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夫妻双方在前列腺活组织检查中的行为与心理社会纵向研究概况及困扰

Psychosocial longitudinal study profile and distress of couples in relation to the conduct of prostate biopsy.

机构信息

*Patient Support Center, Gunma Prefectural Cancer Center, 17-1 Takahayashi-nishimachi, Ota, Gunma, Japan.

出版信息

Jpn J Clin Oncol. 2014 May;44(5):463-71. doi: 10.1093/jjco/hyu022. Epub 2014 Mar 18.

Abstract

OBJECTIVE

Partners of prostate cancer patients have been reported to suffer from high levels of psychological distress, although there are few reports of the changes in their distress levels observed before and after the diagnosis and the factors influencing them. This study constructed a longitudinal psychosocial database of prostate cancer biopsy subjects and their partners. This paper describes a summary of the database and the nature and severity of the psychological distress and cancer-related worry.

METHODS

We distributed self-administered questionnaires to subjects scheduled for a prostate cancer biopsy and their partners on four occasions: prior to the biopsy, and 1, 3 and 6 months after being informed whether the diagnosis was cancer or not. The questionnaires included questions pertaining to the psychological distress, cancer-related worry and correlational factors.

RESULTS

Of the 240 couples who agreed to participate in the database project, 184 couples completed the first and second surveys; thus, the database consists of them. While no significant differences in the levels of psychological distress were found among the participants before the biopsy, the prostate cancer patients and their partners had significantly higher levels of psychological distress as compared with the non-prostate cancer patients at 1 month after being informed whether the diagnosis was cancer or not.

CONCLUSIONS

This study constructed a longitudinal psychosocial database of prostate cancer biopsy subjects and their partners. Our findings suggest that partners of prostate cancer patients might experience a similar psychological impact to the prostate cancer patients before and after the diagnosis.

摘要

目的

据报道,前列腺癌患者的伴侣会经历高水平的心理困扰,尽管关于他们在诊断前后的困扰水平变化及其影响因素的报告很少。本研究构建了一个前列腺癌活检患者及其伴侣的纵向社会心理数据库。本文介绍了该数据库的概述,以及心理困扰和癌症相关担忧的性质和严重程度。

方法

我们在四个时间点向计划进行前列腺癌活检的患者及其伴侣发放了自填式问卷:活检前、诊断后 1 个月、3 个月和 6 个月。问卷包括心理困扰、癌症相关担忧和相关因素的问题。

结果

在同意参与数据库项目的 240 对夫妇中,有 184 对夫妇完成了第一和第二次调查;因此,该数据库由他们组成。虽然在活检前,参与者之间的心理困扰水平没有显著差异,但在诊断后 1 个月,与非前列腺癌患者相比,前列腺癌患者及其伴侣的心理困扰水平显著升高。

结论

本研究构建了一个前列腺癌活检患者及其伴侣的纵向社会心理数据库。我们的发现表明,前列腺癌患者的伴侣在诊断前后可能会经历与前列腺癌患者相似的心理影响。

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