癌症患者精神健康与焦虑和抑郁之间的关系。
Relationship between spiritual well-being with anxiety and depression among cancer patients.
作者信息
Vakili Sadeghi Mohsen, Tehrani Mohammad Ali Hossein, Pasha Hajar, Hamidia Angela, Nabipour Majid, Khafri Soraya, Yadollahpour Mohammad Hadi
机构信息
Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
出版信息
PLoS One. 2025 Jun 18;20(6):e0322923. doi: 10.1371/journal.pone.0322923. eCollection 2025.
BACKGROUND
Spiritual health is one of the basic concepts regarding how to deal with the problems caused by the disease. Anxiety and depression are common psychological consequences that affect the treatment process in cancer patients. Therefore, the present study has been conducted to explore relationship between spiritual well-being with anxiety and depression among cancer patients.
METHODS
A total of 200 eligible cancer patients were included in this cross-sectional survey. Questionnaires of the Hospital Anxiety and Depression Scale (HADS) and Spiritual Well-Being Scale (SWB) were provided to patients.
RESULTS
The mean anxiety and depression scores were 9.98 ± 3.74 and 9.68 ± 3.32, respectively. Nearly half of the patients had anxiety and depression disorders. Age (β = -.300, P = .017) was a significant negative predictor for anxiety, and also education (β = -.885, P = .004) was a significant and negative predictor for depression. The mean score of patients' spiritual well-being was 76.61 ± 20.01, and its dimensions including existential well-being and religious well-being were 37.35 ± 9.78, and 39.27 ± 10.38, respectively. The majority of patients had a moderate level of spiritual well-being (81%). There was a statistically significant relationship between educational levels and spiritual well-being (P = 049), and religious well-being (P = 033). The spiritual well-being could significantly and negatively predict anxiety (β = -0.154, P < 0.001) and depression (β = -.134, P = < 0.001). There was a significant and inverse relationship between religious well-being with anxiety (rho = -.832, P < 0.001) and depression (rho = -.842, P < 0.001), and between existential well-being with anxiety (rho = -.830, P < 0.001) and depression (rho = -0.813, P < 0.001). There was a significant positive relationship between anxiety and depression (rho = 0.717, P < 0.001). The highest percentage of patients with depression disorder had more anxiety (75.6%).
CONCLUSIONS
Spirituality can serve as a protective factor for psychological morbidity. Spirituality wellbeing-based care programs are suggested as a good method to promote mental health in cancerous patients.
背景
精神健康是关于如何应对疾病所引发问题的基本概念之一。焦虑和抑郁是影响癌症患者治疗过程的常见心理后果。因此，开展本研究以探讨癌症患者精神幸福感与焦虑和抑郁之间的关系。
方法
本横断面调查共纳入200名符合条件的癌症患者。向患者发放医院焦虑抑郁量表（HADS）和精神幸福感量表（SWB）问卷。
结果
焦虑和抑郁的平均得分分别为9.98±3.74和9.68±3.32。近一半的患者患有焦虑和抑郁障碍。年龄（β = -0.300，P = 0.017）是焦虑的显著负向预测因子，教育程度（β = -0.885，P = 0.004）是抑郁的显著负向预测因子。患者精神幸福感的平均得分为76.61±20.01，其维度包括生存幸福感和宗教幸福感，分别为37.35±9.78和39.27±10.38。大多数患者的精神幸福感处于中等水平（81%）。教育程度与精神幸福感（P = 0.049）和宗教幸福感（P = 0.033）之间存在统计学显著关系。精神幸福感可显著负向预测焦虑（β = -0.154，P < 0.001）和抑郁（β = -0.134，P < 0.001）。宗教幸福感与焦虑（rho = -0.832，P < 0.001）和抑郁（rho = -0.842，P < 0.001）之间，以及生存幸福感与焦虑（rho = -0.830，P < 0.001）和抑郁（rho = -0.813，P < 0.001）之间存在显著的负相关关系。焦虑和抑郁之间存在显著的正相关关系（rho = 0.717，P < 0.001）。患有抑郁障碍的患者中，焦虑比例最高（75.6%）。
结论
精神性可作为心理疾病的保护因素。建议开展基于精神幸福感的护理项目，作为促进癌症患者心理健康的良好方法。
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