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乳腺癌患者身体活动强度与心理健康状况的关系

The Relationship between Physical Activity Intensity and Mental Health Status in Patients with Breast Cancer.

作者信息

Kang Kyoung Doo, Bae Sujin, Kim Hee Jun, Hwang In Gyu, Kim Sun Mi, Han Doug Hyun

机构信息

Department of Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

Department of Industry Academic Cooperation Foundation, Chung-Ang University, Seoul, Korea.

出版信息

J Korean Med Sci. 2017 Aug;32(8):1345-1350. doi: 10.3346/jkms.2017.32.8.1345.

Abstract

The aim of this study was to investigate the correlation between physical activity (PA) level and mental health status in a population-based sample of Korean female patients with breast cancer. Our analysis included 76 patients with breast cancer and 44 healthy controls. The Korean versions of the International Physical Activity Questionnaire (IPAQ), Beck Depressive Inventory (BDI), State-Trait Anxiety Inventory-KY (STAI-KY), and Somatosensory Amplification Scale (SSAS), and Quality of Life (QOL) scale were assessed. The frequency of moderate PA level in breast cancer patients was significantly lower than that of healthy control subjects (t = -2.6; P = 0.011). In turn, the incidence of low PA level in breast cancer patients was significantly higher than that observed in healthy controls (t = 2.85; P = 0.005). A moderate PA level was inversely correlated with BDI score (r = -0.35; P = 0.008) and was positively correlated with QOL score (r = 0.38; P = 0.011). A low level of PA was inversely correlated with SSAS score (r = -0.39; P < 0.001). In healthy controls, a high level of PA was positively correlated with QOL score (r = 0.50; P = 0.043). Moderate PA level was inversely correlated with SSAS score (r = -0.59; P < 0.001). A low level of PA was also positively correlated with BDI score (r = 0.35; P = 0.008). A moderate or low intensity of PA was inversely correlated with depression and somatosensory amplification and was positively correlated with QOL in breast cancer patients. Finally, we suggest that progressively low-to-moderate levels of PA can be well adapted to positively impact several measures of mental health.

摘要

本研究旨在调查韩国乳腺癌女性患者群体样本中身体活动(PA)水平与心理健康状况之间的相关性。我们的分析纳入了76例乳腺癌患者和44名健康对照者。对国际身体活动问卷(IPAQ)、贝克抑郁量表(BDI)、状态-特质焦虑量表-KY(STAI-KY)、体感放大量表(SSAS)以及生活质量(QOL)量表的韩语版本进行了评估。乳腺癌患者中适度PA水平的频率显著低于健康对照者(t = -2.6;P = 0.011)。相应地,乳腺癌患者中低PA水平的发生率显著高于健康对照者(t = 2.85;P = 0.005)。适度PA水平与BDI评分呈负相关(r = -0.35;P = 0.008),与QOL评分呈正相关(r = 0.38;P = 0.011)。低水平的PA与SSAS评分呈负相关(r = -0.39;P < 0.001)。在健康对照者中,高水平的PA与QOL评分呈正相关(r = 0.50;P = 0.043)。适度PA水平与SSAS评分呈负相关(r = -0.59;P < 0.001)。低水平的PA也与BDI评分呈正相关(r = 0.35;P = 0.008)。适度或低强度的PA与乳腺癌患者的抑郁和体感放大呈负相关,与生活质量呈正相关。最后,我们建议逐渐降低至适度水平的PA可以很好地适应,对多项心理健康指标产生积极影响。

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