原发性肺癌患者的个性和行为特征分析  

Analysis of personality and behavioral characteristics of patients with primary lung cancer.

作　　者：张丽辉[1] 高昕[2] 吴雅丽[3] 刘旭涛[1] 

机构地区：[1]沈阳军区总医院干诊二科,110016 [2]沈阳军区总医院胸外科,110016 [3]沈阳市交通医院,110001

出　　处：《中国实用内科杂志》2004年第6期331-333,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的　研究原发性肺癌患者的个性和行为特征 ,寻求进行干预的可能性。方法　经临床、影像学和病理确诊的原发性肺癌患者 (肺癌组 ) ,按年龄、性别、职业、文化程度、婚姻状况和吸烟指数与健康人 (对照组 ) 1∶1配对 ,两组对象均接受了A型行为问卷、C型行为特征量表和艾森克个性问卷调查。结果　共配成 84对。A型行为问卷调查中 ,肺癌组和对照组的TH为 (11 2 7± 3 92 )和 (12 8± 5 0 8) ,CH为 (13 6 5± 4 75 )和 (13 89± 4 74 ) ,TH +CH为 (2 4 76± 8 90 )和 (2 5 89± 7 79)分量表评分接近 (t=0 92 4～ 1 346 ,P 均 >0 0 5 )。C型行为量表测评中 ,肺癌组的焦虑、抑郁、愤怒、愤怒向内、愤怒向外、理智和自我克制等项目得分明显高于对照组 ,而乐观和社会支持等项得分明显低于对照组 (t值 1 996～ 2 35 6 ,P均 <0 0 5 )。两组艾森克个性问卷测评中 ,肺癌组的精神病性(P) ,神经质或情绪 (N)和人格稳定性 (L)得分明显高于对照组 ,而内外向性 (E)得分则显著低于对照组 (t值2 136～ 2 2 4 1,P均 <0 0 5 )。结论　原发性肺癌患者具有浓厚的C型行为特征 。Objective To study the personality and behavioral characteristics of patients with primary lung cancer and discuss the possibility of psychological intervention.Methods All patients with primary lung cancer(lung cancer group,LCG),diagnosed by clinical,imaging and pathological examinations,were matched with normal subjects(control group,CG) according to age,sex,profession,education,marriage and smoking index.Before treatment both groups were inquired with type A behavior questionnaire(TABQ),type C behavior questionnaire(TCBQ) and Eysenck personality questionnaire(EPQ).Results Totally 84 cases of lung cancer had been paired with normal subjects by one to one.The values of scales TH(11.27±3.92 and 12.8±5.08),CH(13.65±4.75 and 13.89±4.74) and TH+CH(24.76±8.90 and 25.89±7.79) between two groups had no significant difference in measuring of TABQ(t=0.924～1.346,all P>0.05).The elevated scales of anxiety,depression,indignation,indignation in,indignation-out,intellect,self restrain in LCG had significant difference from CG on measuring of TCBQ,but the scales of optimistic and social support in the latter were obviously higher than the former(t=1.996～2.235,all P<0.05).The elevated scales of P,N,L in LCG had significant difference from GG on measuring of EPQ,but the scales of E in the latter were significantly higher than the former(t=2.136～2.241,all P<0.05).Conclusion Type C behavior is predominant in patients with primary lung cancer,but they don' t have type A behavior.

关 键 词：原发性肺癌 个性特征 行为特征 心理因素 调查 

分 类 号：R734.2[医药卫生—肿瘤] B848[医药卫生—临床医学]