住院癌症患者创伤后应激障碍发病率及影响因素  

Post-traumatic Stress Disorders and the Risk factors in Hospitalized Cancer Patients

作　　者：鄢利福[1] 施琪嘉[2] 于世英[3] 褚倩[3] 周娟[2] 邬晓艳[2] 陈凤菊[3] 冯丽娟[3] 杨笑梅[3] 刘小红[3] 贺恋秋[3] 陈阳阳[3] 

机构地区：[1]广西卫生职业技术学院,南宁530021 [2]华中科技大学同济医学院附属市精神卫生中心,武汉430019 [3]华中科技大学同济医学院附属同济医院肿瘤科,武汉430030

出　　处：《神经损伤与功能重建》2011年第1期39-43,共5页Neural Injury and Functional Reconstruction

摘　　要：目的:调查住院癌症患者创伤后应激障碍(PTSD)的发病率及影响因素。方法:采用整群随机抽样,使用埃森创伤问卷(ETI)、临床用PTSD诊断量表(CAPS)对住院癌症患者进行评估,发放250份问卷并依据DSM-IV中PTSD的诊断标准确诊PTSD患者。结果:收回有效问卷211份,PTSD的临床检出率为11.0%(21/191),女性PTSD发生率(15.1%)高于男性(7.5%);病程<1个月ASD发生率为5.0%,1～3个月PTSD1.5%,3～6个月PTSD14.3%,6～12个月PTSD16.1%,1～3年PTSD17.4%,≥3年PTSD17.2%。肺癌患者PTSD14.0%;鼻咽癌患者PTSD16.0%;乳腺癌患者PTSD9.5%;其他癌症患者PTSD8.6%。女性、婚姻状况、病程、创伤事件数是PTSD发生的危险因素。结论:住院癌症患者存在较高的PTSD发病率。Objective：To investigate the occurrence of post-traumatic stress disorder（PTSD） in hospitalized cancer patients and the provoking factors.Methods：A cluster random sampling method with Essen trauma inventory using the questionnaire（ETI） and clinician administered PTSD scale（CAPS） was used to assess the 191 cancer inpatients.The PTSD patients were diagnosed according to the PTSD of DSM-IV diagnostic criteria.Results：The rate of PTSD in all samples was 11.0%（21/191） with a higher rate in females（15.1% vs.7.5%）.The PTSDs were dependent on the course of etiological cancers（5.0% in patients with course less than 1 month;1.5% in patients with 1 to 3 months;14.3% in patients with 3 to 6 months;16.1% in patients with 6 to 12 months;17.4% in patients with 1 to 3 years;and 17.2% in patients with longer than 3 years）.The rate of PTSD varied with the types of cancers（14.0% in patients with lung cancer;16.0% in patients with nasopharyngeal carcinoma;9.5% in patients with breast cancer;and 8.6% in patients with other cancers）.Logistic regression analysis showed that gender,marital status,disease course and number of traumatic events were the PTSD risk factors.Conclusion：The hospitalized cancer patients have a high rate of PTSD.

关 键 词：癌症 创伤后应激障碍 埃森创伤问卷 发病率 影响因素 

分 类 号：R741[医药卫生—神经病学与精神病学] R749.29[医药卫生—临床医学]