Silberfarb P M, Hauri P J, Oxman T E, Schnurr P
Department of Psychiatry, Dartmouth Medical School, Lebanon, NH.
J Clin Oncol. 1993 May;11(5):997-1004. doi: 10.1200/JCO.1993.11.5.997.
We studied the sleep architecture and psychologic state of 32 patients with breast or lung cancer compared with 32 age- and sex-matched, normal-sleeping volunteers and 32 otherwise healthy insomniacs.
Research findings indicate that lung cancer patients slept as poorly as did insomniacs, but underreported their sleep difficulties. Breast cancer patients slept similarly to normal-sleeping volunteers. No psychiatric disorders were detected in the cancer patients, and there were no significant differences in mood between lung and breast cancer patients.
Lung cancer patients appear to be unique in underestimating an objectively verified sleep difficulty. The adaptive mechanism of denial in these patients is discussed.
我们研究了32例乳腺癌或肺癌患者的睡眠结构和心理状态，并与32名年龄、性别匹配的正常睡眠志愿者以及32名其他方面健康的失眠症患者进行了比较。
研究结果表明，肺癌患者的睡眠质量与失眠症患者一样差，但他们对睡眠困难的报告不足。乳腺癌患者的睡眠情况与正常睡眠志愿者相似。在癌症患者中未检测到精神障碍，肺癌和乳腺癌患者在情绪方面也没有显著差异。
肺癌患者在低估客观证实的睡眠困难方面似乎具有独特性。本文讨论了这些患者中否认的适应机制。
