身体症状是否预示着癌症患者的心理问题? : 纪念症状评估规模-简短形式
Katherine Webber1, Andrew Neil Davies2, Melanie Waghorn3
1Department of Supportive and Palliative Care, Royal Surrey Hospital NHS Foundation Trust, Guildford, UK kath@kathwebber.com.
BMJ supportive & palliative care
|July 18, 2023
概括
某些身体症状与心理困扰相关,但不能独立预测情绪障碍. 综合性患者评估对于识别所有潜在问题至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 医学研究 医学研究
背景情况:
- 来自两项研究的数据的二次分析.
- 使用了纪念症状评估尺度-简短表格 (MSAS-SF).
- 在NIHR临床研究网络组合 (CPMS ID 30723) 和IRAS ID 198753注册的试验.
研究的目的:
- 确定单个身体症状是否预示着心理障碍.
- 调查身体症状和心理痛苦之间的关系.
- 评估情绪障碍特定身体症状的预测价值.
主要方法:
- 对1507名患者的二次数据分析.
- 斯皮尔曼的相关性,以评估与MSAS-PSYCH子尺度的症状关系.
- 线性回归用于测试心理障碍的身体症状的预测能力.
主要成果:
- 分析了1507名患者的数据.
- 身体症状如疼痛,疲劳,昏昏欲睡,头,便秘,胀气和改变自我感知与心理困扰相关 (MSAS-PSYCH).
- 没有个体身体症状独立预测情绪障碍;一些症状存在于心理问题之外.
结论:
- 虽然某些身体症状与情绪障碍相关,但它们不能独立预测.
- 相关的身体和心理症状之间的因果关系仍然不清楚.
- 强调需要对所有患者问题进行全面评估.
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