本文已被：浏览 758次 下载 440次
投稿时间：2022-10-31 网络发布日期：2023-03-20
投稿时间：2022-10-31 网络发布日期：2023-03-20
中文摘要: 目的 调查甲状腺癌术后患者焦虑抑郁、心理弹性现状，并探讨患者神经质人格特征对焦虑抑郁的影响及心理弹性的中介作用。方法 采用方便抽样法，选取黑龙江省某肿瘤医院的甲状腺癌术后患者213例为研究对象，采用一般人口学调查问卷、心理弹性量表、医院焦虑抑郁量表、中国大五人格调查问卷简版进行问卷调查并进行分析。结果 甲状腺癌术后患者焦虑、抑郁、心理弹性评分分别为（12.39±2.90）分、（10.44±2.65）分、（35.29±7.54）分；人格特征评分分别为神经质（25.42±7.79）分、严谨性（33.60±6.78）分、宜人性（32.40±5.79）分、开放性（26.55±8.47）分、外向性（27.62±6.98）分。甲状腺癌术后患者焦虑抑郁与神经质人格呈正相关（r=0.307、0.278，P＜0.01），与心理弹性呈负相关（r=-0.432、-0.247，P＜0.01）。心理弹性在甲状腺癌术后患者神经质人格与焦虑抑郁之间发挥部分中介作用。结论 甲状腺癌术后患者神经质人格不仅可以直接影响其焦虑抑郁水平，还可通过心理弹性的中介作用间接影响其焦虑抑郁水平。
Abstract:Objective To investigate the current status of anxiety, depression and psychological resilience in postoperative patients with thyroid cancer, and to explore the influence of neuroticism characteristics on anxiety and depression and the mediating effect of psychological resilience. Methods Using convenient sampling method, 213 patients with thyroid cancer after surgery in a tumor hospital in Heilongjiang Province were selected as research subjects. The questionnaire survey was performed on all subjects through general demographic questionnaire, Connor-Davidson Resilience Scale (CD-RISC 10), Hospital Anxiety and Depression Scale (HADS) and Chinese Big Five Personality Inventory (CBF-PI).Results The scores of anxieties, depression and resilience of the patients were 12.39±2.90, 10.44±2.65 and 35.29±7.54, respectively. Personality traits scores showed neuroticism (25.42±7.79), conscientiousness (33.60±6.78), agreeableness (32.40±5.79), openness (26.55±8.47) and extroversion (27.62±6.98), respectively. Anxiety and depression were positively correlated with neuroticism (r=0.307, 0.278, P＜0.01) and were negatively correlated with psychological resilience (r=-0.432, -0.247, P＜0.01). Mental resilience played a partially mediating role in the relationship between neuroticism and anxiety and depression in thyroid cancer patients. Conclusion In the postoperative patients with thyroid cancer, neuroticism can directly affect the level of anxiety and depression, and psychological resilience has a mediating role.
keywords: Thyroid carcinoma Mental resilience Anxiety and depression Personality Mediation effect Neuroticism
文章编号： 中图分类号：R395.1 文献标志码：B
基金项目:国家自然科学基金项目（72004047）；黑龙江省卫生健康委科研课题（2020-065）
附件
| Author Name | Affiliation |
| SUN Ting*， PANG Rui， LYU Yu-mei， | *School of Nursing， Harbin Medical University， Harbin， Heilongjiang 150081， China |
| ZHANG Bo-yu， BIAN Heng-xuan， LIU Ii | |
引用文本：
孙婷,庞锐,吕雨梅,等.甲状腺癌术后患者焦虑抑郁水平现状及心理弹性的中介作用[J].中国临床研究,2023,36(3):475-480.
孙婷,庞锐,吕雨梅,等.甲状腺癌术后患者焦虑抑郁水平现状及心理弹性的中介作用[J].中国临床研究,2023,36(3):475-480.