乳腺切除患者负面身体自我、伤残接受度、外表完美主义与社交外表焦虑的相关性  

Correlation between Negative Physical Self,Disability Acceptance,Appearance Perfectionism and Social Appearance Anxiety in Breast Cancer Patients undergoing Mastectomy

作　　者：王景 张艳冉 万颖 史立晖 WANG Jing;ZHANG Yanran;WAN Ying(Beijing Tongzhou District Maternal and Child Health Hospital,Beijing 101101,China)

机构地区：[1]北京市通州区妇幼保健院,北京101101

出　　处：《国际精神病学杂志》2023年第5期1112-1114,共3页Journal Of International Psychiatry

摘　　要：目的 探讨乳腺癌乳房切除患者负面身体自我、伤残接受度、外表完美主义与社交外表焦虑的关系。方法 本研究观察对象为2020年2月~2023年1月80例乳腺癌患者,均进行了乳房切除,评估患者负面身体自我量表(NPSS)、伤残接受量表(ADS)、外表完美主义量表(PPAS)、社交外表焦虑量表(SAAS)以及年龄、婚姻等一般资料,并以SAAS评分为因变量进行多元逐步回归分析。结果 不同年龄、文化程度、婚姻情况、是否乳房再造的SAAS评分差异具有统计学意义(P<0.05),不同居住地、肿瘤分期的SAAS评分差异无统计学意义(P>0.05);SAAS评分与NPSS评分、PPAS评分呈正相关,与ADS评分呈负相关(P<0.05);多元逐步回归性分析显示:年龄、文化程度、乳房再造、NPSS评分、PPAS评分、ADS评分是SAAS评分的相关因素。结论 乳腺癌乳房切除患者普遍存在社交外表焦虑,且与其负面身体自我、伤残接受度等有关。Objective To explore the relationship between negative physical self,disability acceptance,appearance perfectionism and social appearance anxiety in breast cancer patients undergoing mastectomy.Methods Eighty breast cancer patients from February 2020 to January 2023 were selected as the study subjects.The patients'social appearance anxiety scale(SAAS),negative physical self scale(NPS),disability acceptance scale(ADS),appearance perfectionism scale(PPAS),age,marriage and other general information were evaluated.Multiple stepwise regression analysis using SAAS score as the dependent variable.Results There was a statistically significant difference in SAAS scores among different ages,educational levels,and marital status(P<0.05).There was no statistically significant difference in SAAS scores among different residences,tumor stages,and breast reconstruction(P>0.05).SAAS score is positively correlated with NPSS score,PPAS score,and negatively correlated with ADS score(P<0.05).Multiple stepwise regression analysis showed that age,education level,breast reconstruction,NPSS score,PPAS score,and ADS score were related factors to SAAS score.Conclusion Social appearance anxiety is common in breast cancer patients undergoing mastectomy,which is related to negative physical self and disability acceptance.

关 键 词：乳腺癌 乳房切除 负面身体自我 伤残接受度 外表完美主义 社交外表焦虑 

分 类 号：R749.92[医药卫生—神经病学与精神病学]