肺癌患者抑郁情绪与自动思维，功能失调性认知和应对方式的研究

发布时间：2018-05-12 08:04

本文选题：抑郁情绪 + 自动思维　；参考：《兰州大学》2006年硕士论文

【摘要】：目的:本文主要研究肺癌患者当中有抑郁情绪的病人与没有抑郁情绪者之间在思维方式,功能失调性认知方面及应对策略上存在的差异,以期发现一些与肺癌抑郁有关的心理因素,为临床肺癌病人及早发现抑郁者及诊治提供心理学依据。方法:采用SDS(Zung抑郁自评量表),ATQ(自动思维问卷),DAS(功能失调性量表),MCMQ(医学应对问卷),对51例住院肺癌患者进行了调查。结果:51例肺癌患当中有抑郁情绪者有35例,占68%。其ATQ为:ATQ:53.26±13.27,16例非抑郁者ATQ:44.88±8.96,肺癌抑郁者自动思维多于没有抑郁情绪者。DAS总分抑郁患者与非抑郁患者当中分别为142.91±17.45和133.81±13.78,两独立样本均数T-检验P=0.9380.05,提示功能失调性认知癌症抑郁患者和癌症非抑郁患者当中没有差别。肺癌抑郁患者的抑郁与完美化,依赖性,吸引和排斥方面三方面呈正相关。应对方式,只有面对一项在抑郁组与非抑郁组之间存在差异(P=0.0390.05),癌症患者的抑郁与面对应对方式正相关,而回避与屈服两组之间无差异(P0.05),与回避,屈服应对方式未见相关。结论: 1.肺癌病人不论有无抑郁,均存在负性自动思维,其中有抑郁情绪者比没有抑郁情绪者负性自动思维更严重。 2.肺癌患者存在明显的功能失调性认知,有抑郁情绪的存在更多的功能失调性认知。提示两者虽然在性质上相似,但程度上有差异。提示功能失调性认知是与癌
[Abstract]:Objective: to study the differences in thinking style, dysfunctional cognition and coping strategies between patients with depression and those without depression in lung cancer patients. In order to find some psychological factors related to lung cancer depression and provide psychological basis for clinical lung cancer patients to find depression early and diagnosis and treatment. Methods: 51 inpatients with lung cancer were investigated by SDS(Zung depression self-rating scale (SDS(Zung). Results among 51 cases of lung cancer, 35 cases (68%) had depression. Its ATQ was: ATQ: 53.26 卤13.27.16 cases of non-depressive patients ATQ:44.88 卤8.96. The total scores of depressive patients with lung cancer were 142.91 卤17.45 and 133.81 卤13.78. the total scores of depression and non-depression patients were 142.91 卤17.45 and 133.81 卤13.78 respectively. The average value of two independent samples (T- test) was 0.9380.05, suggesting dysfunctional cognitive carcinoma. There was no difference between depressive patients and non-depressive cancer patients. Depression in patients with lung cancer depression is positively correlated with perfection, dependence, attraction and rejection. There was only one difference in coping style between depression group and non-depression group. There was a positive correlation between depression and coping style in cancer patients, but there was no difference between avoidance group and submission group (P 0.05), but there was no correlation between depression and coping style. Conclusion: 1. There was negative automatic thinking in lung cancer patients with or without depression, and the negative automatic thinking was more serious in patients with depression than in those without depression. 2. There are obvious dysfunctional cognition in lung cancer patients and more dysfunctional cognition in depression. The results suggest that although they are similar in nature, they differ in degree. It suggests that dysfunctional cognition is associated with cancer.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R395

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