individuals with healthy physical examination in the outpatient department were selected as the control group. The Connor and Davidson Resilience Scale（CD-RISC） ,Eysenck Personality Questionnaire（EPQ） and Emotion Regu- lation Scale were adopted to perform the investigation. The correlation between the psychological resilience levels with the emotional regulation modes and personality characteristics was analyzed. Results The overall CD-RISC score in the gastric cancer group was （59.12± 9.19） points,which belonged to the poorer scope;the personality characteristics, emotional regulation modes and psycho- logical resilience had statistical differences between the gastric cancer group and the control group（P〈0.05） ;the multivariate Lo- gistic regression analysis results showed that the introversion, extroversion,neuroticism, catharsis regulation and depression regula- tion had a larger influence on the lower psychological resilience level in the patients with gastric cancer（P^0.05） ;the psychological resilience in the patients with gastric cancer was positively correlated with the catharsis regulation and the depression regulation （r= 0. 287,0. 136 ,P〈0.05） and negatively correlated with the introversion,extroversion and neuroticism （r=-0. 232, -0. 789, P〈0.05）. Conclusion The introversion, extroversion,neuroticism, catharsis regulation and depression regulation are the important factors influencing the psychological resilience level. The multi-angle interventional measures should be taken to improve the psy- chological resilience level in the patients with gastric cancer.