中晚期食管癌合并抑郁患者的心理防御特点  

Psychological defense characteristics of patients with advanced esophageal cancer and depression

作　　者：张晓斌[1] 张海光[2] 马丽丽[3] 吕立丽[1] ZHANG Xiaobin;ZHANG Haiguang;MA Lili(Tangshan People's Hospital,Radiotherapy Center,Tangshan 063000,China)

机构地区：[1]唐山市人民医院放疗中心,唐山063000 [2]唐山市人民医院肝胆外科 [3]唐山市人民医院消化科

出　　处：《国际精神病学杂志》2025年第1期240-244,共5页Journal Of International Psychiatry

基　　金：河北省医学科学研究课题计划(编号:20221814)。

摘　　要：目的 探讨中晚期食管癌合并抑郁患者的心理防御特点。方法 选取本院2020年1月~2023年5月收治的55例中晚期食管癌合并抑郁患者为合并组,另选同期中晚期食管癌放化疗患者25例为未合并组。比较两组一般资料,并评估比较抑郁自评量表(Self-Rating Depression Scale,SDS)、防御方式问卷(Defense Style Questionnaire,DSQ),通过Spearman相关分析中晚期食管癌合并抑郁患者SDS评分与DSQ评分的相关性。结果 合并组初中及以下文化程度、人均月收入2000元以下占比高于未合并组,差异有统计学意义(P<0.05);合并组SDS评分(58.46±6.58)分高于未合并组(28.56±9.12)分,差异有统计学意义(t=16.629,P=0.000);合并组投射、被动攻击、潜意显现、退缩、躯体化、交往倾向、消耗倾向评分高于未合并组,否认评分低于未合并组,升华、否认、期望评分高于未合并组,差异有统计学意义(P<0.05);合并组不成熟型防御机制评分高于未合并组,差异有统计学意义(P<0.05);中晚期食管癌放化疗合并抑郁患者SDS评分与DSQ中的不成熟型防御机制、交往倾向、消耗倾向、掩饰因子评分呈正相关,与升华、否认、期望评分呈负相关,且P<0.05。结论 中晚期食管癌患者抑郁情绪与其心理防御方式联系密切,临床应重点关注。Objective To explore the psychological defense characteristics of patients with middle and advanced esophageal cancer combined with depression.Methods 55 patients with advanced esophageal cancer and depression admitted to our hospital from January 2020 to May 2023 were selected as the combined group,and 25 patients with advanced esophageal cancer who underwent radiotherapy and chemotherapy during the same period were selected as the non combined group.Compare two sets of general information and evaluate the Self Rating Depression Scale(SDS)and Defense Style Questionnaire(DSQ).Use Spearman rank correlation analysis to examine the correlation between SDS scores and DSQ scores in patients with advanced esophageal cancer and depression.Results The proportion of middle school education and per capita monthly income below 2000 yuan in the merged group was higher than that in the non merged group,and the difference was statistically significant(P<0.05).The SDS score of the merged group(58.46±6.58)was higher than that of the non merged group(28.56±9.12),and the difference was statistically significant(t=16.629,P=0.000).The scores of projection,passive aggression,latent intention,withdrawal,somatization,social tendency,and consumption tendency in the merged group were higher than those in the unmerged group,while the scores of denial were lower than those in the unmerged group.The scores of sublimation,denial,and expectation were higher than those in the unmerged group,and the differences were statistically significant(P<0.05).The score of immature defense mechanism in the merged group was higher than that in the non merged group,and the difference was statistically significant(P<0.05). The SDS score of patients with depression during radiotherapy and chemotherapyfor advanced esophageal cancer is positively correlated with immature defense mechanisms,communication tendencies,consumption tendencies,and masking factor scores in DSQ,and negatively correlated with sublimation,denial,and expectation scores,with P<0.05. Concl

关 键 词：中晚期食管癌 抑郁 心理防御 

分 类 号：R749[医药卫生—神经病学与精神病学]