与晚期癌症患者所经历的与饮食有关的痛苦的性别相关差异
Saori Koshimoto1,2, Koji Amano3, Jane B Hopkinson4
1Liaison Psychiatry and Psycho-Oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
概括
患有晚期癌症的男性患有更严重的与饮食相关的痛苦 (ERD),并且与女性相比,与家庭动态相关的ERD风险更高. 这项研究澄清了癌症患者ERD的性别相关差异.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
背景情况:
- 癌症患者中与饮食相关的痛苦 (ERD) 的性别相关差异仍然不清楚.
- 了解这些差异对于在晚期癌症中提供有针对性的支持性护理至关重要.
研究的目的:
- 调查和澄清晚期癌症患者在ERD中经历的基于性别的差异.
- 确定有助于ERD男性和女性患者之间的差异的特定因素.
主要方法:
- 一项多中心调查对192名晚期癌症患者进行了调查,这些患者被转移到息治疗中.
- 使用"癌症晚期患者中与饮食有关的痛苦问卷" (QERD-P) 来评估与饮食相关的痛苦.
- 统计分析包括曼-惠特尼U测试和多变量逻辑回归来比较男性和女性组.
主要成果:
- 与女性患者 (n=100) 相比,男性患者 (n=92) 报告了明显更高的ERD总得分.
- 男人表现出更高的痛苦与"我不能吃的原因"",信息不足"和"与我的家人争论".
- 男人患ERD的风险增加,与"与我的家人争论"和"与我的家人共度时间"有关.
结论:
- 男性癌症患者与女性相比,与饮食相关的痛苦明显更严重.
- 由于家庭关系问题,男性患ERD的风险更高,这突出了干预的关键领域.
相关概念视频
Anorexia Nervosa
41
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
41
Bulimia Nervosa
45
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
45
Binge Eating Disorders
46
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
46
Disorders of the Female Reproductive System
294
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
294
Taste Buds and Receptors
1.8K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
1.8K
Psychoneuroimmunology: Diabetes and Cancer
21
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
21


