Liu Dong-Gen, Wang Shu-Sen, Peng Rou-Jun, Qin Tao, Shi Yan-Xia, Teng Xiao-Yu, Wang Xi, Chen Wei-Qing, Yuan Zhong-Yu
State Key Laboratory of Oncology in South China, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Asian Pac J Cancer Prev. 2011;12(10):2523-9.
The aim of the present study was to assess the association of psychological stress and social support with anxiety and depressive symptoms in Chinese newly diagnosed breast cancer patients.
Four hundred and one patients with breast cancer were recruited. Their demographic characteristics, psychological stress and social support were determined with a structured questionnaire, and their anxiety and depressive symptoms were assessed with the Hospital Anxiety and Depression Scale.
Psychological stressors caused by breast cancer diagnosed originated from five major sources, as determined by factor analysis. These included "Worrying about health being harmed, " "Fear of decline of physical function, " "Fear of work being harmed, " "Worry about daily life and social relationship being restricted, " and "Fear of family being harmed. " Hierarchical linear regression analysis indicated that, after adjusting for gender, age, marital status, educational level, and duration of illness, solid social support can alleviate such symptoms.
The results of this study suggest that there are strong associations between patients' needs and psychological distress with newly diagnosed breast cancer. Social support might affect these associations in Chinese women with breast cancer.
本研究旨在评估中国新诊断乳腺癌患者的心理压力和社会支持与焦虑及抑郁症状之间的关联。
招募了401例乳腺癌患者。通过结构化问卷确定其人口统计学特征、心理压力和社会支持情况，并使用医院焦虑抑郁量表评估其焦虑和抑郁症状。
经因素分析确定，乳腺癌诊断引发的心理压力源主要来自五个方面。这些包括“担心健康受损”“害怕身体功能下降”“担心工作受影响”“担心日常生活和社会关系受限”以及“害怕家庭受影响”。分层线性回归分析表明，在调整性别、年龄、婚姻状况、教育水平和病程后，稳固的社会支持可缓解此类症状。
本研究结果表明，新诊断乳腺癌患者的需求与心理困扰之间存在密切关联。社会支持可能会影响中国乳腺癌女性患者的这些关联。
