Köditz Anne-Kathrin, Mehnert-Theuerkauf Anja, Ernst Jochen
Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig.
Psychother Psychosom Med Psychol. 2025 Apr;75(3-04):122-126. doi: 10.1055/a-2390-1951. Epub 2024 Sep 11.
Patients facing the diagnosis of cancer are confronted with high stress levels, which increase the risk of developing a mental disorder. Being in a relationship moderates patients' mental health and can have a risk-reducing effect. We aim to describe the influence of partnership status on the 4-week-prevalence of mental disorders in cancer patients and how it varies by gender.
As part of the secondary data analysis of a multicenter cross-sectional study, 1857 patients with cancer (51,6% women, age 18-75 years, Ø age 57 years, 79,7% in a partnership) were assessed using a written questionnaire and, for the diagnosis of psychological disorders (4-week prevalence), the CIDI-O interview. Frequency calculations and binary logistic analyses were carried out.
In the univariate analyses, the frequency of the presence of at least one mental disorder is significantly lower in patients who are in a relationship (25,4% vs. 35,3%, p<0,001). They are also less likely to simultaneously suffer from multiple mental disorders. These differences are also evident for individual classes of disorders. The multivariate gender-differentiated analysis confirms this trend. In addition to age and income as significant predictors, only men experience a significant protective effect of their relationship against the occurrence of a mental disorder (OR=2,5, p<0,001).
There has been very limited research on the links between partnership status, gender, and mental disorders in cancer patients. The results found in our analyses should be further explored, particularly regarding the protective role of partnership against developing mental disorders.
In the context of psycho-oncological care the status of living alone should be considered as a possible risk factor for developing mental disorders, especially in men.
面临癌症诊断的患者承受着高压力水平，这增加了患精神障碍的风险。处于恋爱关系中可调节患者的心理健康，并可能具有降低风险的作用。我们旨在描述伴侣关系状态对癌症患者精神障碍4周患病率的影响，以及这种影响如何因性别而异。
作为一项多中心横断面研究二次数据分析的一部分，使用书面问卷对1857名癌症患者（51.6%为女性，年龄18 - 75岁，平均年龄57岁，79.7%处于恋爱关系中）进行评估，并通过CIDI - O访谈诊断心理障碍（4周患病率）。进行了频率计算和二元逻辑分析。
在单因素分析中，处于恋爱关系中的患者至少患有一种精神障碍的频率显著更低（25.4%对35.3%，p < 0.001）。他们同时患多种精神障碍的可能性也更小。这些差异在各类障碍中也很明显。多变量性别差异分析证实了这一趋势。除年龄和收入作为显著预测因素外，只有男性从其恋爱关系中获得了预防精神障碍发生的显著保护作用（OR = 2.5，p < 0.001）。
关于癌症患者的伴侣关系状态、性别与精神障碍之间的联系，研究非常有限。我们分析中发现的结果应进一步探索，特别是关于恋爱关系对预防精神障碍的保护作用。
在心理肿瘤护理背景下，独居状态应被视为患精神障碍的一个可能风险因素，尤其是在男性中。
