Akechi T, Kugaya A, Okamura H, Nishiwaki Y, Yamawaki S, Uchitomi Y
Psycho-Oncology Division, National Cancer Centre Research Institute East, Chiba, Japan.
Support Care Cancer. 1998 May;6(3):281-6. doi: 10.1007/s005200050167.
Although there is a need for systematic research on the psychosocial issues faced by lung cancer patients, there have been few studies in this area. The objective of the present study was to investigate potential predictors of psychological distress among ambulatory lung cancer patients. The variables examined included the patients' characteristics, coping responses, and social support factors. Lung cancer patients completed the Profile of Mood States (POMS) and the Mental Adjustment to Cancer scale (MAC scale), and information pertaining to demographic variables and social support factors was obtained from them at a structured interview. Evaluable data were obtained from 87 patients. The results of multiple regression analysis indicated that female gender, living alone, no children in the role of confidant, nurses as confidants, and helplessness/hopelessness as a coping style were predictive for psychological distress. Information on patients' demographic variables and psychosocial correlates of psychological distress may later be useful in developing interventions to facilitate their adjustment to lung cancer.
尽管有必要对肺癌患者面临的心理社会问题进行系统研究，但该领域的研究却很少。本研究的目的是调查门诊肺癌患者心理困扰的潜在预测因素。所考察的变量包括患者的特征、应对反应和社会支持因素。肺癌患者完成了情绪状态量表（POMS）和癌症心理适应量表（MAC量表），并通过结构化访谈从他们那里获取了有关人口统计学变量和社会支持因素的信息。从87名患者那里获得了可评估的数据。多元回归分析结果表明，女性、独居、没有可作为知己的子女、护士作为知己以及无助/绝望作为一种应对方式是心理困扰的预测因素。患者的人口统计学变量信息以及心理困扰的心理社会相关因素，日后可能有助于制定干预措施，以促进他们对肺癌的适应。
