Pifarré P, Simó M, Gispert J D, Pallarés M D, Plaza P, Martínez-Miralles E
Servicio de Medicina Nuclear, CRC-Hospital Quirón. Departament de Medicina, Universitat Autònoma de Barcelona (UAB), España.
Rev Esp Med Nucl. 2011 Nov-Dec;30(6):346-50. doi: 10.1016/j.remn.2011.03.003. Epub 2011 Jul 18.
Cancer is one of the main health problems in western countries. In 2008, it represented the first cause of death in men and the second one in women. When there is a diagnosis or suspicion of cancer, performing diagnostic imaging studies has an important role in the clinical activity and may have an elevated psychological impact.
The purpose of this study was to evaluate the level of anxiety in oncology patients during the performance of a nuclear medicine study (PET-CT) in a Nuclear Medicine Service, by means of the State Trait Anxiety Inventory (STAI).
A total of 200 cancer patients who underwent a PET-CT study in a Nuclear Medicine Service were administered the STAI to evaluate the level of anxiety generated during this test. The STAI is a validated questionnaire developed as a research tool on anxiety in healthy adults.
Of the 200 patients, two thirds (n=135) (67%) of the patients evaluated had anxiety. Of the 133, 93 (70%) of the patients who underwent PET-CT study for the first time were anxious whereas 42 (62.7%) of the patients who had undergone the study on previous occasions were anxious. Those patients with the greatest anxiety were those in whom the study was performed to initially stage the disease.
Performing the PET-CT study as an initial staging method and/or to evaluate tumor recurrence is an important and statistically significant generator of anxiety. There is a high emotional and cognitive impact associated to the participation of the diagnostic tests.
癌症是西方国家主要的健康问题之一。2008年，它是男性的首要死因，女性的第二大死因。当诊断出或怀疑患有癌症时，进行诊断性影像学检查在临床活动中具有重要作用，并且可能产生较大的心理影响。
本研究的目的是通过状态-特质焦虑量表（STAI）评估在核医学科进行核医学检查（PET-CT）期间肿瘤患者的焦虑水平。
共有200名在核医学科接受PET-CT检查的癌症患者接受了STAI评估，以评估该检查期间产生的焦虑水平。STAI是一种经过验证的问卷，作为健康成年人焦虑研究工具而开发。
在200名患者中，三分之二（n = 135）（67%）的受评估患者存在焦虑。在133名首次接受PET-CT检查的患者中，93名（70%）感到焦虑，而之前接受过该检查的患者中有42名（62.7%）感到焦虑。焦虑程度最高的患者是那些进行该检查以进行疾病初始分期的患者。
将PET-CT检查作为初始分期方法和/或评估肿瘤复发是焦虑的一个重要且具有统计学意义的诱发因素。诊断检查的参与会带来高度的情绪和认知影响。
