甲状腺癌术后患者焦虑抑郁水平现状及心理弹性的中介作用  

Status of anxiety and depression in postoperative patients with thyroid cancer and mediating role of psychological resilience

作　　者：孙婷 庞锐[2] 吕雨梅 张伯煜 边桁暄[3] 刘丽 SUN Ting;PANG Rui;LYU Yu-mei;ZHANG Bo-yu;BIAN Heng-xuan;LIU Ii(School of Nursing,Harbin Medical University,Harbin,Heilongjiang 150081,China;不详)

机构地区：[1]哈尔滨医科大学护理学院,黑龙江哈尔滨150081 [2]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081 [3]大庆油田总医院,黑龙江大庆163000

出　　处：《中国临床研究》2023年第3期475-480,共6页Chinese Journal of Clinical Research

基　　金：国家自然科学基金项目(72004047);黑龙江省卫生健康委科研课题(2020-065)。

摘　　要：目的 调查甲状腺癌术后患者焦虑抑郁、心理弹性现状,并探讨患者神经质人格特征对焦虑抑郁的影响及心理弹性的中介作用。方法 采用方便抽样法,选取黑龙江省某肿瘤医院的甲状腺癌术后患者213例为研究对象,采用一般人口学调查问卷、心理弹性量表、医院焦虑抑郁量表、中国大五人格调查问卷简版进行问卷调查并进行分析。结果 甲状腺癌术后患者焦虑、抑郁、心理弹性评分分别为(12.39±2.90)分、(10.44±2.65)分、(35.29±7.54)分;人格特征评分分别为神经质(25.42±7.79)分、严谨性(33.60±6.78)分、宜人性(32.40±5.79)分、开放性(26.55±8.47)分、外向性(27.62±6.98)分。甲状腺癌术后患者焦虑抑郁与神经质人格呈正相关(r=0.307、0.278,P<0.01),与心理弹性呈负相关(r=-0.432、-0.247,P<0.01)。心理弹性在甲状腺癌术后患者神经质人格与焦虑抑郁之间发挥部分中介作用。结论 甲状腺癌术后患者神经质人格不仅可以直接影响其焦虑抑郁水平,还可通过心理弹性的中介作用间接影响其焦虑抑郁水平。Objective To investigate the current status of anxiety,depression and psychological resilience in postoperative patients with thyroid cancer,and to explore the influence of neuroticism characteristics on anxiety and depression and the mediating effect of psychological resilience.Methods Using convenient sampling method,213 patients with thyroid cancer after surgery in a tumor hospital in Heilongjiang Province were selected as research subjects.The questionnaire survey was performed on all subjects through general demographic questionnaire,Connor-Davidson Resilience Scale(CD-RISC 10),Hospital Anxiety and Depression Scale(HADS)and Chinese Big Five Personality Inventory(CBF-PI).Results The scores of anxieties,depression and resilience of the patients were 12.39±2.90,10.44±2.65 and 35.29±7.54,respectively.Personality traits scores showed neuroticism(25.42±7.79),conscientiousness(33.60±6.78),agreeableness(32.40±5.79),openness(26.55±8.47)and extroversion(27.62±6.98),respectively.Anxiety and depression were positively correlated with neuroticism(r=0.307,0.278,P<0.01)and were negatively correlated with psychological resilience(r=-0.432,-0.247,P<0.01).Mental resilience played a partially mediating role in the relationship between neuroticism and anxiety and depression in thyroid cancer patients.Conclusion In the postoperative patients with thyroid cancer,neuroticism can directly affect the level of anxiety and depression,and psychological resilience has a mediating role.

关 键 词：甲状腺癌 心理弹性 焦虑抑郁 人格 中介效应 神经质 

分 类 号：R395.1[哲学宗教—心理学]