皮质醇节律与精神神经症状集群之间的关系在患有晚期肺癌的患者中
Naomi Takemura1, Denise Shuk Ting Cheung, Daniel Yee Tak Fong
1Authors' Affiliation: School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Cancer nursing
|August 8, 2023
概括
患有晚期肺癌的患者往往会同时出现身体和心理症状. 在这些患者中,平坦的白天皮质醇倾斜与更严重的精神神经系统症状集群有关.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 心理神经免疫学 心理神经免疫学
背景情况:
- 晚期肺癌患者经常经历同时出现的身体和心理症状,形成症状集群.
- 在这些患者中,皮质醇节律和精神神经症状集群之间的关系尚不清楚.
研究的目的:
- 调查心理神经症状集群内的症状之间的相互关联.
- 确定影响晚期肺癌患者精神神经症状集群严重性的因素.
主要方法:
- 在2018年至2020年期间,招募了161名晚期肺癌患者.
- 收集了关于睡眠障碍,疲劳,心理困扰和白天皮质醇倾斜 (通过唾液样本) 的数据.
- 使用线性回归分析来检查皮质醇节律,临床变量和症状集群严重程度之间的关联.
主要成果:
- 包括睡眠障碍,疲劳,焦虑和抑郁症在内的精神神经症状显著相关.
- 身体表现不佳,并发性疾病增加,皮质醇节律平整与较高的症状集群严重程度有关.
- 一个平坦的白天皮质醇倾斜是影响精神神经症状集群的最关键因素.
结论:
- 在晚期肺癌患者中,平坦的白天皮质醇倾斜与更严重的精神神经系统症状集群相关,独立于人口和临床因素.
- 旨在改善并发症和身体表现状况的干预措施可能有助于缓解症状集群严重程度.
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