不同年龄段癌症抑郁患者抑郁情绪比较

A Comparison of Clinical Features among Depressive Cancer Patients in Different Age Periods

目的 :探讨不同年龄段癌症抑郁患者抑郁情绪的差别。方法 :以自编一般资料问卷、Beck抑郁问卷 (BDI)、简易应对方式问卷 (CPS)及功能失调性状况评定量表 (DAS) ,对不同年龄组抑郁情绪的临床特征进行对照分析。结果 :青年组不满、自我厌恶、自杀意向、抑郁、自罪感、惩罚感、体象歪曲因子均分高于中年组 (P <0 .0 5 ) ,活动抑制、性欲减退均分显著低于中年组 (P <0 .0 1) ;青年组抑郁程度重 ,抑郁、不满、失败感、自罪感、自我厌恶、自杀意向、易激惹、惩罚感、自责、哭泣、悲观及有关躯体的先占观念因子均分高于老年组 (P <0 .0 5 ) ,而活动抑制与性欲减退均分显著低于老年组 (P <0 .0 1) ;中年组与老年组在抑郁程度上无差别 ,但失败感、自罪感、易激惹、哭泣、自责因子均分显著高于老年组 (P <0 .0 1) ,而性欲减退因子均分显著低于老年组 (P <0 .0 1)。结论 :不同年龄段癌症抑郁患者的抑郁情绪不同。

Objective:To explore the differences of depressive emotion among youth, middle age and the senile depressive cancer patients. Methods:96 depressive cancer patients were assessed with a self-developed data-collecting form, Beck Depression Inventory (BDI), Simplified Coping Style Questionnaire (CPS) and Dysfunctional Attitude Scale(DAS).Results:There were differences in the total scores of BDI and the factor scores of depression, feeling of failure, dissatisfaction, self-feeling of guilty, self-dislike, intention of suicide, irritability, hypoactivity, hyposexuality, feeling of being punished, self-blame, crying, pessimism preoccupied viewpoint and body-image disturbance among the three groups. Conclusion:There are differences among depressive cancer patients of different age periods.