负性情绪在晚期肺癌患者T型心理与心身状态间的中介作用  

The mediating effect of negative emotions between tumour psychological trait and psychosomatic status in patients with advanced lung cancer

作　　者：刘萌舸 邓彬彬 黄雪薇[1] Liu Mengge;Deng Binbin;Huang Xuewei(Department of Psychiatry and Psychology,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510080,China)

机构地区：[1]广东药科大学附属第一医院精神心理科,广州510080

出　　处：《中华行为医学与脑科学杂志》2024年第11期1046-1051,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(81372488);广东省一流本科课程(202013193)。

摘　　要：目的探讨晚期肺癌患者T型心理、负性情绪与心身状态之间的关系。方法选取2014年1月至2019年3月广东药科大学附属第一医院和广州医科大学附属肿瘤医住院的261例晚期肺癌患者为研究对象,用一般资料调查问卷、T型心理量表、医院焦虑抑郁量表、癌症心身状态量表进行横断面调查,使用SPSS 26.0软件进行描述性分析及相关分析,AMOS 24.0软件进行结构方程建模并应用Bootstrap法进行中介效应检验。结果肺癌患者T型心理得分为(77.16±8.68)分;负性情绪得分为(16.67±3.81)分,其中焦虑得分为(7.00±2.26)分,抑郁得分为(9.67±2.56)分;心身状态得分为(37.09±4.99)分。肺癌患者负性情绪与T型心理、心身状态之间均呈正相关(r=0.308,0.389,均P<0.01),T型心理与心身状态之间呈正相关(r=0.478,P<0.01)。肺癌患者负性情绪在T型心理和心身状态之间具有部分中介效应,中介效应占总效应的24.9%(0.217/0.870)。结论T型心理可以直接影响心身状态,也可以通过负性情绪间接影响心身状态。ObjectiveTo explore the relationship between tumour psychological trait,negative emotions,and psychosomatic status in patients with advanced lung cancer.MethodsA total of 261 patients with advanced lung cancer from January 2014 to March 2019 at the First Affiliated Hospital of Guangdong Pharmaceutical University and the Affiliated Cancer Hospital and Institute of Guangzhou Medical University were selected as the research subjects.General information questionnaire,tumour psychological scale(TPS),hospital anxiety and depression scale(HADS),and psychosomatic status scale for cancer patients(PSSCP)were utilized for cross-sectional investigation.Descriptive analysis and correlation analysis were performed using SPSS 26.0 statistical software.Structural equation modeling was conducted using AMOS 24.0,and the mediating effect was tested using the Bootstrap method.ResultsThe total score of TPS was 77.16±8.68.The total score of HADS was 16.67±3.81,and the sub-scale scores of anxiety and depression were 7.00±2.26 and 9.67±2.56.The total score of PSSCP was 37.09±4.99.Negative emotions were positively correlated with tumour psychological trait and psychosomatic status(r=0.308,0.390,both P<0.01),and tumour psychological trait was positively correlated with psychosomatic status(r=0.478,P<0.01).The structural equation model demonstrated that negative emotions partially mediated the relationship between tumour psychological trait and psychosomatic status,accounting for 24.9%(0.217/0.870).ConclusionThe psychosomatic status is affected both directly by tumour psychological trait and indirectly through negative emotions.

关 键 词：晚期肺癌 T型心理 负性情绪 心身状态 中介效应 结构方程模型 

分 类 号：R734.2[医药卫生—肿瘤]