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评估癌症患者家属中躯体化症状的患病率。

Evaluating the prevalence of somatization symptoms in the family of cancer patients.

作者信息

Sharbafchi Mohammad Reza, Naji Fateme, Ghaderi Soleyman, Aghanouri Mahboube, Barouti Zahra

机构信息

Behavioral Sciences Research Center, Department of Psychiatry, Isfahan University of Medical Sciences, Iranian Cancer Control Center (MACSA), Isfahan, Iran.

Behavioral Sciences Research Center, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Sci Rep. 2025 Jul 2;15(1):22583. doi: 10.1038/s41598-025-85474-5.

Abstract

The psychological well-being of family members caring for cancer patients impacts care and the health of both parties. This study examines somatization symptoms prevalence among families of breast, lung, and colorectal cancer patients. This cross-sectional study at Omid Hospital and Isfahan Cancer Prevention and Control Center (September 2018 to September 2019) randomly involved 780 family caregivers. Demographic data and the patient's medical history were collected. Somatic symptoms were assessed using the Screening for somatoform symptoms and Patient Health Questionnaire. Statistical analysis used SPSS version 23, with significance at P < 0.05. Among 780 subjects (mean age: 40.56 ± 13.88 years), 407 (52.2%), 317 (40.6%), and 56 (7.2%) cared for colorectal, breast, and lung cancer patients, respectively. Caregivers of lung cancer patients reported significantly more excessive thoughts, feelings, or behaviors related to somatic symptoms (P = 0.027) along with neurological, cardio-respiratory, gastrointestinal, urogenital, and musculoskeletal symptoms (P < 0.001). General complaints were more prevalent among relatives of colorectal cancer patients (P < 0.001). 89.5% of caregivers exhibited excessive somatic symptom-related thoughts, feelings, or behaviors significantly associated with their relationship level with the cancer patient (P = 0.003). Caregivers of lung cancer patients (P = 0.028), female (P = 0.001), married (P = 0.005), and unemployed individuals (P = 0.001) reported higher PHQ-15 scores (mean score = 8.53 ± 5.73) indicating more frequent moderate to severe symptoms. Symptom severity showed no considerable association with age, education, patient illness duration, and relation level with the patient. Somatization symptoms are prevalent among caregivers of cancer patients. Targeted interventions, such as mental health screening and psychosocial support, are crucial to address caregivers' psychological well-being.

摘要

照顾癌症患者的家庭成员的心理健康会影响护理情况以及双方的健康。本研究调查了乳腺癌、肺癌和结直肠癌患者家庭中躯体化症状的患病率。这项于2018年9月至2019年9月在奥米德医院和伊斯法罕癌症预防与控制中心开展的横断面研究随机纳入了780名家庭护理人员。收集了人口统计学数据和患者的病史。使用躯体形式症状筛查量表和患者健康问卷对躯体症状进行评估。采用SPSS 23版进行统计分析,P < 0.05具有统计学意义。在780名受试者(平均年龄:40.56 ± 13.88岁)中,分别有407名(52.2%)、317名(40.6%)和56名(7.2%)照顾结直肠癌、乳腺癌和肺癌患者。肺癌患者的护理人员报告称,与躯体症状相关的过度想法、感受或行为明显更多(P = 0.027),同时伴有神经、心肺、胃肠、泌尿生殖和肌肉骨骼症状(P < 0.001)。一般抱怨在结直肠癌患者的亲属中更为普遍(P < 0.001)。89.5%的护理人员表现出与躯体症状相关的过度想法、感受或行为,且与他们和癌症患者的关系程度显著相关(P = 0.003)。肺癌患者的护理人员(P = 0.028)、女性(P = 0.001)、已婚者(P = 0.005)和失业者(P = 0.001)报告的PHQ - 15得分较高(平均得分 = 8.53 ± 5.73),表明中度至重度症状更为频繁。症状严重程度与年龄、教育程度、患者病程以及与患者的关系程度无显著关联。躯体化症状在癌症患者的护理人员中普遍存在。针对性的干预措施,如心理健康筛查和心理社会支持,对于解决护理人员的心理健康问题至关重要。

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