瘤患者的防御风格和精神病理学:初步报告
Michele Ribolsi1, Eleonora Esposto2, Federica Cancelliere1
1Unit of Neurology, Neurophysiology, Neurobiology and Psychiatry, Department of Medicine, Campus Bio-Medico University, Rome, Italy.
癌症患者经常经历显著的精神困扰. 这项研究发现,精神病和神经病的防御机制都与体化有关,强调需要评估癌症护理中的应对策略.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 30-40%的癌症患者报告患有精神疾病.
- 癌症诊断可以触发无意识的防御机制来应对痛苦.
研究的目的:
- 探索防御机制及其与精神病理层面的关联.
- 在没有先前精神病史的晚期癌症患者中调查这些关联.
主要方法:
- 招募了50名没有先前精神疾病的晚期癌症患者.
- 进行了症状检查清单90 (SCL-90) 和防御风格问卷 (DSQ-40).
主要成果:
- 三分之一的患者表现出显著的精神困扰 (SCL-90 ≥2).
- 精神病的防御风格与敌意,强迫症症状,焦虑,体化,人际敏感性和精神病相关.
- 神经性防御风格与体化相关.
结论:
- 这些发现与先前关于癌症患者精神疾病的研究一致.
- 身体化与精神病和神经病的防御机制有关.
- 评估患者应对机制对于最佳癌症治疗至关重要.
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