患癌男性和女性的自我效能感、抑郁及身体不适
Self-efficacy, depression, and physical distress in males and females with cancer.
作者信息
Mystakidou Kyriaki, Parpa Efi, Tsilika Eleni, Gogou Pinelopi, Panagiotou Irene, Galanos Antonis, Kouvaris Ioannis, Gouliamos Athanasios
机构信息
Pain Relief and Palliative Care Department, Areteion Hospital, School of Medicine, University of Athens, Athens, Greece.
出版信息
Am J Hosp Palliat Care. 2010 Dec;27(8):518-25. doi: 10.1177/1049909110376808. Epub 2010 Sep 11.
AIMS
to examine the relationship between self-efficacy with depression and physical distressing symptoms in males and females with cancer.
METHODS
a total of 41 males and 49 females with cancer completed the General Perceived Self-Efficacy Scale (GSE), depression scale, from the Hospital Anxiety and Depression Scale (HAD-D), and the MD Anderson Symptom Inventory (MDASI).
RESULTS
correlations were found between depression and self-efficacy in males (r = -.501, P = .001) and females (r = -.588, P < .0005). The multivariate regression analysis revealed that education and depression could influence self-efficacy in male population. Urogenital versus breast cancer as well as depression seemed to influence females' self-efficacy.
CONCLUSIONS
patients who had higher self-efficacy had lower depressive symptoms. Men with depressive symptoms and women with breast cancer and depression are more likely to have low self-efficacy than patients with other cancer types.
目的
探讨癌症男性和女性的自我效能感与抑郁及身体不适症状之间的关系。
方法
共有41名癌症男性患者和49名癌症女性患者完成了一般自我效能感量表（GSE）、医院焦虑抑郁量表（HAD-D）中的抑郁量表以及MD安德森症状问卷（MDASI）。
结果
男性（r = -0.501，P = 0.001）和女性（r = -0.588，P < 0.0005）的抑郁与自我效能感之间存在相关性。多因素回归分析显示，教育程度和抑郁会影响男性群体的自我效能感。泌尿生殖系统癌症与乳腺癌以及抑郁似乎会影响女性的自我效能感。
结论
自我效能感较高的患者抑郁症状较轻。与其他癌症类型的患者相比，有抑郁症状的男性以及患有乳腺癌且伴有抑郁的女性更有可能自我效能感较低。
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