乳腺癌与乳腺良性肿瘤患者术前心理社会因素的对比分析

Compare to the Psychosocial factors of Presurgey bettern the breast cancer and breast benign tumor

目的 比较乳腺癌与乳腺良性肿瘤患者术前心理社会因素的差异。方法 应用临床心理问卷 (EPQ、HAMD、HAMA、LES、SSRS、DSQ)对术前的乳腺癌患者进行评定 ,并与乳房良性肿瘤患者和健康妇女进行比较。结果 乳腺癌患者神经质分、生活事件刺激总量、负性生活事件刺激量、不成熟防御因子及HAMA、HAMD总分均显著高于乳房良性肿瘤组和正常对照组 ;而内外向因子分、成熟防御因子分、社会支持总分、主观支持分、对支持的利用度均显著较低。结论 乳腺癌患者术前存在较严重的心理社会问题。

Objective Compare to the Psychosocial factors of Presurgey bettern the breast cancer and breast benign tumor. Methods Character trait, coping styles, life events, social supports, depression and anxiety were measured for patients with breast cancer by the clinical psychological rating scale(EPQ?HAMD?HAMA?LES?SSRS?DSQ)and compared with the patients of breast benign tumor and health women. Results In breast cancer group, there were marked higher in the score of neurotic, total and negative life events, immature defense styles, total of HAMA and HAMD; there were significantly lower in score of mature defense, total of social supports, subjective supports and utility degree of supports. Conclusion There are more server psychosocial question with breast cancer.