合并抑郁的乳腺癌患者人格特征及应对方式的相关研究

Relationship between personality characteristics and coping styles in breast cancer patients with depression

目的调查合并抑郁的乳腺癌患者人格特征类型及应对方式,探讨其人格特征、应对方式与抑郁之间的相关性。方法采用分层随机抽样在济宁市各级医院抽取合并抑郁的乳腺癌患者为被试,采用抑郁自评量表(SDS)、艾森克人格问卷简式量表中国版(EPQ-RSC)和医学应对问卷(MCMQ)对被试的人格特征、抑郁症状和应对方式进行调查。结果 (1)合并抑郁情绪的乳腺癌患者精神质(P)、神经质(N)和掩饰性(L)维度评分与全国常模比较差异均有统计学意义(t=1.66、7.40、-8.40,P<0.05或0.01);(2)合并抑郁的乳腺癌患者MCMQ各维度评分与全国常模比较差异均有统计学意义(t=-7.33、12.19、8.65,P均<0.01);(3)MCMQ面对维度与内外向(E)和L维度评分呈正相关(r=0.44、0.49,P均<0.05),回避维度与P维度、N维度和L维度评分呈正相关(r=0.28、0.35、0.27,P均<0.05);(4)EPQ-RSC的P和N维度与SDS评分呈正相关(r=0.31、0.55,P<0.05)。结论合并抑郁的乳腺癌患者人格特征类型越极端,越倾向于采取消极的应对方式,抑郁症状更明显。

Objective To investigate the personality characteristics and coping styles of breast cancer patients with depression,and to analyze the correlation between the personality characteristics and coping styles of them. Methods Stratified random sampling was used to collect breast cancer patients with depression of various hospitals in Jining City. They were assessed with Self-rating Depression Scale( SDS),Eysenck Personality Questionnaire-Revised Short Scale for Chinese( EPQ-RSC) and Medical Coping Modes Questionnaire( MCMQ). Results(1) The scores of psychoticism( P),neuroticism( N) and lie( L) of breast cancer patients with depression were statistically significant compared with the national norm( t = 1. 66,7. 40,-8. 40,P < 0. 05 or 0. 01).(2) The MCMQ scores of breast cancer patients with depression were statistically significant different with those of the national norm( t =-7. 33,12. 19,8. 65,P < 0. 01).(3) Pearson correlation analysis showed that the scores on confrontation of MCMQ were positively related with external( E) and lie( L) dimensions( r = 0. 44,0. 49,P < 0. 05),and the scores on yielding in coping styles were positively correlated with psychoticism( P),neuroticism( N) and lie( L) dimension( r = 0. 28,0. 35,0. 27,P < 0. 05).(4) SDS scores of breast cancer patients with depression were positively correlated with psychoticism( P) and neuroticism( N)( r = 0. 31,0. 55,P < 0. 05). Conclusion The more extreme the personality types of breast cancer patients with depression,the more likely they are to adopt negative coping styles and more likely to suffer from depression.