İzci Filiz, Sarsanov Dauren, Erdogan Zeynep İyigün, İlgün Ahmet Serkan, Çelebi Esra, Alço Gül, Kocaman Nazmiye, Ordu Çetin, Öztürk Alper, Duymaz Tomris, Pilavcı Kezban Nur, Elbüken Filiz, Ağaçayak Filiz, Aktepe Fatma, Ünveren Gizem, Özdem Gözdem, Eralp Yeşim, Özmen Vahit
Department of Psychiatry, İstanbul Bilim University School of Medicine, İstanbul, Turkey.
Department of General Surgery, İstanbul Florence Nightingale Hospital, İstanbul, Turkey.
Eur J Breast Health. 2018 Apr 1;14(2):105-111. doi: 10.5152/ejbh.2018.3724. eCollection 2018 Apr.
The aim of this study was to investigate the impacts of personality traits, anxiety, depression and hopelessness levels on quality of life in the patients with breast cancer.
The study was performed on 90 patients diagnosed with breast cancer and 90 healthy women. Sociodemographic and Clinical Data Collection Form designed by us, Beck Hopelessness Scale (BHS), Beck Anxiety Scale (BAS), Beck Depression Scale (BDS), Eysenck Personality Inventory (EPI) and Quality of Life Scale-Short Form (SF-36) were administered to patients and to control group.
The patients with breast cancer were found to indicate higher levels of anxiety and depression, lower levels of quality of life, and higher scores of personality inventory subscales as compared to the healthy control group. In the patient group, it was identified that the quality of life subscale scores were found to be negatively correlated with anxiety, depression, hopelessness and neurotic personality scores; there was a positive correlation between neurotic personality scores and depression, anxiety and hopelessness scores.
It can be concluded that the breast cancer patients with extraversion personality traits have lower levels of anxiety and depression, keeping their quality of life better, whereas the patients with higher neuroticism scores may have more impaired quality of life. Therefore, the psychiatric evaluation of the breast cancer patients during and after the treatment cannot be ruled out.
本研究旨在探讨人格特质、焦虑、抑郁和绝望水平对乳腺癌患者生活质量的影响。
对90例确诊为乳腺癌的患者和90名健康女性进行了研究。向患者和对照组发放了我们自行设计的社会人口学和临床数据收集表、贝克绝望量表(BHS)、贝克焦虑量表(BAS)、贝克抑郁量表(BDS)、艾森克人格问卷(EPI)和生活质量简表(SF-36)。
发现乳腺癌患者与健康对照组相比,焦虑和抑郁水平更高,生活质量水平更低,人格问卷各分量表得分更高。在患者组中,发现生活质量分量表得分与焦虑、抑郁、绝望和神经质人格得分呈负相关;神经质人格得分与抑郁、焦虑和绝望得分呈正相关。
可以得出结论,具有外向型人格特质的乳腺癌患者焦虑和抑郁水平较低,生活质量较好,而神经质得分较高的患者生活质量可能受损更严重。因此,不能排除在乳腺癌患者治疗期间和治疗后的精神科评估。