Current status of alexithymia and its influencing factors in patients with first-episode differentiated thyroid cancer after surgery
Objective To investigate the current status of alexithymia in patients with first-episode differentiated thyroid cancer after surgery and to analyze the influencing factors of alexithymia.Methods From February 2022 to Decem-ber,412 patients with first-episode differentiated thyroid carcinoma 1 month after operation were investigated by personal data,disease characteristics,Toronto alexithymia scale(TAS-20),and post-traumatic growth inventory(PTGI).Results Totally 22.6％and 21.8％of postoperative patients with first-episode differentiated thyroid cancer had suspected alexithymia and present alexithymia respectively.The average total score of post-traumatic growth in patients with first-episode differenti-ated thyroid cancer was(50.61±14.25)points,the post-traumatic growth score in the alexithymia group was(35.46±6.34)points,the post-traumatic growth score in the non-alexithymia group was(58.68±13.04)points,and the post-traumatic growth score in the suspected alexithymia group was(45.43±5.69)points,and the differences were statistically significant(LSD-t=17.726,6.407,both P＜0.001).Hierarchical logistic regression analysis showed that interpersonal relationships,new possibil-ities,personal strength,and spiritual change dimensions of post-traumatic growth were the protective factors of alexithymia(P＜0.05),while lymph node metastasis,lesion≥ 1.5 cm,and TNM stage Ⅱ were risk factors of alexithymia(P＜0.05).Conclu-sions The incidence of alexithymia in postoperative patients with first-episode differentiated thyroid carcinoma is high,and the occurrence of post-traumatic growth,lesion metastasis,lesion size,and disease stage affect its occurrence.Therefore,the targeted psychological intervention should be strengthened.
万方数据
维普
