|本期目录/Table of Contents|

[1]朱菁,倪红伟,王冠中,等.癌症与高血压及糖尿病患者焦虑抑郁症发生的对比研究[J].慢性病学杂志,2013,(01):18-21.
 ZHU Jing,NI Hong-wei,WANG Guan-zhong,et al.Comparative study of the incidence of anxiety and depression between cancer patients and patients with hypertension or diabetes[J].,2013,(01):18-21.
点击复制

癌症与高血压及糖尿病患者焦虑抑郁症发生的对比研究(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2013年01期
页码:
18-21
栏目:
论著
出版日期:
2013-01-30

文章信息/Info

Title:
Comparative study of the incidence of anxiety and depression between cancer patients and patients with hypertension or diabetes
作者:
朱菁倪红伟王冠中顾海雁
上海市徐汇区疾病预防控制中心慢病防治科,上海 200237
Author(s):
ZHU JingNI Hong-weiWANG Guan-zhongGU Hai-yan
Department of Chronic Disease Prevention,Shanghai Xuhui District Centre for Disease Control and Prevention,Shanghai 200237,China Corresponding author:GU Hai-yan,E-mail:2001ghy@sohu.com
关键词:
癌症 高血压 糖尿病 焦虑 抑郁
Keywords:
Cancer Hypertension Diabetes Anxiety Depression
分类号:
R749.4
DOI:
-
摘要:
目的 通过对癌症患者与高血压、糖尿病患者进行焦虑自评量表(SAS)、抑郁自评量表(SDS)量表调查,了解上海市徐汇区癌症患者中焦虑抑郁症的发生情况及其影响因素,并与高血压、糖尿病患者进行比较,了解癌症患者与一般慢性病患者中不良情绪发生的差异。方法 采用SAS与SDS对402例癌症患者和402例慢性病患者进行调查评估,并对比两组患者间不良情绪发生的差异。结果 本调查研究选取60~75岁年龄段患者804人,调查分慢性病组和癌症患者组,每组402人。结果表明,慢性病患者组焦虑发生率高于癌症患者组(P<0.05)。60岁以下和75岁以上,两组患者焦虑发生率差异无统计学意义; 慢性病患者中抑郁的发生率在这3个年龄段中均比癌症患者组要高(P<0.01); 癌症患者中,中-重度疼痛患者焦虑发生率明显高于无疼痛到轻度疼痛患者(P<0.01)。结论 疼痛对癌症患者焦虑情绪的发生有很大影响,在医治患者躯体病痛的同时,还要对患者的不良心理状况予以足够重视,以提高其生活质量,更好地控制疾病。
Abstract:
Objective To investigate the incidence and influencing factors of depression and anxiety among cancer patients in Xuhui district of Shanghai,and to study the differences by comparing the results with their hypertension and diabetes counterparts. Methods the incidence of depression and anxiety among 402 cancer patients and 402 patients with other chronic diseases were investigated through self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The differences the results showed were evaluated. Results In 60~75 age group,the incidence of anxiety of patients with chronic diseases were higher than that of cancer patients(P<O.05).In all age groups,the incidence of depression of patients with chronic diseases were higher than that of cancer patients.The incidence of anxiety was higher among cancer patients with mid-severe pain than that of patients with mild or without pain(P<0.01). Conclusions Pain has a huge impact on the incidence of anxiety among cancer patients.Psychological intervention may be helpful to ease anxiety and depression.Thus,in order to improve the quality of life and have better control of the disease,psychological intervention should be offered to cancer patients.

参考文献/References:

[1] La Trobe University and Centre for Palliative Care,University of Melbourne.The identification of psychological distress in women with breast cancer[G].National Breast Cancer Centre,2004.
[2] Pascoe S,Edelman S,Kidman A,et al.Prevalance of psychological distress and use of support service by cancer patient at Sydney hospital [J]. Psychiatry,2000,34(5):785-791.
[3] Zabora J,Brintzenhofe SK,Crubow B,et al.The prevalence of psychological distress by cancer site[J]. Psychooncology,2001,10(1):19-28.
[4] Koenig HG,Gohen HJ,Blazer DG,et al.Brief depression scale for use in the medically[J]. Psychiatry Med,1992,22(2):183-195.
[5] Marguerite F,Lederberg MD,Jimmie C,et al.Psychology-oncology,American comprehensive textbook of psychiatry/vol 2[M]:1294-1263.
[6] 唐丽丽,张艳龄,陈钒,等.集体心理治疗对癌症患者生活质量和情绪影响的研究[J].中国行为医学科学,2009,9(3):170-172.
[7] 谢忠,黄钢,银正民,等.音乐治疗加内心意象法对癌症化疗病人生活质量的影响[J].中国心理卫生杂志,2001,15(3):176-178.
[8] Classen C.Sapportive group therapy and distress in patients with metastatic breast cancer:a randomized clinical intervention trial[J]. Psychiatry,2001,58(5):494-501.
[9] Zobra J.A new psychological screening instrument for use with cancer patients[J]. Psychosomatic,2001,42(3):241-246.
[10] Koopman C.Distress,coping,and social support among rural women recently diagnosed with primary breast cancer[J]. Breast J,2001,7(1):25-33.
[11] 陈素坤.临床心理护理指导[M].北京:科学技术文献出版社,2001:139.
[12] Tavoli A,Mohagheghi MA,Montazeri A,et al.Anxiety and depressionin patients with gastrointestinal carlcer:does knowledge of cancer diagnosis matter? [J]. BMC Gastroenterol,2007,7(1):28.
[13] Silver J,Mayer RS.Barriers to pain management in the rehabilitation of the surgical oncology patient[J].Surg Oncol,2007,95(5):427-435.
[14] 闫荣,王红,庄娥,等.癌症疼痛的评估和管理[J].中华护理杂志,2006,41(10):917-918.

备注/Memo

备注/Memo:
基金项目:2011年度徐汇区医学重点学科配套课题(XKKT201112) 作者简介:朱菁,硕士,主治医师,主要从事慢性病防治工作 通讯作者:顾海雁,E-mail:2001ghy@sohu.com
更新日期/Last Update: 2013-01-30