人格特征对男性喉鳞状细胞癌患者术后近期心理状况的影响  

Effect of Personality Characteristics on Near-term Postoperative Mental Health of Male Patients with Laryngeal Squamous Cell Carcinoma

作　　者：安宁 樊大庆[1] 余芳沁 梅志丹[1] AN Ning;FAN Daqing;YU Fangqin;MEI Zhidan(Department of Head and Neck Surgery,Hubei Cancer Hospital,Wuhan 430079,China)

机构地区：[1]湖北省肿瘤医院头颈外科,武汉430079

出　　处：《肿瘤防治研究》2022年第7期682-686,共5页Cancer Research on Prevention and Treatment

摘　　要：目的探讨人格特征对喉鳞状细胞癌(LSCC)患者术后近期心理健康状况的影响。方法纳入2017年1月—2019年12月在湖北省肿瘤医院行手术治疗的119例男性LSCC患者,术后5~7 d采用SCL-90、SAS、SDS自评量表评估术后心理状态,采用EPQ问卷测评患者的人格特征。多元线性逐步回归方法分析LSCC患者术后近期SAS和SDS评分的影响因素。结果男性LSCC患者术后SCL-90、SAS、SDS得分显著高于中国常模(P≤0.05),EPQ中精神质(P)量表和神经质(N)量表得分高于中国常模(P<0.01)。男性LSCC患者术后躯体化、强迫、焦虑、抑郁、敌对、恐怖、偏执、精神病性因子得分均显著高于中国常模(P<0.05)。家庭收入、手术方式、术后近期是否行放化疗、P和N人格特征是术后SAS评分的影响因素(均P<0.01);家庭收入、手术方式、术后近期是否行放化疗和N人格特征是术后SDS评分的影响因素(P<0.01)。结论LSCC患者术后近期存在抑郁、焦虑等心理障碍;具有P和N人格特征;家庭收入、手术方式、术后近期是否行放化疗以及P和N人格特征是影响术后SAS及SDS评分的独立危险因素。Objective To investigate the effect of personality characteristics on near-term postoperative mental health of patients with laryngeal squamous cell carcinoma(LSCC).Methods We included 119 patients with LSCC who underwent surgical treatment.The recent psychological state was assessed by SCL-90,SAS and SDS 5 to 7 days after surgery.The EPQ was used to evaluate the personality characteristics of patients after operation.Multiple linear stepwise regression method was used to analyze the influencing factors of SAS and SDS scores of LSCC patients.Results The postoperative scores of SCL-90,SAS and SDS of LSCC patients were significantly higher than the Chinese norm(P≤0.05).The scores of P scale and N scale in EPQ were higher than the domestic norm(P<0.01).The scores of somatization,obsessiveness,anxiety,depression,hostility,phobia,paranoia and psychosis were significantly higher than the Chinese norm(P<0.05).Family income,surgical method,postoperative radiochemotherapy,psychoticism and neuroticism personalities were the influencing factors of postoperative SAS score(P<0.01).Family income,surgical method,postoperative radiochemotherapy,neurotic personality were the influencing factors of postoperative SDS score(P<0.01).Conclusion LSCC patients have near-term depression,anxiety and other psychological disorders after operation.In terms of personality,they have psychoticism and neuroticism.Family income,surgical methods,postoperative radiochemotherapy,psychoticism and neuroticism are independent risk factors affecting postoperative SAS and SDS scores.

关 键 词：喉鳞状细胞癌 心理障碍 人格特征 焦虑 抑郁 

分 类 号：R739.65[医药卫生—肿瘤]