宫颈癌术后化疗患者抑郁、焦虑情绪及其与认知情绪调节的关联性研究

Relationship between depression,anxiety and cognitive emotion iregulation in patients with cervical cancer after chemotherapy

目的探讨宫颈癌术后化疗患者认知情绪调节与焦虑抑郁水平的关系。方法选取接受宫颈癌术后化疗患者120例,采用认知情绪调节问卷(CERQ)问卷调查患者认知情绪调节,Beck抑郁自评量表和焦虑量表对患者焦虑和抑郁进行调查。结果有抑郁患者85例(70.83%),有焦虑症患者66例(55.00%);≥40岁患者抑郁发生率为80.95%,明显高于<40岁(59.65%)患者,差异有统计学意义(P<0.05);不同家庭年均收入患者焦虑发生差异有统计学意义(P<0.05);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得分在不同抑郁状态患者差异有统计学意义(P<0.05);自责、积极调整、自我安慰、灾难化和责备他人的得分在不同焦虑状态患者差异有统计学意义(P<0.05)。结论宫颈癌术后化疗患者认知情绪调节情况与焦虑抑郁有一定的关系。

Objective To explore the relationship between cognitive emotion regulation and the level of anxiety and depression in patients with cervical cancer undergoing postoperative chemotherapy.Methods One hundred and twenty cervical cancer patients who underwent postoperative chemotherapy were selected,and the cognitive emotion regulation questionnaire(CERQ)was used to investigate cognitive emotion regulation,Beck self-rating depression scale and self-rating anxiety scale were used to investigate the anxiety and depression.Results The survey results showed that 70.83%of patients had depression,and 55%of patients had anxiety disorders;the incidence rate of depression in patients≥40 years old was 80.95%,significantly higher than those<40 years old(56.65%);the difference was statistically significant(P<0.05).There was statistically significant difference in anxiety among families with different annual income(P<0.05).Rumination,active adjustment,focus on planning,positive reappraisal,catastrophizing and blaming others scored significantly different in the patients with different depression(P<0.05);self-blaming,positive adjustment,focus on planning,self consolation,catastrophizing and blaming others were significantly different in the patients with different anxiety(P<0.05).Conclusions There is a certain relationship between cognitive emotion regulation and anxiety:depression in patients with cervical cancer after chemotherapy.