Lavelle C, Ismail M F, Doherty K, Bowler A, Mohammad M M, Cassidy E M
South Lee Mental Health Service, Cork University Hospital, Wilton, Cork, Ireland.
Department of Psychiatry and Neurobehavioural Science, University College Cork, Cork University Hospital, Wilton, Cork, Ireland.
Ir Med J. 2017 Jun 9;110(6):579.
Psychological distress is common in patients with cancer and psychological well-being is increasingly seen as an important component of cancer care. The aim of this study was to examine the relationship between cancer type and subjective distress. The following data were collected from a database of consecutive psycho-oncology referrals to the Liaison Psychiatry service in Cork University Hospital from 2006 to 2015: demographics, cancer diagnosis, Distress Thermometer (DT) score. 2102 out of 2384 referrals were assessed. Of those assessed, the most common cancer diagnoses were breast (23%, n=486) followed by haematological (21%, n=445). There were significant difference in DT score between the different cancer types, (?2(13)=33.685, p=0.001, Kruskal-Wallis test). When adjusted for age, gender and whether or not the cancer was recently diagnosed, there was no significant association between cancer type and psychological distress. In conclusion, cancer type is not associated with level of distress in cancer.
心理困扰在癌症患者中很常见，心理健康越来越被视为癌症护理的一个重要组成部分。本研究的目的是探讨癌症类型与主观困扰之间的关系。从2006年至2015年科克大学医院联络精神科连续的心理肿瘤转诊数据库中收集了以下数据：人口统计学资料、癌症诊断、苦恼温度计（DT）评分。在2384例转诊病例中，有2102例接受了评估。在这些接受评估的病例中，最常见的癌症诊断是乳腺癌（23%，n = 486），其次是血液系统癌症（21%，n = 445）。不同癌症类型之间的DT评分存在显著差异（χ²(13)=33.685，p = 0.001，Kruskal-Wallis检验）。在对年龄、性别以及癌症是否为近期诊断进行校正后，癌症类型与心理困扰之间无显著关联。总之，癌症类型与癌症患者的苦恼程度无关。
