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癌症患者治疗后适应障碍：心理治疗的患病率和接受度。

Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment.

机构信息

Department of Clinical, Neuro & Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Department of Medical Psychology, Radboud Institute of Health Sciences, Radboudumc Nijmegen, Nijmegen, The Netherlands.

出版信息

Support Care Cancer. 2022 Feb;30(2):1797-1806. doi: 10.1007/s00520-021-06530-0. Epub 2021 Oct 2.

DOI:10.1007/s00520-021-06530-0
PMID:34599663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8486632/
Abstract

PURPOSE

To investigate the prevalence of adjustment disorder (AD) among cancer patients and the acceptance of psychological treatment, in relation to sociodemographic, clinical, and psychological factors.

METHODS

Breast, prostate, and head and neck cancer patients of all stages and treatment modalities (N = 200) participated in this observational study. Patients completed the Hospital Anxiety and Depression Scale, Checklist Individual Strength, Distress Thermometer and problem list. Patients with increased risk on AD based on these questionnaires were scheduled for a diagnostic interview. Patients diagnosed with AD were invited to participate in a randomized controlled trial on the cost-effectiveness of psychological treatment. Participation in this trial was used as a proxy of acceptance of psychological treatment. Logistic regression analyses were used to investigate associated factors.

RESULTS

The overall prevalence of AD was estimated at 13.1%. Sensitivity analyses showed prevalence rates of AD of 11.5%, 15.0%, and 23.5%. Acceptance of psychological treatment was estimated at 65%. AD was associated both with being employed (OR = 3.3, CI = 1.3-8.4) and having a shorter time since diagnosis (OR = 0.3, CI = 0.1-0.8).

CONCLUSION

Taking sensitivity analysis into account, the prevalence of AD among cancer patients is estimated at 13 to 15%, and is related to being employed and having a shorter time since diagnosis. The majority of cancer patients with AD accept psychological treatment.

摘要

目的

调查癌症患者中适应障碍（AD）的患病率，以及与社会人口学、临床和心理因素相关的心理治疗接受度。

方法

本观察性研究纳入了各分期和治疗方式的乳腺癌、前列腺癌和头颈部癌患者（共 200 例）。患者完成了医院焦虑抑郁量表、个体强项检查表、痛苦温度计和问题清单。基于这些问卷，有 AD 风险增加的患者被安排进行诊断性访谈。被诊断为 AD 的患者被邀请参加一项关于心理治疗成本效益的随机对照试验。参与该试验被用作接受心理治疗的替代指标。采用逻辑回归分析调查相关因素。

结果

AD 的总体患病率估计为 13.1%。敏感性分析显示 AD 的患病率分别为 11.5%、15.0%和 23.5%。心理治疗的接受度估计为 65%。AD 与就业（OR=3.3，CI=1.3-8.4）和诊断后时间较短（OR=0.3，CI=0.1-0.8）均相关。

结论

考虑到敏感性分析，癌症患者中 AD 的患病率估计为 13%至 15%，与就业和诊断后时间较短有关。大多数患有 AD 的癌症患者接受心理治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29ca/8727417/c517e4deeb61/520_2021_6530_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29ca/8727417/c517e4deeb61/520_2021_6530_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29ca/8727417/c517e4deeb61/520_2021_6530_Fig1_HTML.jpg

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