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癌症与新冠病毒:关于冠状病毒对癌症患者创伤方面的初步研究。

Cancer and Covid-19: A preliminary study on the trauma aspects of coronavirus in cancer patients.

机构信息

Psychoncologist, Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy.

Università Cattolica Del Sacro Cuore, Milano, Italy.

出版信息

Psychooncology. 2022 Aug;31(8):1340-1346. doi: 10.1002/pon.5936. Epub 2022 Apr 17.

Abstract

OBJECTIVE

Because of Covid 19, it has become necessary to revise the treatment of cancer patients ("how" and "when"). That has had important psychological repercussions. The purpose of this study is the evaluation of the impact of Covid19 in terms of Post-Traumatic Stress Disorder and Depression and the potential association with coping strategies.

METHODS

We conducted an exploratory study with 106 patients undergoing treatment, using following questionnaires: Screening Questionnaire for Disaster Mental Health and Mini-Mental Adjustment to Cancer.

RESULTS

Only 25.5% of our sample showed symptoms of posttraumatic stress disorder (PTSD) and 6.6% revealed a probable presence of depression. In addition, it came up a significant correlation between SQD_P and the coping styles "Hopelessness" (r = 0.41 p < 0.001) and "Anxious Preoccupation" (r = 0.45, p < 0.001). A strong correlation also emerged between non-Covid 19 patients and PTSD (r = 0.29, p = 0.002).

CONCLUSIONS

Our preliminary data did not reveal a prevalence of PTSD, but the persistence of the health emergency requires to focus future research on protective and risk factors related to PTSD and psychological distress in cancer patients, in order to reduce the mental health burden of Covid19.

摘要

目的

由于新冠疫情,有必要修订癌症患者的治疗方案(“如何”和“何时”)。这对患者造成了重要的心理影响。本研究的目的是评估新冠疫情对创伤后应激障碍和抑郁的影响,以及与应对策略的潜在关联。

方法

我们对 106 名正在接受治疗的患者进行了一项探索性研究,使用了以下问卷:灾难心理健康筛查问卷和癌症心理调整量表。

结果

我们的样本中只有 25.5%的患者出现创伤后应激障碍(PTSD)症状,6.6%的患者可能存在抑郁。此外,SQD_P 与“绝望”(r=0.41,p<0.001)和“焦虑困扰”(r=0.45,p<0.001)这两种应对方式之间存在显著相关性。非新冠患者与 PTSD 之间也存在强烈相关性(r=0.29,p=0.002)。

结论

我们的初步数据并未显示 PTSD 的普遍存在,但由于卫生紧急情况的持续存在,需要将未来的研究重点放在与 PTSD 和癌症患者心理困扰相关的保护和风险因素上,以减轻新冠疫情对心理健康的负担。

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