癌症患者的心身状况及心理干预  

Psychosomatic Status and Psychological Intervention on Cancer Patients

作　　者：陶炯[1] 叶明志[1] 易欢琼[2] 温盛霖[1] 王相兰[1] 

机构地区：[1]中山大学附属第三医院精神科,广东广州510630 [2]中山大学公共卫生学院,广东广州510080

出　　处：《中山大学学报（医学科学版）》2005年第5期582-586,共5页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省医学科学基金项目(A1998191)

摘　　要：【目的】研究癌症患者的心身状况及心理干预对心身状况的影响。【方法】采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评定癌症组(72例)、肝炎对照组(30例)及健康对照组(30例)的心身状况,并随机将72例癌症患者分为两组,干预组(40例)接受生物学治疗及心理干预,对照组(30例)只接受生物学治疗,治疗后用上述量表再评定一次。【结果】癌症组的SAS标准分、SDS抑郁指数及各项抑郁特异症状评分、SCL-90总分、阳性均分、躯体化、抑郁、焦虑因子分高于肝炎组和健康组(P<0.01);干预组SAS标准分、SDS指数、SCL-90总分、躯体化、抑郁、焦虑及敌对因子分干预后评定显著低于干预前(P<0.01),SAS标准分、SDS指数、SCL-90抑郁因子的减分值显著高于对照组(P<0.01)。【结论】癌症患者有明显的焦虑抑郁症状,心身状况较差;心理干预能有效改善癌症患者的焦虑抑郁情绪,减轻心理症状。[Objective1 To analyze the psychosomatic status and evaluate the effect of psychological intervention on psychosomatic symptoms in cancer patients. [Methods] Seventy-two cancer patients, 30 hepatitis patients, and 30 healthy control subjects were evaluated with the Symptom Checklist-90 （SCL-90）, Self-rating Anxiety Scale （SAS）, and Self-rating Depression Scale （SDS）. The cancer patients were randomly divided into 2 subgroups. Forty patients were included in the intervention subgroup. All patients were rated with all the questionnaires at the initial and the end of the study. [ Results ] The standard score of SAS, the depression degree index of SDS, and the total score, somatization, anxiety, and depression factor score of SCL-90 in the cancer patients were higher than that of healthy control subjects and the hepatitis patients （P〈 0.01）. Standard score of SAS, SDS index, the total score, somatization, anxiety, depression and hostility factor score of SCL-90 in the intervention group were obviously lower after the intervention （P〈 0.01）. Standard score of SAS, SDS index, and SCL-90 depression factor score in the intervention group were lower than that of the control group （P〈 0.01）. [ Conclusion ] There are obvious symptoms of anxiety and depression in cancer patients, and the patients＇ psychosomatic status are poor. Psychological intervention may be helpful for reducing anxiety, depression and psychosomatic symptoms in cancer patients.

关 键 词：肿瘤/心理学 焦虑 抑郁 自我评价(心理学) 

分 类 号：R749.055[医药卫生—神经病学与精神病学]