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乳腺癌患者的抑郁与复原力

Depression and Resilience in Breast Cancer Patients.

作者信息

Ristevska-Dimitrovska Gordana, Stefanovski Petar, Smichkoska Snezhana, Raleva Marija, Dejanova Beti

机构信息

University St. Kliment Ohridski Bitola, Higher Medical School Bitola, Bitola, Republic of Macedonia.

Clinical Hospital Dr. Trifun Panovski, Department of Oncology, Bitola, Republic of Macedonia.

出版信息

Open Access Maced J Med Sci. 2015 Dec 15;3(4):661-5. doi: 10.3889/oamjms.2015.119. Epub 2015 Nov 13.

Abstract

OBJECTIVE

A significant number of breast cancer patients, during their life with the diagnosis, experience emotional distress in the form of depression and anxiety. Psychological resilience is the ability of a person to protect his/her mental health when faced with adverse circumstances such as the cancer diagnosis. This study aims to assess the resilience in breast cancer patients and to explore whether depression affects the resilience.

MATERIAL AND METHODS

Two hundred eighteen (218) women, treated for early breast cancer responded to Connor - Davidson Resilience Scale and Hospital Depression and Anxiety Scale, in order to assess the level of psychological resilience and the level of depression.

RESULTS

There is a significant negative correlation between depression and resilience in our sample (r = - 0.562, p < 0.001). Individuals with higher levels of depression have lower levels of psychological resilience. There is no statistically significant correlation between the ages of the participants; time passed since diagnosis, cancer stage and resilience levels.

CONCLUSION

This study shows that patients who are less depressed have higher levels of resilience and that psychological resilience may independently contribute to lower levels of depression among breast cancer patients. The level of psychological resilience may be a protective factor for depression and psychological distress.

摘要

目的

相当数量的乳腺癌患者在确诊后的生活中会经历以抑郁和焦虑形式出现的情绪困扰。心理韧性是一个人在面对诸如癌症诊断等不利情况时保护其心理健康的能力。本研究旨在评估乳腺癌患者的心理韧性,并探讨抑郁是否会影响心理韧性。

材料与方法

218名接受早期乳腺癌治疗的女性对康纳 - 戴维森心理韧性量表和医院抑郁焦虑量表进行了回应,以评估心理韧性水平和抑郁水平。

结果

在我们的样本中,抑郁与心理韧性之间存在显著的负相关(r = - 0.562,p < 0.001)。抑郁水平较高的个体心理韧性水平较低。参与者的年龄、确诊后的时间、癌症分期与心理韧性水平之间没有统计学上的显著相关性。

结论

本研究表明,抑郁程度较低的患者心理韧性水平较高,并且心理韧性可能独立地有助于降低乳腺癌患者的抑郁水平。心理韧性水平可能是抑郁和心理困扰的一个保护因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/111b/4877904/ae907c766cc2/OAMJMS-3-661-g001.jpg

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