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乳腺癌患者术前的心理特征。

Prebioptic psychological characteristics of breast cancer patients.

作者信息

Wirsching M, Hoffmann F, Stierlin H, Weber G, Wirsching B

出版信息

Psychother Psychosom. 1985;43(2):69-76. doi: 10.1159/000287862.

Abstract

63 women were examined the day before breast biopsy using psychological ratings, speech analysis and questionnaire testings. Ratings revealed differences (benign vs. malignant, a = 5%) in 8 of 10 scales, cancer patients being inaccessible, altruistic, suppressing feelings, rationalizing and harmonizing. The biopsy's result was predicted in 75% of all cases. Questionnaire testing showed differences in 7 of 16 scales. It proved cancer patients to be more dependent, anxious, aggressive, health-conscious, family-bound and antisexual. A discriminant analysis correctly identified 77% of cancer and 87% of benign patients. Speech analysis (Gottschalk-Gleser) revealed only minor differences: fewer aggressive and more anxious utterances from cancer patients. Conclusions are drawn for the care and treatment of breast cancer patients.

摘要

63名女性在乳房活检前一天接受了心理评分、言语分析和问卷调查测试。评分显示,在10个量表中有8个存在差异(良性与恶性,α = 5%),癌症患者表现为难以接近、利他、压抑情感、合理化和协调。在所有病例中,75%的活检结果得到了预测。问卷调查测试显示,在16个量表中有7个存在差异。结果证明,癌症患者更依赖、焦虑、有攻击性、注重健康、受家庭束缚且有反性倾向。判别分析正确识别出了77%的癌症患者和87%的良性患者。言语分析(戈特沙尔克 - 格莱泽法)仅显示出细微差异:癌症患者攻击性言语较少,焦虑言语较多。文中得出了关于乳腺癌患者护理和治疗的结论。

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