胃癌患者归因方式与其负面情绪、人格特征的相关性

Relationship of attribution style with negative emotion and personality characteristics of patients with gastric cancer

目的探讨胃癌患者归因方式与其负面情绪、人格特征的相关性。方法选取2015年11月至2016年5月在本院确诊的62例胃癌患者为病例组,同期体检的健康人65例作为对照组,对所有患者采用一般情况调查表、归因方式问卷(attributional style questionnaire,ASQ)、五大人格简式量表(neuroticism extraversion openness five-factor inventory,NEOFFI)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)及抑郁量表(Hamilton depression scale,HAMD)进行调查。结果病例组归因方式的负性事件总得分及各个维度均较对照组高;病例组抑郁、焦虑情绪评分均较对照组高;病例组的外倾性、神经质、尽责性、宜人性等人格特征维度评分较对照组高,两组比较,差异具有统计学意义(均P﹤0.05)。胃癌患者的负性事件总得分与人格特征的外倾性、神经质和宜人性呈负相关(均P<0.05),与负面情绪的抑郁和焦虑呈正相关(均P<0.01);正性事件与人格特征各维度和负面情绪的焦虑、抑郁均无相关性(均P>0.05)。结论胃癌患者归因方式较消极,其负性事件与人格特征呈负相关,与焦虑、抑郁呈正相关,对胃癌患者的归因方式进行个性化的干预、训练,对疾病防治有重要意义。

Objective To investigate the relationship between attribution style and negative emotion and personality characteristics of patients with gastric cancer. Methods Toally 62 gastric cancer patients hospitalized in our hospital during Nov. 2015 and May. 2016 were assigned as study group and another 65 healthy people in the same period as control group. The investigation was done among all patients with general situation questionnaire, attributional style questionnaire, neuroticism extraversion openness five-factor inventory, Hamilton anxiety scale and Hamilton depression scale. Results Compared with the control group, the total scores on positive events and each dimension in the case group had no significant difference as compared with the control group, while the score on the negative events was significantly increased（P0.05）. The scores on depression and anxiety in the case group were also significantly higher. The extraversion, neuroticism, conscientiousness, pleasant personality of the study group were significantly higher than those of the control group（P〈0.05）. The total score on negative events of the study group was negatively correlated with scores of extraversion,neuroticism and pleasant personality（P〈0.05）, and positively related to depression and anxiety（P〈0.01）. Conclusions In patients with gastric cancer, the negative event attribution is related with negative emotions postively and personality negatively. The intervened event attributional style is of significance for preventing the diseases.