中国心理卫生杂志2013，Vol.27Issue(6)：473-478,6.DOI:10.3969/j.issn.1000-6729.2013.06.014
乳腺癌患者的焦虑、抑郁、幸福感指数及社会支持
Relationship among anxiety, depression, well-being index and social support in breast cancer patients
摘要
Abstract
Objectives:To investigate the anxiety,depression,index of well-being,and social support conditions among breast cancer patients in different treatment stage,and to explore the association between social support and emotional status.Methods:Totally 315 breast cancer patients were recruited as case group,including preoperative group (105 cases,before the operation),postoperative group (105 cases,within 6 months after the operation) and rehabilitation group (105 cases,more than 6 months after the operation),and another 105 healthy volunteers were collected as normal control group whose ages and the years of education were matched with the case group.Anxiety,depression,index of well-being,and social support were measured with the Hamilton Anxiety Scale (HAMA,those with the total score of ≥ 8 were identified as suspected anxiety),Hamilton Depression Scale (HAMD,those with the total score of ≥ 8 were identified as suspected depression),Index of Well-being,and Perceived Social Support Scale (PSSS).Results:The suspected anxiety and depression incidence rates were higher in the patients group than in the control group [(42.9％,61.9％,59.0％ vs.9.5％; 33.3％,60.0％,46.7％ vs.5.7 ％,Ps ＜ 0.01].The scores of HAMA and HAMD in the preoperative,postoperative,and rehabilitation groups were higher than that in the control group [(7.2 ± 4.3),(9.4 ± 5.1),(9.2 ± 5.6) vs.(3.9 ± 3.1) ; (6.2 ± 3.8),(9.2 ± 4.8),(7.9 ± 4.6) vs.(3.1 ± 2.4),Ps ＜ 0.01].The scores of index of well-being in the preoperative and postoperative group were lower than that in the control group [(10.6 ± 2.3) vs.(10.5 ± 2.6) vs.(11.5 ± 2.2),Ps ＜ 0.01].The scores of index of well-being and PSSS in the patients with suspected anxiety were lower than that in those without anxiety [e.g.,the postoperative group,(63.0 ± 10.1) vs.(70.4 ±9.1),P ＜0.01].The scores of index of well-being and PSSS in the breast cancer patients with suspected depression were lower than those without depression [e.g.,the rehabilitation group,(63.8 ± 10.6) vs.(70.1 ± 8.4),P ＜ 0.01].Conclusion:The breast cancer patients in different treatment stage may have higher anxiety and depression rates than the normal population.The patients with suspected anxiety and depression may have lower well-being index and social support than those without anxiety and depression.关键词
乳腺癌/焦虑/抑郁/社会支持/幸福感指数Key words
breast cancer/anxiety/depression/social support/index of well-being分类
医药卫生引用本文复制引用
胥刘秀,沈珊珊,何静静,付晔,薛晓冬,梁艳,林燕,张筱骅,何金彩..乳腺癌患者的焦虑、抑郁、幸福感指数及社会支持[J].中国心理卫生杂志,2013,27(6):473-478,6.基金项目
"十一五"国家科技支撑计划:癌症病人心理问题的早期识别和预警、癌症后抑郁干预研究(2009BAI77B06) （2009BAI77B06）
