林州地区食管癌、贲门癌患者抑郁、焦虑心理状况分析  

Anxiety and Depressive Status in Patients with Esophageal Cancer or Gastric Cardia Cancer in Linzhou

作　　者：马山蕊 马箐[1] 郝长青[2] 管晨滔 李变云[2] 王进武[2] 李新庆[1] 刘正奎[3] 魏文强[1] 

机构地区：[1]国家癌症中心/中国医学科学院北京协和医学院肿瘤医院,北京100021 [2]河南省林州市肿瘤医院,林州456550 [3]中国科学院心理研究所心理健康重点实验室,北京100101

出　　处：《中国肿瘤》2017年第5期366-370,共5页China Cancer

基　　金：国家公益性行业科研专项(201502001);国家自然科学基金(81573224)

摘　　要：[目的]描述林州地区食管癌、贲门癌患者在住院治疗期间社会支持、焦虑及抑郁状况。[方法]采用临床心理评定量表中社会支持评价量表(SSRS)、焦虑自评量表(SAS)与抑郁自评表(SDS)对80例食管癌患者,32例贲门癌患者和80例健康对照进行心理调查。[结果]调查发现,肿瘤患者普遍存在严重的心理问题,食管癌患者焦虑、抑郁发生率分别为31.25%、85.00%,焦虑及抑郁得分为(42.03±9.83)分、(61.78±8.56)分,贲门癌患者焦虑、抑郁发生率为43.80%、93.80%,焦虑及抑郁得分为(44.69±10.52)分、(63.71±7.04)分,显著高于对照组焦虑[(33.64±5.75)分,P<0.001,P<0.001]、抑郁水平[(38.97±7.70)分,P<0.001,P<0.001]。社会支持方面,肿瘤患者的社会支持程度普遍低于对照组,其社会支持总分[食管癌(34.11±8.77)分、贲门癌(31.34±8.47)分]和社会支持利用率[食管癌(5.56±1.92)分、贲门癌(5.00±1.80)分]显著低于正常对照组[(37.40±5.43)分,(6.70±1.84)分,P=0.005,P<0.001];此外,焦虑心理与社会支持总分、主观社会支持、社会支持的利用率显著负相关(P<0.001),但与抑郁情绪无显著相关关系(P>0.05)。[结论 ]肿瘤患者在治疗过程中存在严重的焦虑、抑郁情绪,适当的社会支持可帮助肿瘤患者缓解焦虑、抑郁的情绪,减轻心理压力。[Purpose] To investigate the anxiety and depressive status among patients with esophageal cancer（ESCC） or gastric cardia adenocarcinoma（GCA） in Linzhou. [Methods] Clinical psycho-rating scales of Social Support Rating Scale（SSRS）,Self-rating Anxiety Scale（SAS） and Self-rating Depression Scale（SDS） were applied to investigate the psychological status of 80 patients with ESCC,32 patients with GCA and 80 controls from July 2015 to December 2015 in Linzhou Cancer Hospital. [Results] The SAS and SDS scores of ESCC patients were 42.03 ±9.83 and 61.78±8.56,the incidence of anxiety and depression were 31.25% and 85.00%;the SAS and SDS score of GCA patients were 44.69 ±10.52 and 63.71 ±7.04,and the incidence of anxiety and depression were43.75% and 93.75%,respectively,the values were significantly higher than those in the control group（33.64±5.75 and 38.97±7.70,both P〈0.001）. The total score of social support in ESCC patients（34.11±8.77） and in GCA patients（31.34±8.47）;the utilization of support in ESCC patients（5.56 ±1.92） and in GCA patients（5.00 ±1.80） were significantly lower than those in the control group（37.40±5.43 and 6.70±1.84,P=0.005 and P〈0.001）. The symptoms of anxiety were negatively correlated with the total scores of social support,subjective support and utilization of support,but not significantly correlated with depression（P〉0.05）. [Conclusion] ESCC and GCA patients have serious anxiety and depression problems. Proper social support may be beneficial for patients to alleviate stress,and to relieve anxiety and depression.

关 键 词：食管癌 贲门癌 社会支持 焦虑 抑郁 

分 类 号：R730[医药卫生—肿瘤]