首页|宫颈癌患者病耻感、社交回避与苦恼和抑郁的关系

宫颈癌患者病耻感、社交回避与苦恼和抑郁的关系

扫码查看
目的 探讨宫颈癌患者病耻感、社交回避与苦恼和抑郁的关系.方法 选择2020年4月~2022年4月92例宫颈癌患者以及50例宫颈良性疾病患者为研究对象,设为观察组与对照组.采用汉密尔顿抑郁量表(Hamilton depression rating scale,HAMD)评估两组抑郁情绪,比较抑郁发生率.评价两组患者社交回避/苦恼量表(Social avoidance/distress scale,SADS)、社会影响量表(Social impact scale,SIS),分析两量表评分与HAMD评分的相关性.结果 观察组HAMD评分以及抑郁发生率显著高于对照组(P<0.05);观察组SADS量表回避、苦恼评分以及SIS量表社会隔离、内在羞愧、经济歧视评分显著高于对照组(P<0.05),社会排斥差异无统计学意义(P>0.05);SADS量表回避、苦恼评分、SIS量表社会隔离、内在羞愧评分是宫颈癌患者抑郁情绪的影响因素(P<0.05).结论 宫颈癌患者社会隔离、内在羞愧等病耻感以及社交回避与苦恼与抑郁情绪具有明显关系.
Relationship between stigma,social avoidance and distress and depression in patients with cervical cancer
Objective To explore the relationship between stigma,social avoidance and distress and depres-sion in cervical cancer patients.Methods Ninety-two patients with cervical cancer and 50 patients with benign cervi-cal diseases were selected from April 2020 to April 2022 as the study subjects,and were set as observation and control groups.Hamilton depression rating scale(HAMD)was used to assess depressed mood in both groups.Compare the depression rate.Evaluate the social avoidance/distress scale(SADS),social impact scale(SIS)in both groups.The correlation between the scores of the two scales and HAMD scores was analyzed.Results HAMD scores as well as de-pression rates were significantly higher in the observation group than in the control group(P<0.05).SADS scale avoid-ance and distress scores as well as SIS scale social isolation,intrinsic shame,and economic discrimination scores were significantly higher in the observation group than in the control group(P<0.05).The difference in social exclusion was not statistically significant(P>0.05).SADS scale avoidance,distress scores,and SIS scale social isolation,intrinsic shame scores were correlates of depressed mood in cervical cancer patients(P<0.05).Conclusion Social isolation,stigma such as intrinsic shame,and social avoidance and distress were significantly associated with depressed mood in cervical cancer patients.

Cervical cancerStigmaSocial avoidance and distressDepression

卫伟、王一娜、蒋嫒、何斌

展开 >

盐城市第三人民医院妇产科(盐城,224001)

宫颈癌 病耻感 社交回避与苦恼 抑郁

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)