Neuhaus W, Lanij B, Ahr A, Bolte A
Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Universität zu Köln.
Geburtshilfe Frauenheilkd. 1994 Oct;54(10):564-8. doi: 10.1055/s-2007-1022340.
In a prospective follow-up study, attention was focused on adjustment to disease in breast cancer patients one year after diagnosis. Prebioptic data was collected in the original patient group consisting of 95 women with mammary tissue findings that required clarification. Twenty-nine women with histological confirmation of breast cancer and 37 patients of the control group with benign histological findings were recontacted after an interval of one year. Data was collected by means of psychological test questionnaires (STAI, SVF, FPI, CIP-DS), the patients with breast cancer were given an additional problem-oriented questionnaire about coping with disease, compiled by the author. Most denied having disease-related fears-progression of the disease, premature death; instead, marked sleep disturbances, regularly, recurring nightmares, and depressed states of mind characterized the psychosomatic correlate of the mental burden. The psychological consequences of cancer are related to some extent to the stage of tumour growth at the time of diagnosis; the process of social reintegration appears to be facilitated in women whose biopsy operation did not involve removal of a breast. An clear characterization of breast cancer patients could not be established using psychological testing procedures one year after diagnosis of the disease.
在一项前瞻性随访研究中，重点关注乳腺癌患者确诊一年后对疾病的适应情况。在最初的患者组中收集活检前数据，该组由95名有乳腺组织检查结果需要进一步明确的女性组成。一年后再次联系了29名经组织学确诊为乳腺癌的女性以及37名组织学检查结果为良性的对照组患者。通过心理测试问卷（状态-特质焦虑量表、症状自评量表、人格问卷、应对方式问卷）收集数据，乳腺癌患者还被给予了一份由作者编制的关于应对疾病的针对性问题问卷。大多数人否认有与疾病相关的恐惧——疾病进展、过早死亡；相反，明显的睡眠障碍、频繁反复出现的噩梦以及抑郁情绪是心理负担的身心相关特征。癌症的心理后果在一定程度上与确诊时肿瘤生长的阶段有关；活检手术未涉及乳房切除的女性的社会重新融入过程似乎更容易。在疾病确诊一年后，使用心理测试程序无法明确乳腺癌患者的特征。
