《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (11): 949-950.

• 临床研究 • 上一篇    下一篇

心理干预对肺癌及乳腺癌化疗患者焦虑抑郁及胃肠反应的影响

宫艳丽; 隋广杰; 蔡莉   

  1. 哈尔滨医科大学附属肿瘤医院 黑龙江哈尔滨市 150040
  • 收稿日期:2005-10-08 出版日期:2005-11-25 发布日期:2005-11-25

Effect of psychotherapy on depression,anxiety and gastrointestinal reactions in patients with lung or breast cancer undergoing chemotherapy

GONG Yan-li, SUI Guang-jie, CAI Li   

  1. TumorHospital of Harbin Medical University, Harbin 150040, Heilongjiang,China
  • Received:2005-10-08 Published:2005-11-25 Online:2005-11-25

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被引次数

29

摘要： 目的探讨综合心理治疗对肺癌、乳腺癌化疗患者焦虑抑郁及胃肠反应的影响。方法将96例肺癌、乳腺癌化疗患者随机分为对照组(48例)和心理干预组(48例)。两组均采用常规化疗方案,心理干预组同时配合综合心理治疗共2周。采用症状自评量表评定患者精神症状。治疗前后采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行检测。组间采用t检验。结果肺癌和乳腺癌患者症状自评量表各因子评分与正常人常模比较,躯体化、抑郁、焦虑、恐怖因子评分明显升高(P<0.01)。心理干预组第3周SDS(41.2±3.7)及SAS(34.6±5.8)评分均明显低于对照组(P<0.01),胃肠反应亦减轻。结论肺癌和乳腺癌患者存在明显的心理障碍,综合心理治疗可显著减低肺癌、乳腺癌化疗患者焦虑、抑郁程度及胃肠反应。

关键词: 心理治疗, 肺癌, 乳腺癌, 化疗, 焦虑, 抑郁, 胃肠反应

Abstract: ObjectiveTo investigate the effects of comprehensive psychotherapy on depression,anxiety and gastrointestinal reactions in patients with lung or breast cancer.Methods96 cases with lung or breast cancer were randomly divided into psychotherapy group(n=48) and control group(n=48) which were both treated with routine chemotherapy.Those in the psychotherapy group concomitantly received comprehensive psychotherapy for 2 weeks.Their characters of Symptom Checklist 90(SCL-90) were measured,while those of Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) were also measured before and after treatment.ResultsThe scores of SCL-90 in patients with lung or breast cancer were increased compared with Chinese norm in somatization,depression,anxiety,phobic anxiety(P<0.01).From the 3rd week,the scores of SDS(41.2±3.7) and SAS(34.6±5.8) in the psychotherapy group were significantly lower than those in the control group(P<0.01),as well as the gastrointestinal reactions.ConclusionPsychotherapy can obviously decease the severity of depressive and anxious emotions and the gastrointestinal reactions.

Key words: psychotherapy, chemotherapy, lung cancer, breast cancer, anxious, depressive, gastrointestinal reactions