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淋巴瘤幸存者中与癌症相关的心理困扰:一项意大利横断面研究。

Cancer-Related Psychological Distress in Lymphoma Survivor: An Italian Cross-Sectional Study.

作者信息

Agostinelli Giulia, Muzzatti Barbara, Serpentini Samantha, Spina Michele, Annunziata Maria Antonietta

机构信息

Unit of Oncological Psychology - Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy.

IOV - Istituto Oncologico Veneto - IRCCS, Padua, Italy.

出版信息

Front Psychol. 2022 Apr 26;13:872329. doi: 10.3389/fpsyg.2022.872329. eCollection 2022.

DOI:10.3389/fpsyg.2022.872329
PMID:35558708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9088809/
Abstract

Cancer is becoming a chronic disease, and the number of cancer survivors continues to increase. Lymphoma survivors are also increasing in numbers, and anxiety and depression are among the consequences they face. This study aimed to explore psychological distress in a sample of 212 lymphoma survivors. Information through a socio-demographic form and the compilation of questionnaires to assess anxiety, depression, quality of life, and the impact of cancer on lymphoma survivors was collected and analyzed. In the sample examined, 17% of lymphoma survivors were anxiety caseness, and 12.3% were depression caseness, and of these, 8% presented with concomitant anxiety depression. This study identified some variables associated with psychological distress in lymphoma survivors: female sex; living as a couple; a diagnosis of Hodgkin lymphoma; systematic treatment and/or radiotherapy; sleep disorders; no regular physical activity; and present or past use of psychiatric drugs. Our cross-sectional study results suggest that some of the variables investigated may be useful in identifying lymphoma survivors who are more likely to report psychological distress. It is important to monitor psychological distress along the entire trajectory of survivorship in order to identify early the presence of anxiety and depression and to provide timely psychological support.

摘要

癌症正逐渐成为一种慢性病,癌症幸存者的数量持续增加。淋巴瘤幸存者的数量也在增多,焦虑和抑郁是他们面临的后果之一。本研究旨在探讨212名淋巴瘤幸存者样本中的心理困扰情况。通过社会人口学表格收集信息,并编制问卷以评估焦虑、抑郁、生活质量以及癌症对淋巴瘤幸存者的影响,然后进行分析。在所研究的样本中,17%的淋巴瘤幸存者有焦虑症状,12.3%有抑郁症状,其中8%同时存在焦虑和抑郁。本研究确定了一些与淋巴瘤幸存者心理困扰相关的变量:女性;已婚;霍奇金淋巴瘤诊断;系统治疗和/或放疗;睡眠障碍;无规律体育活动;以及目前或过去使用精神科药物。我们的横断面研究结果表明,所调查的一些变量可能有助于识别更有可能报告心理困扰的淋巴瘤幸存者。在整个生存轨迹中监测心理困扰很重要,以便早期发现焦虑和抑郁的存在并及时提供心理支持。

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本文引用的文献

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Disability, psychological distress and quality of life in relation to cancer diagnosis and cancer type: population-based Australian study of 22,505 cancer survivors and 244,000 people without cancer.残疾、心理困扰与癌症诊断和癌症类型相关的生活质量:基于人群的 22505 例癌症幸存者和 244000 例无癌症人群的澳大利亚研究。
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Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.《 distress management 》,版本 3.2019, NCCN 肿瘤临床实践指南。
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Long-term sleep disturbance and prescription sleep aid use among cancer survivors in the United States.美国癌症幸存者的长期睡眠障碍和处方助眠药物使用情况。
Support Care Cancer. 2020 Feb;28(2):551-560. doi: 10.1007/s00520-019-04849-3. Epub 2019 May 12.
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