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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.

DOI:10.1159/000287862
PMID:3983348
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。

相似文献

1
Prebioptic psychological characteristics of breast cancer patients.乳腺癌患者术前的心理特征。
Psychother Psychosom. 1985;43(2):69-76. doi: 10.1159/000287862.
2
Psychological identification of breast cancer patients before biopsy.
J Psychosom Res. 1982;26(1):1-10. doi: 10.1016/0022-3999(82)90057-5.
3
Incidence and perception of psychosocial stress: the relationship with breast cancer.心理社会压力的发生率与认知:与乳腺癌的关系
Psychol Med. 1989 May;19(2):415-22. doi: 10.1017/s0033291700012459.
4
The social-psychological precursors to cancer.癌症的社会心理先兆。
J Human Stress. 1984 Spring;10(1):4-11. doi: 10.1080/0097840X.1984.9934953.
5
Social and psychological differences between cancer and noncancer patients: cause or consequence of the disease?癌症患者与非癌症患者之间的社会和心理差异:疾病的原因还是后果?
Psychother Psychosom. 1984;41(4):195-9. doi: 10.1159/000287809.
6
Type A stress prone behaviour and breast cancer.
Psychol Med. 1990 Aug;20(3):663-70. doi: 10.1017/s0033291700017189.
7
[Psychological factors in the development of breast cancer].[乳腺癌发生中的心理因素]
Gynakol Rundsch. 1991;31 Suppl 2:362-3.
8
[The stability of Gottschalk and Gleser content analytic measurement of affect].[戈特沙尔克与格莱泽情感内容分析测量法的稳定性]
Z Klin Psychol Psychother. 1982;30(3):202-13.
9
[Psychosocial factors in carcinogenesis: on the problem of the so-called cancer personality].
Geburtshilfe Frauenheilkd. 1995 Jun;55(6):M66-7.
10
The relationship between psychosocial factors and breast cancer: some unexpected results.社会心理因素与乳腺癌之间的关系:一些意外的结果。
Behav Med. 1990 Spring;16(1):5-14. doi: 10.1080/08964289.1990.9934586.

引用本文的文献

1
Psychological stress and breast cancer incidence: a systematic review.心理压力与乳腺癌发病率:一项系统综述。
Clujul Med. 2018;91(1):18-26. doi: 10.15386/cjmed-924. Epub 2018 Jan 15.
2
Psychosocial factors in the development and progression of breast cancer.乳腺癌发生与发展中的社会心理因素
Breast Cancer Res Treat. 1994 Feb;29(2):141-60. doi: 10.1007/BF00665676.