Sohn In Jung, Han Jung Woo, Hahn Seung Min, Song Dong Ho, Lyu Chuhl Joo, Cheon Keun Ah
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.
Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2017 Jul;58(4):816-822. doi: 10.3349/ymj.2017.58.4.816.
Children and adolescents diagnosed with cancer experience emotional distress, such as sadness, worrying, and irritability. However, there is little information about the psychological well-being of parents at the time of their child's diagnosis. We sought to identify factors that were associated with emotional distress in cancer patients as a basis for developing innovative psychological interventions.
A retrospective chart review was performed on patients newly diagnosed with cancer at a single center in Korea from 2014 to 2016. Eighty-five patients and their mothers completed psychological inventories. To determine factors associated with emotional distress in patients, we assessed the psychological inventory results using multiple linear regression after performing correlation analysis.
The maternal Beck Depression Inventory-II (BDI-II) score was positively correlated with total problem scores and externalizing scores in patients aged less than 7 years. In patients aged 7-12 years, there was no significant association between the patient's emotional distress and other variables. In contrast, the maternal BDI-II score was the strongest factor associated with patient depression in adolescents.
We suggest that the most important factor affecting emotional distress in children and adolescents with cancer is maternal depression, especially in patients aged 1-6 years and aged 13-17 years. Understanding the factors associated with emotional distress of cancer patients allows us to develop early psychiatric interventions for patients and their parents at the initial psychological crisis.
被诊断患有癌症的儿童和青少年会经历情绪困扰，如悲伤、担忧和易怒。然而，关于孩子确诊时父母的心理健康状况，相关信息却很少。我们试图确定与癌症患者情绪困扰相关的因素，以此为开发创新性心理干预措施奠定基础。
对2014年至2016年在韩国某单一中心新确诊癌症的患者进行回顾性病历审查。85名患者及其母亲完成了心理量表测试。为确定与患者情绪困扰相关的因素，我们在进行相关性分析后，使用多元线性回归评估心理量表测试结果。
母亲的贝克抑郁量表第二版（BDI-II）得分与7岁以下患者的总问题得分和外化得分呈正相关。在7至12岁的患者中，患者的情绪困扰与其他变量之间无显著关联。相比之下，母亲的BDI-II得分是青少年患者抑郁的最强相关因素。
我们认为，影响癌症患儿和青少年情绪困扰的最重要因素是母亲的抑郁，尤其是在1至6岁和13至17岁的患者中。了解与癌症患者情绪困扰相关的因素，有助于我们在最初的心理危机阶段为患者及其父母开展早期精神科干预。
