CAJ | 학술논문

目的探讨生活事件、情绪状态及个性行为特征等心理社会应激因素与甲状腺癌发病的相关性,为更有效的防治甲状腺癌提供科学依据. 方法采用以医院为基础的病例-对照研究,经病理确诊为甲状腺乳头状癌的病例组102人和病理为甲状腺良性疾病的对照组114人,采用团体用心理社会应激调查表测试其生活事件、情绪反应及应对方式等三个方面. 结果多因素Logistic回归结果显示劳累过度(OR=3.198)、子女前途问题(OR=7.785)、忧郁(OR=6.014)、焦虑(OR=18.853)、将情绪压到心底(OR=7.836)是甲状腺癌发病的危险因素;而愉快的情绪状态(OR=0.054)和能够尽快忘掉不愉快的应对方式(OR=0.093)是甲状腺癌发病的保护性因素. 结论某些负性生活事件、消极的情绪及应对方式与甲状腺癌的发病相关,而保持心情愉快会在一定程度上降低甲状腺癌发病的几率.
목적 탐토생활사건、정서상태급개성행위특정등심리사회응격인소여갑상선암발병적상관성,위경유효적방치갑상선암제공과학의거. 방법 채용이의원위기출적병례-대조연구,경병리학진위갑상선유두상암적병례조102인화병리위갑상선량성질병적대조조114인,채용단체용심리사회응격조사표측시기생활사건、정서반응급응대방식등삼개방면. 결과 다인소Logistic회귀결과현시로루과도(OR=3.198)、자녀전도문제(OR=7.785)、우욱(OR=6.014)、초필(OR=18.853)、장정서압도심저(OR=7.836)시갑상선암발병적위험인소;이유쾌적정서상태(OR=0.054)화능구진쾌망도불유쾌적응대방식(OR=0.093)시갑상선암발병적보호성인소. 결론 모사부성생활사건、소겁적정서급응대방식여갑상선암적발병상관,이보지심정유쾌회재일정정도상강저갑상선암발병적궤솔.
Objective To investigate the relationship between thyroid carcinoma and psychosocial risk factors.Methods A hospital based case-controlled study of thyroid carcinoma was conducted.Cases were path-ologically confirmed as primary papillary thyroid carcinoma.Both 102 cases and 114 controls were tested by the PSSG scale.Results Multivariate conditional logistic regression analysis showed that overworking,children′s fu-ture,depress,anxiety,and like to suppress their emotions could increase the risk of thyroid carcinoma,pleasing e-motion and forget unhappy as soon as possible might prevent the thyroid carcinoma.Conclusion Psychosocial risk factors are important in the onset and progression of the thyroid carcinoma.