首页|口腔癌患者大五人格特征与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性分析

口腔癌患者大五人格特征与焦虑抑郁、睡眠障碍以及疾病复发恐惧的相关性分析

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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.
Correlation analysis between Big Five personality traits and anxiety,depression,sleep disorders,and fear of disease recurrence in patients with oral cancer
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.

Oral cancerBig Five personality traitsAnxiety and depressionSleep qualityDis-ease recurrenceCorrelation

陶冶、倪成励、肖锋、赵丽

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安徽医学高等专科学校口腔医学院 安徽合肥 230601

安徽医科大学第二附属医院

安徽医科大学第一附属医院

口腔癌 大五人格 焦虑抑郁 睡眠质量 疾病复发 相关性

安徽省高校优秀青年人才支持项目一般项目安徽省高校自然科学研究重点项目

gxyq2022192KJ2017A692

2024

华北理工大学学报(医学版)
河北联合大学

华北理工大学学报(医学版)

影响因子:0.569
ISSN:2095-2694
年,卷(期):2024.26(4)