摘要
目的 探讨口腔癌患者大五人格与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性.方法 随机选取安徽医科大学第一、第二附属医院2022年1～12月确诊为口腔癌的患者200例为研究组,纳入同期非口腔癌患者200例为对照组,通过问卷调查分析口腔癌患者的大五人格与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性.结果 观察组患者焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、匹兹堡睡眠质量指数评分(PQSI)均高于对照组(P＜0.05).口腔癌患者的焦虑、抑郁、PQSI、疾病复发恐惧与神经质人格呈正相关,与严谨性、宜人性、开放性和外向性均呈负相关(P＜0.05).多元Logistic回归分析显示具有神经质人格特征的口腔癌患者发生焦虑、抑郁、睡眠障碍、疾病复发恐惧的风险更高(P＜0.0 5);外向性为口腔癌患者焦虑、抑郁的保护因素,严谨性、宜人性、开放性和外向性为睡眠障碍的保护因素,(P＜0.05).结论 口腔癌患者的大五人格与焦虑抑郁、睡眠质量以及疾病复发恐惧之间存在显著相关性.临床治疗中应对其给予针对性心理干预.
Abstract
Objective To explore the correlation between the Big Five personality traits and anxi-ety,depression,sleep disorders,and fear of disease recurrence in patients with oral cancer.Methods A total of 200 patients diagnosed with oral cancer from January to December 2022 in the First and Sec-ond Affiliated Hospitals of Anhui Medical University were randomly selected as the study group,and 200 non-oral cancer patients during the same period were included as the control group.A question-naire survey was conducted to analyze the correlation between the Big Five personality traits and anxie-ty,depression,sleep disorders,and fear of disease recurrence in patients with oral cancer.Results The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Pittsburgh Sleep Quality Index(PSQI)in the observation group were higher than those in the control group(P＜0.05).Anxiety,depression,PSQI,and fear of disease recurrence in patients with oral cancer were positively correlated with neuroticism and negatively correlated with conscientiousness,agreeableness,openness,and extraversion(P＜0.05).Multivariate logistic regression analysis showed that patients with oral cancer with neurotic personality traits had a higher risk of anxiety,depression,sleep disor-ders,and fear of disease recurrence(P＜0.05);extraversion was a protective factor for anxiety and depression in patients with oral cancer,and conscientiousness,agreeableness,openness,and extraver-sion were protective factors for sleep disorders(P＜0.05).Conclusion There is a significant correla-tion between the Big Five personality traits and anxiety,depression,sleep quality,and disease recur-rence in patients with oral cancer.Targeted psychological interventions should be provided during clini-cal treatment.
基金项目
安徽省高校优秀青年人才支持项目一般项目(gxyq2022192)
安徽省高校自然科学研究重点项目(KJ2017A692)
NETL
NSTL
万方数据