口腔癌患者大五人格特征与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性分析  

Correlation analysis between Big Five personality traits and anxiety,depression,sleep disorders,and fear of disease recurrence in patients with oral cancer

作　　者：陶冶[1] 倪成励[1] 肖锋 赵丽 Tao Ye;Ni Chengli;Xiao Feng(School of Stomatology,Anhui Medical College,Hefei 230601,China)

机构地区：[1]安徽医学高等专科学校口腔医学院,安徽合肥230601 [2]安徽医科大学第二附属医院 [3]安徽医科大学第一附属医院

出　　处：《华北理工大学学报（医学版）》2024年第4期273-278,共6页Journal of North China University of Science and Technology：Health Sciences Edition

基　　金：安徽省高校优秀青年人才支持项目一般项目(编号:gxyq2022192);安徽省高校自然科学研究重点项目(编号:KJ2017A692)。

摘　　要：目的探讨口腔癌患者大五人格与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性。方法随机选取安徽医科大学第一、第二附属医院2022年1~12月确诊为口腔癌的患者200例为研究组,纳入同期非口腔癌患者200例为对照组,通过问卷调查分析口腔癌患者的大五人格与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性。结果观察组患者焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、匹兹堡睡眠质量指数评分(PQSI)均高于对照组(P<0.05)。口腔癌患者的焦虑、抑郁、PQSI、疾病复发恐惧与神经质人格呈正相关,与严谨性、宜人性、开放性和外向性均呈负相关(P<0.05)。多元Logistic回归分析显示具有神经质人格特征的口腔癌患者发生焦虑、抑郁、睡眠障碍、疾病复发恐惧的风险更高(P<0.05);外向性为口腔癌患者焦虑、抑郁的保护因素,严谨性、宜人性、开放性和外向性为睡眠障碍的保护因素,(P<0.05)。结论口腔癌患者的大五人格与焦虑抑郁、睡眠质量以及疾病复发恐惧之间存在显著相关性。临床治疗中应对其给予针对性心理干预。Objective To explore the correlation between the Big Five personality traits and anxiety,depression,sleep disorders,and fear of disease recurrence in patients with oral cancer.Methods A total of 200 patients diagnosed with oral cancer from January to December 2022 in the First and Second Affiliated Hospitals of Anhui Medical University were randomly selected as the study group,and 200 non-oral cancer patients during the same period were included as the control group.A questionnaire survey was conducted to analyze the correlation between the Big Five personality traits and anxiety,depression,sleep disorders,and fear of disease recurrence in patients with oral cancer.Results The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Pittsburgh Sleep Quality Index(PSQI)in the observation group were higher than those in the control group(P<0.05).Anxiety,depression,PSQI,and fear of disease recurrence in patients with oral cancer were positively correlated with neuroticism and negatively correlated with conscientiousness,agreeableness,openness,and extraversion(P<0.05).Multivariate logistic regression analysis showed that patients with oral cancer with neurotic personality traits had a higher risk of anxiety,depression,sleep disorders,and fear of disease recurrence(P<0.05);extraversion was a protective factor for anxiety and depression in patients with oral cancer,and conscientiousness,agreeableness,openness,and extraversion were protective factors for sleep disorders(P<0.05).Conclusion There is a significant correlation between the Big Five personality traits and anxiety,depression,sleep quality,and disease recurrence in patients with oral cancer.Targeted psychological interventions should be provided during clinical treatment.

关 键 词：口腔癌 大五人格 焦虑抑郁 睡眠质量 疾病复发 相关性 

分 类 号：R739.8[医药卫生—肿瘤]