中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
Chinese Journal of Behavioral Medicine and Brain Science
2015年
8期
715-718
,共4页
郭娅金%曹静%杨雪%祝卓宏
郭婭金%曹靜%楊雪%祝卓宏
곽아금%조정%양설%축탁굉
甲状腺癌%心理灵活性%焦虑%抑郁%生命意义感
甲狀腺癌%心理靈活性%焦慮%抑鬱%生命意義感
갑상선암%심리령활성%초필%억욱%생명의의감
Thyroid carcinoma%Psychological flexibility%Anxiety%Depression%Meaning in life
目的 探讨甲状腺癌术后患者心理灵活性及其焦虑、抑郁情绪状态.方法 随机选取甲状腺癌术后患者184人,施测接纳与行动问卷第二版(acceptance and action questionnaire-second edition,AAQ-Ⅱ)、认知融合问卷(cognitive fusion questionnaire,CFQ)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)和生命意义量表-意义感分量表(the meaning in life question-naire-the presence of meaning,MLQ-P),回收有效问卷157份,对数据进行差异检验、Pearson相关分析及逐步多元回归分析.结果 甲状腺癌术后患者AAQ-Ⅱ、CFQ、SAS、SDS、MLQ-P得分分别为(17.62±7.63)分,(27.37±11.00)分,(32.38±6.99)分,(34.73±7.87)分,(28.55±5.09)分.MLQ-P与其余四量表显著负相关(r=-0.278-0.427,均P<0.01),AAQ-Ⅱ、CFQ、SAS、SDS间显著正相关(r=0.359~0.784,均P<0.01);甲状腺癌术后患者焦虑得分显著高于常模(z=72.28,P<0.01);抑郁得分显著高于常模(z=2.25,P<0.05);以AAQ-Ⅱ、CFQ、MLQ-P分别对SAS、SDS添加虚拟变量后进行逐步回归分析,AAQ-Ⅱ、MLQ-P、CFQ整体解释焦虑的变异量增加24.2%,AAQ-Ⅱ-和MLQ-P整体解释抑郁的变异量增加24.4%.结论 甲状腺癌术后患者的焦虑抑郁程度明显高于正常人群,心理灵活性越高,焦虑抑郁程度越低,且心理灵活性对焦虑抑郁有显著的预测作用.
目的 探討甲狀腺癌術後患者心理靈活性及其焦慮、抑鬱情緒狀態.方法 隨機選取甲狀腺癌術後患者184人,施測接納與行動問捲第二版(acceptance and action questionnaire-second edition,AAQ-Ⅱ)、認知融閤問捲(cognitive fusion questionnaire,CFQ)、焦慮自評量錶(self-rating anxiety scale,SAS)、抑鬱自評量錶(self-rating depression scale,SDS)和生命意義量錶-意義感分量錶(the meaning in life question-naire-the presence of meaning,MLQ-P),迴收有效問捲157份,對數據進行差異檢驗、Pearson相關分析及逐步多元迴歸分析.結果 甲狀腺癌術後患者AAQ-Ⅱ、CFQ、SAS、SDS、MLQ-P得分分彆為(17.62±7.63)分,(27.37±11.00)分,(32.38±6.99)分,(34.73±7.87)分,(28.55±5.09)分.MLQ-P與其餘四量錶顯著負相關(r=-0.278-0.427,均P<0.01),AAQ-Ⅱ、CFQ、SAS、SDS間顯著正相關(r=0.359~0.784,均P<0.01);甲狀腺癌術後患者焦慮得分顯著高于常模(z=72.28,P<0.01);抑鬱得分顯著高于常模(z=2.25,P<0.05);以AAQ-Ⅱ、CFQ、MLQ-P分彆對SAS、SDS添加虛擬變量後進行逐步迴歸分析,AAQ-Ⅱ、MLQ-P、CFQ整體解釋焦慮的變異量增加24.2%,AAQ-Ⅱ-和MLQ-P整體解釋抑鬱的變異量增加24.4%.結論 甲狀腺癌術後患者的焦慮抑鬱程度明顯高于正常人群,心理靈活性越高,焦慮抑鬱程度越低,且心理靈活性對焦慮抑鬱有顯著的預測作用.
목적 탐토갑상선암술후환자심리령활성급기초필、억욱정서상태.방법 수궤선취갑상선암술후환자184인,시측접납여행동문권제이판(acceptance and action questionnaire-second edition,AAQ-Ⅱ)、인지융합문권(cognitive fusion questionnaire,CFQ)、초필자평량표(self-rating anxiety scale,SAS)、억욱자평량표(self-rating depression scale,SDS)화생명의의량표-의의감분량표(the meaning in life question-naire-the presence of meaning,MLQ-P),회수유효문권157빈,대수거진행차이검험、Pearson상관분석급축보다원회귀분석.결과 갑상선암술후환자AAQ-Ⅱ、CFQ、SAS、SDS、MLQ-P득분분별위(17.62±7.63)분,(27.37±11.00)분,(32.38±6.99)분,(34.73±7.87)분,(28.55±5.09)분.MLQ-P여기여사량표현저부상관(r=-0.278-0.427,균P<0.01),AAQ-Ⅱ、CFQ、SAS、SDS간현저정상관(r=0.359~0.784,균P<0.01);갑상선암술후환자초필득분현저고우상모(z=72.28,P<0.01);억욱득분현저고우상모(z=2.25,P<0.05);이AAQ-Ⅱ、CFQ、MLQ-P분별대SAS、SDS첨가허의변량후진행축보회귀분석,AAQ-Ⅱ、MLQ-P、CFQ정체해석초필적변이량증가24.2%,AAQ-Ⅱ-화MLQ-P정체해석억욱적변이량증가24.4%.결론 갑상선암술후환자적초필억욱정도명현고우정상인군,심리령활성월고,초필억욱정도월저,차심리령활성대초필억욱유현저적예측작용.
Objective To explore the relationship among psychological flexibility,anxiety and depression in postoperative thyroid carcinoma patients.Methods A total of 184 postoperative thyroid carcinoma patients selected randomly were measured with Acceptance and Action Questionnaire-Second Edition (AAQ-Ⅱ),Cognitive Fusion Questionnaire (CFQ),Self-Rating Anxiety Scale (SAS),Self-rating depression scale (SDS),and the Meaning in Life Questionnaire-the presence of meaning(MLQ-P).Variance analysis,pearson correlation analysis and stepwise multiple regression analysis were conducted in 157 questionnaires which were effective.Results The scores of AAQ-Ⅱ,CFQ,SAS,SDS,MLQ-P were(17.62±7.63),(27.37± 11.00),(32.38±6.99),(34.73±7.87),(28.55±5.09) respectively.The MLQ-P scores were negatively correlated with other scales(r=-0.278 ~-0.427,P<0.01).The correlations among AAQ-Ⅱ,CFQ,SAS,SDS were positive(r=0.359~0.784,P<0.01).The SAS scores and SDS scores in postoperative thyroid carcinoma patients were higher than that in norm group(z=72.28,P<0.01;z=2.25,P<0.05).When stepwise multiple regression analysis was conducted on SAS and SDS scores,AAQ-Ⅱ,MLQ-P,CFQ could explain 24.2% variance in anxiety,and AAQ-Ⅱ,MLQ-P could explain 24.4% variance in depression.Conclusion The level of anxiety and depression in postoperative thyroid carcinoma patients is much higher than that in norm.The higher the psychological flexibility,the lower the depression level.Psychological flexibility has significant explanatory power on anxiety and depression.