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认知行为疗法对癌症患者人格特征的影响

Cognitive behavioral therapy on personality characteristics of cancer patients.

作者信息

Yuan Xiao-Hui, Peng Juan, Hu Shu-Wei, Yang Yong, Bai Yu-Ju

机构信息

Zunyi Medical University, Zunyi 563000, Guizhou Province, China.

Teaching and Research Office of Medical Psychology, Zunyi Medical University, Zunyi 563003, Guizhou Province, China.

出版信息

World J Clin Cases. 2021 Nov 6;9(31):9386-9394. doi: 10.12998/wjcc.v9.i31.9386.

Abstract

BACKGROUND

The main treatment methods for cancer include surgery, radiotherapy, chemotherapy, targeted drug therapy and so on. Patients often feel anger, anxiety, depression, and other negative psychological reactions in the process of treatment.

AIM

To explore the effects of cognitive behavioral therapy on the personality characteristics of cancer patients.

METHODS

According to the matching design requirements, 150 cancer patients were divided into 3 groups based on sex, age, condition, and cultural background. Patients in the control group received conventional treatment. Patients in experimental group 1 received an intervention based on conventional treatment combined with cognitive behavioral therapy. Patients in experimental group 2 received family members' participation in addition to the treatment given in experimental group 1. An Eysenck personality questionnaire was used to investigate all the patients before and after the intervention, and the scores for psychosis, introversion, neuroticism, and concealment degree were analyzed.

RESULTS

Compared with the control group, for experimental group 1 and experimental group 2 before and after the intervention, the four dimensions of mental quality, neuroticism, introversion and concealment degree all decreased, and the difference was statistically significant ( < 0.05). After the intervention, there were no obvious or statistically significant differences ( > 0.05) among the control group, experimental group 1, and experimental group 2 for two personality traits, psychoticism and neuroticism, both inside and outside degree and all four dimensions.

CONCLUSION

Simple cognitive behavioral therapy could not change the personality characteristics of cancer patients quickly, but the patients' personality characteristics were significantly improved after treatment.

摘要

背景

癌症的主要治疗方法包括手术、放疗、化疗、靶向药物治疗等。患者在治疗过程中常出现愤怒、焦虑、抑郁等负面心理反应。

目的

探讨认知行为疗法对癌症患者人格特征的影响。

方法

按照匹配设计要求,根据性别、年龄、病情、文化背景将150例癌症患者分为3组。对照组患者接受常规治疗。实验组1患者在常规治疗基础上联合认知行为疗法进行干预。实验组2患者在实验组1治疗基础上增加家庭成员参与。采用艾森克人格问卷对所有患者干预前后进行调查,分析其精神质、内向性、神经质及掩饰度得分。

结果

与对照组相比,实验组1和实验组2干预前后精神质、神经质、内向性及掩饰度四个维度均降低,差异有统计学意义(<0.05)。干预后,对照组、实验组1和实验组2在精神质、神经质、内外向性及四个维度的两个人格特质方面均无明显差异或差异无统计学意义(>0.05)。

结论

单纯认知行为疗法不能迅速改变癌症患者的人格特征,但治疗后患者的人格特征有明显改善。

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Analysis of status and countermeasures of cancer incidence and mortality in China.中国癌症发病与死亡分析及对策
Sci China Life Sci. 2019 May;62(5):640-647. doi: 10.1007/s11427-018-9461-5. Epub 2019 Mar 12.

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