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[妇科肿瘤随访实践的社会医学方面(对308名接受生殖器和乳腺癌治疗的女性的回顾性研究)]

[Sociomedical aspects of a gynecological tumor follow-up practice (retrospective study of 308 women following genital and breast cancer therapy)].

作者信息

Wenderlein J M

出版信息

Zentralbl Gynakol. 1982;104(19):1250-9.

PMID:7158146
Abstract

Described in this paper are correlations between gynaecological carcinomas and the environment which were subject of a pilot study into 308 women.--MPI testing of aspects relating to personality psychology showed that one of the dimensions, extraintroversion, was independent of age but related with statistical significance to the time which had passed from primary tumour treatment. More than five years had passed from cancer therapy of one third of the above probands. Introverted personality traits were exhibited by 23 per cent of them. Only 15 per cent were introverted among 25 per cent of the above probands for whom tumour therapy had been one year back. The incidence of extraverted personality traits in the latter group was twice as high (21 per cent) as that in the group to whom primary cancer therapy had been applied more than five years back (ten per cent) (p less than 0,05). Social factors, too, were important to these correlations. --The amount of neurotic trends psychometrically recordable from married women following tumour therapy (25 per cent) was higher than that recorded from other women (16 per cent) (p less than 0,05). The incidence of neuroticism among women in tumour after-care who had given birth to three or more children was higher (33 per cent) than that recorded from those without children (ten per cent) (p 0,01).--The occurrence of psychosocial stress beyond expectation to women in the wake of cancer can be generally assessed by means of simple social data, such as age, marital status, and educational background.

摘要

本文描述了妇科癌症与环境之间的相关性,这是一项针对308名女性的初步研究的主题。——对人格心理学相关方面的MPI测试表明,其中一个维度,即外向性与内向性,与年龄无关,但与原发性肿瘤治疗后过去的时间具有统计学意义上的相关性。上述三分之一的受试者距离癌症治疗已经过去了五年多。其中23%表现出内向型人格特质。在上述25%的受试者中,肿瘤治疗在一年前进行,只有15%是内向型。后一组中外向型人格特质的发生率(21%)是原发性癌症治疗在五年多前进行的组(10%)的两倍(p小于0.05)。社会因素对这些相关性也很重要。——从肿瘤治疗后的已婚女性中通过心理测量可记录的神经质倾向数量(25%)高于其他女性(16%)(p小于0.05)。在肿瘤后续护理中生育三个或更多孩子的女性中神经质的发生率更高(33%),高于没有孩子的女性(10%)(p小于0.01)。——癌症后女性超出预期的心理社会压力的发生情况通常可以通过简单的社会数据来评估,如年龄、婚姻状况和教育背景。

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