河北联合大学学报(医学版)
河北聯閤大學學報(醫學版)
하북연합대학학보(의학판)
Journal of HeBei United University (Health Sciences)
2015年
5期
136-139
,共4页
陈允恩%王长奇%姜宝顺%胡月明%彭焱%王莹%李丽娜%杜君%朱小茼%程淑英
陳允恩%王長奇%薑寶順%鬍月明%彭焱%王瑩%李麗娜%杜君%硃小茼%程淑英
진윤은%왕장기%강보순%호월명%팽염%왕형%리려나%두군%주소동%정숙영
甲状腺癌%SCL -90%人格%心理健康
甲狀腺癌%SCL -90%人格%心理健康
갑상선암%SCL -90%인격%심리건강
Thyroid cancer S%ymptom check list -90%Personality%Mental health
①目的探讨甲状腺癌患者心理健康水平和人格特征。②方法采用症状自评量表(SCL-90)对60例甲状腺癌患者术前和术后心理健康状况进行测量。术前采用艾森克个性问卷(EPQ )对患者人格状况进行测量。对测试结果进行 t检验和相关分析。③结果术前SCL -90总分、躯体化、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子得分高于常模(t =-159.6、-26.0、443.2、397.2、-32.9、375.6、-20.1、22.1,P <00.5),术后SCL -90总分、躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子得分高于手术前(t =412.5、159.4、79.8、101.1、684.0、716.2、132.3、924.5、88.2、2.26,P <00.5)。甲状腺癌SCL -90总分、躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执因子得分手术后高于手术前( t =-353.2、-301.9、-10.38、-181.6、-142.2、-196.3、-190.8、-166.3、-216.5, P <00.1)。甲状腺癌男患者EPQ的精神质、神经质得分高于常模( t =359.4、454.0,P <00.01),内外向得分低于常模( t =-71.7,P <00.01),甲状腺癌女患者EPQ的精神质、神经质得分高于常模( t =382.5、418.7,P <00.01),内外向得分低于常模( t =-102.7,P <00.01)。甲状腺癌患者内外向与SCL -90抑郁、焦虑和恐怖因子呈负相关( r =-03.8、-039、-03.7,P <00.1),神经质与SCL -90总分、抑郁、焦虑和恐怖因子呈正相关(r =03.8、06.6、06.7、06.4,P <00.1)。④结论甲状腺癌患者手术前后心理健康问题明显,其与人格有关,人格缺陷可能促发甲状腺癌。
①目的探討甲狀腺癌患者心理健康水平和人格特徵。②方法採用癥狀自評量錶(SCL-90)對60例甲狀腺癌患者術前和術後心理健康狀況進行測量。術前採用艾森剋箇性問捲(EPQ )對患者人格狀況進行測量。對測試結果進行 t檢驗和相關分析。③結果術前SCL -90總分、軀體化、抑鬱、焦慮、敵對、恐怖、偏執、精神病性因子得分高于常模(t =-159.6、-26.0、443.2、397.2、-32.9、375.6、-20.1、22.1,P <00.5),術後SCL -90總分、軀體化、彊迫、人際敏感、抑鬱、焦慮、敵對、恐怖、偏執、精神病性因子得分高于手術前(t =412.5、159.4、79.8、101.1、684.0、716.2、132.3、924.5、88.2、2.26,P <00.5)。甲狀腺癌SCL -90總分、軀體化、彊迫、人際敏感、抑鬱、焦慮、敵對、恐怖、偏執因子得分手術後高于手術前( t =-353.2、-301.9、-10.38、-181.6、-142.2、-196.3、-190.8、-166.3、-216.5, P <00.1)。甲狀腺癌男患者EPQ的精神質、神經質得分高于常模( t =359.4、454.0,P <00.01),內外嚮得分低于常模( t =-71.7,P <00.01),甲狀腺癌女患者EPQ的精神質、神經質得分高于常模( t =382.5、418.7,P <00.01),內外嚮得分低于常模( t =-102.7,P <00.01)。甲狀腺癌患者內外嚮與SCL -90抑鬱、焦慮和恐怖因子呈負相關( r =-03.8、-039、-03.7,P <00.1),神經質與SCL -90總分、抑鬱、焦慮和恐怖因子呈正相關(r =03.8、06.6、06.7、06.4,P <00.1)。④結論甲狀腺癌患者手術前後心理健康問題明顯,其與人格有關,人格缺陷可能促髮甲狀腺癌。
①목적탐토갑상선암환자심리건강수평화인격특정。②방법채용증상자평량표(SCL-90)대60례갑상선암환자술전화술후심리건강상황진행측량。술전채용애삼극개성문권(EPQ )대환자인격상황진행측량。대측시결과진행 t검험화상관분석。③결과술전SCL -90총분、구체화、억욱、초필、활대、공포、편집、정신병성인자득분고우상모(t =-159.6、-26.0、443.2、397.2、-32.9、375.6、-20.1、22.1,P <00.5),술후SCL -90총분、구체화、강박、인제민감、억욱、초필、활대、공포、편집、정신병성인자득분고우수술전(t =412.5、159.4、79.8、101.1、684.0、716.2、132.3、924.5、88.2、2.26,P <00.5)。갑상선암SCL -90총분、구체화、강박、인제민감、억욱、초필、활대、공포、편집인자득분수술후고우수술전( t =-353.2、-301.9、-10.38、-181.6、-142.2、-196.3、-190.8、-166.3、-216.5, P <00.1)。갑상선암남환자EPQ적정신질、신경질득분고우상모( t =359.4、454.0,P <00.01),내외향득분저우상모( t =-71.7,P <00.01),갑상선암녀환자EPQ적정신질、신경질득분고우상모( t =382.5、418.7,P <00.01),내외향득분저우상모( t =-102.7,P <00.01)。갑상선암환자내외향여SCL -90억욱、초필화공포인자정부상관( r =-03.8、-039、-03.7,P <00.1),신경질여SCL -90총분、억욱、초필화공포인자정정상관(r =03.8、06.6、06.7、06.4,P <00.1)。④결론갑상선암환자수술전후심리건강문제명현,기여인격유관,인격결함가능촉발갑상선암。
Objective To investigate mental health status and personality of patients with thyroid cancer .The influence of personality on mental health and personality defect may be one of the factors of thyroid carcinoma .Methods We examined both the preoperative and postoperative mental state of 60 patients according to the symptom check list -90(SCL -90) ,and used the Eysenck Personality Ques‐tionnaire (EPQ ) in the preoperative measurement ,t test and correlation analysis to the result of the test .Results ①The preoperative SCL -90 total scores ,somatization ,depression ,anxiety ,hostility ,ter‐ror ,paranoia ,psychosis factor scores are higher in case group than control group( t = -15 9.6 ,-2 6.0 , 44 3.2 ,39 7.2 ,-3 2.9 ,37 5.6 ,-2 0.1 ,2 2.1 ,P <0 0.5) ,The postoperative SCL -90 total scores ,somatiza‐tion ,compulsion ,interpersonal sensitivity ,depression ,anxiety ,hostile ,terror ,paranoid ,psychosis factor scores are higher n case group than control group( t =41 2.5 ,15 9.4 ,7 9.8 ,10 1.1 ,68 4.0 ,71 6.2 ,13 2.3 ,92 . 45 ,8 8.2 ,2 2.6 ,P <0 0.5);②The SCL -90 total scores ,somatization ,compulsion ,interpersonal sensitiv‐ity ,depression ,anxiety ,hostility ,terror ,paranoia factor scorers in postoperative group are higher than preoperative group( t = -35 3.2 ,-30 1.9 ,-10 3.8 ,-18 1.6 ,-14 .22 ,-19 6.3 ,-19 .08 ,-16 .63 ,-21 . 65 ,P < 0 .01);③ The EPQ psychoticism and neurosis scores in male thyroid carcinoma patients are higher than control group( t =35 9.4 ,45 4.0 ,P <0 0.01) ,while that introversion and extroversion scores lower than control group ( t = -7 1.7 ,P <0 0.01);The EPQ psychoticism and neurosis scores in fe‐male thyroid carcinoma patients are higher than control group ( t =38 2.5 ,41 8.7 ,P <0 0.01) ,w hile that introversion and extroversion scores lower than control group ( t = -10 2.7 ,P <0 0.01);④Thyroid carcinoma patients'introversion and extroversion scores are negatively correlated with SCL -90 depres‐sion ,anxiety and terror factor scores (r= -0 3.8 ,-039 ,-0 3.7 ,P<0 0.1) ,Thyroid carcinoma patients'neurosis are positively correlated with SCL -90 total scores ,depression ,anxiety and terror factor scores( r =0 3.8 ,0 6.6 ,0 6.7 ,0 6.4 ,P <0 0.1) .Conclusion There are obvious psychological and personali‐ty problems with thyroid cancer patients before and after having operations .Psychological problems are related to personality .Personality defects may contribute to thyroid cancer .