癌症患者心理灵活性与焦虑抑郁情绪状态分析

Analysis on the relationship between psychological flexibility and the state of anxiety and depression of cancer patients

目的 研究癌症患者心理灵活性及其焦虑、抑郁状态.方法 方便选取癌症患者168人,施测接纳与行动问卷第二版（AAQ-Ⅱ）、认知融合问卷（CFQ）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、生命意义量表（MLQ）,回收有效问卷144份,对数据进行单因素方差分析、Pearson相关分析及逐步多元回归分析.结果 癌症患者焦虑得分显著高于常模（t=236.58,P＜0.01）;抑郁得分显著高于常模（t=11.76,P＜0.01）;MLQ与AAQ-Ⅱ、CFQ、SAS、SDS显著负相关（r=-0.188～-0.468,均P＜0.05）,AAQ-Ⅱ、CFQ、SAS、SDS间显著正相关（r=0.322～0.790,均P＜0.01）;不同癌症类型间SDS、SAS、AAQ-Ⅱ、CFQ、MLQ的得分差异无统计学意义;以AAQ-Ⅱ、CFQ、MLQ为自变量分别对SAS、SDS进行逐步多元回归分析,AAQ-Ⅱ、MLQ-P共可解释焦虑39％的变异量,AAQ-Ⅱ和MLQ-P共可解释抑郁29％的变异量.结论 癌症患者的焦虑抑郁程度明显高于正常人群,心理灵活性与焦虑抑郁程度呈显著负相关,且心理灵活性对焦虑抑郁有显著的解释力。

Objective To explore the psychological flexibility,state of anxiety and depression of cancer patients and the relationship among them.Methods 168 cancer patients were chosen with handy sampling and the Acceptance and Action Questionnaire-Second Edition （AAQ-Ⅱ）,Cognitive Fusion Questionnaire （CFQ）,The Self-Rating Depression Scale（SDS）,The Self-Rating Anxiety Scale（SAS） and the Meaning in Life Questionnaire （MLQ） were applied to all patients.144 effective questionnaire copies were selected and the data were processed with one-way analysis of variance,Pearson correlation analysis and stepwise multiple regression.Results The scores of anxiety and depression were significantly higher in cancer patients than the norm （t=236.58,P〈0.01;t =11.76,P〈0.01）.MLQ had a significant negative correlation with AAQ-Ⅱ,CFQ,SAS,SDS（r=-0.188--0.468,P〈0.05） while AAQ-Ⅱ,CFQ,SAS and SDS showed significant positive correlation（r=0.322-0.790,P〈0.01）;but the scores of different cancer types didn＇t show significant variation.The stepwise multiple regression showed that AAQ-Ⅱ and MLQ-P can explain 39% variation of anxiety and 29% of depression.Conclusion The level of anxiety and depression of cancer patients are significantly higher than normal people,the psychological flexibility have negative correlation with the state of anxiety and depression and powerful explanatory to them.