女性乳腺癌患者情绪抑制对其抑郁症状的影响  

A Prospective Study of Emotional Suppression and Depressive Symptoms in Women with Breast Cancer

作　　者：李玲艳[1] 朱熊兆[1] 王瑜萍[1] 杨玉玲[1] 张劲强[1] 

机构地区：[1]中南大学湘雅二医院医学心理学研究所,长沙410011

出　　处：《中国临床心理学杂志》2015年第5期915-918,共4页Chinese Journal of Clinical Psychology

基　　金：国家"十一五"科技支撑计划课题(2009BAI77B06)基金资助;湖南省科学技术厅科技计划项目基金(2014SK3145)资助

摘　　要：目的:1检查女性乳腺癌患者的抑郁症状表现。2探讨女性乳腺癌患者的情绪抑制对其抑郁症状的影响。方法:对就诊于中南大学两所附属医院的等待乳腺组织活体检查的患者,采用考陶尔德情绪控制量表中文版(CECS)评估其情绪抑制水平,采用流调中心用抑郁问卷(CES-D)评估其抑郁症状。共有434名经组织活体检查首诊为乳腺癌的患者纳入本次研究。2周后,其中347名患者,再次接受了CES-D评估。结果:1女性乳腺癌患者诊断前、后的抑郁发生率分别为57.1%和63.4%。女性乳腺癌患者诊断前、后的CES-D总分无差异。2女性乳腺癌患者的CECS总分及其各分量表分与CES-D总分显著相关。女性乳腺癌患者的愤怒抑制及焦虑抑制对其诊断前的CES-D总分有预测作用(P<0.01)。结论:1女性乳腺癌患者的抑郁症状发生率较高。2患者的情绪抑制与其抑郁症状显著相关。情绪抑制可以显著预测女性乳腺癌患者诊断前的抑郁程度。Objective： ①To examine depressive symptoms in women with breast cancer. ②To explore the relationship between emotional suppression and depressive symptoms in women with breast cancer. Methods： The Chinese version of the Courtauld Emotional Control Scale（CECS） and the Center for Epidemiological Studies Depression Scale（CES-D） were used to assess emotional suppression and depressive symptoms respectively for the patients who were waiting for the biopsy of the breast tissue in the Second Xiangya Hospital of Central South University. 434 patients diagnosis of breast cancer by tissue biopsy were included in the study. Two weeks later, 347/434 patients completed the CES-D again. Results：①The rate of depression in women with breast cancer patients before diagnosis and after diagnosis were 57.1% and 63.4%, respectively. There were no differences in the total CES-D scores for all patients before and after diagnosis. ②The total CECS scores and its subscale scores were significantly associated with the total CES-D scores in patients. Anger depression and anxiety suppression in women with breast cancer significantly predicted the total CES-D scores before diagnosis（P〈0.01）.Conclusion： ①There is a high incidence of depression in women with breast cancer. ②Emotional suppression has close associations with depressive symptoms in patients with breast cancer before diagnosis.

关 键 词：乳腺癌 情绪抑制 抑郁症状 

分 类 号：R395.2[哲学宗教—心理学]