McGill University, Montreal, Quebec, Canada.
Support Care Cancer. 2011 Nov;19(11):1735-41. doi: 10.1007/s00520-010-1013-8. Epub 2010 Sep 26.
Few studies have described the relationship between the psychological distress associated with head and neck cancer and how patients cope with their disease.
The purpose of this study is to investigate how head and neck cancer patients 6-12 months after their diagnosis cope with their disease and how their coping skills are related to their anxiety and depression levels.
We conducted a cross-sectional study among 157 head and neck cancer patients. We evaluated coping strategies using the Ways of Coping Checklist and anxiety and depression using The Hospital Anxiety and Depression Scale.
Bivariate analyses revealed that there was an association between patients' levels of anxiety and depression and the type of coping strategies used. Patients with higher levels of anxiety and depression used more "blamed self", "wishful thinking", and "avoidance" coping strategies. These associations were further confirmed by multivariate linear regression analyses that controlled for age, gender, time since end of treatment, tumor stage, and occupation.
These findings suggest that coping strategies in head and neck cancer patients vary according to their level of psychological distress. However, the cross-sectional nature of the data does not permit directional inferences for this association.
很少有研究描述与头颈部癌症相关的心理困扰以及患者如何应对疾病。
本研究旨在调查头颈部癌症患者在诊断后 6-12 个月时如何应对疾病，以及他们的应对技巧与焦虑和抑郁水平的关系。
我们对 157 名头颈部癌症患者进行了横断面研究。我们使用应对方式检查表评估应对策略，使用医院焦虑和抑郁量表评估焦虑和抑郁水平。
单变量分析显示，患者的焦虑和抑郁水平与使用的应对策略类型之间存在关联。焦虑和抑郁水平较高的患者更多地使用“自责”、“幻想”和“回避”应对策略。这些关联在控制年龄、性别、治疗结束后时间、肿瘤分期和职业的多变量线性回归分析中得到进一步证实。
这些发现表明，头颈部癌症患者的应对策略根据其心理困扰程度而有所不同。然而，数据的横断面性质不允许对此关联进行方向性推断。
