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中国社区肿瘤患者抑郁症状现况调查

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目的:探讨社区肿瘤患者抑郁症状现况及相关因素。方法:在全国范围内(不包含港澳台)以分层抽样与按全国第7次人口普查比例配额抽样相结合的方法抽取30 505例居民。采用中文版患者健康问卷-9、广泛性焦虑障碍量表、自编调查问卷、简化版领悟社会支持量表等评估肿瘤患者抑郁症状、焦虑症状、行为方式、社会支持情况等。结果:自我报告临床诊断肿瘤患者共359例(1。2%)。其中,恶性肿瘤患者151例(42。1%),良性肿瘤患者208例(57。9%),肿瘤患者的抑郁症状检出率76。6%。过去1周内每天走路超过10 min少于3d(OR=6。63)或4~6d(OR=5。00)、整体睡眠质量很差(OR=4。80)或一般(OR=3。06)、领悟朋友支持程度低(OR=4。66)及伴有焦虑症状(OR=1。74)是肿瘤患者抑郁症状的危险因素。结论:肿瘤患者抑郁症状检出率较高,特别是睡眠质量差、运动量少、领悟社会支持低的患者。
A nationwide cross-sectional study of depressive symptoms among community-based patients with neoplasms in China
Objective:To investigate the associated factors of depressive symptoms among patients with neo-plasms.Methods:Nationwide(excluding Hong Kong,Macao,and Taiwan),30 505 residents were selected by a combination of stratified sampling and quota sampling according to the proportion of the seventh national population census.Patient Health Questionnaire-9(PHQ-9),General Anxiety Disorder-7(GAD-7),self-made questionnaire,and simplified perceived social support scale used to evaluate depressive symptoms,anxiety symptoms,behaviors,and perceived social support among patients with neoplasms.Results:Totally 359(1.2%)patients with self-repor-ted clinically diagnosed neoplasms were included,of which 151(42.1%)patients with malignant neoplasms and 208(57.9%)patients with benign neoplasms.The detection rate of depressive symptoms in patients with neo-plasms was 76.6%.Less than three days of walking for more than 10 minutes per day in the past week(OR=6.63),4-6 days of walking for more than 10 minutes per day in the past week(OR=5.00),the low(OR=4.80)or medium(OR=3.06)overall sleep quality,the lower perceived friend support(OR=4.66),and anxiety symp-toms(OR=1.74)among patients with neoplasms were risk factors for depressive symptoms.Conclusion:Patients with neoplasms generally might be at a high risk of depressive symptoms,especially for those patients with less ex-ercise,poor sleep quality,and low perceived social support.

neoplasmdepressive symptomsrelated factors

李涵云、李秀婷、许瑞雪、慕福芹、秦岩、黄悦勤、吴一波、刘燕

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山东大学,齐鲁医学院,济南 250012

济宁医学院,精神卫生学院,山东济宁 272013

济宁市妇幼保健计划服务中心,山东济宁 272000

滨州医学院,公共卫生与管理学院,山东烟台 264003

山东第一医科大学,公共卫生与健康管理学院,济南 250117

北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083

北京大学,公共卫生学院,北京 100191

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肿瘤 抑郁症状 相关因素

泰山学者青年专家人才项目济宁医学院高层次科研项目培育计划

tsqn201909145JYGC2022KJ008

2024

中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子:2.088
ISSN:1000-6729
年,卷(期):2024.38(1)
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