化疗前后乳腺癌患者的焦虑和抑郁症:没有对照组的前后研究
Magdalena Konieczny1, Jolanta Sawicka1, Izabela Gąska1
1Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland.
Journal of clinical medicine
|November 27, 2025
概括
化疗显著加剧了乳腺癌患者的焦虑和抑郁. 经济困难加剧了这种情绪负担,突出了在癌症治疗期间需要综合心理支持的需要.
科学领域:
- 在瘤学瘤学.
- 精神瘤学 精神瘤学
- 临床心理学 临床心理学
背景情况:
- 焦虑和抑郁症在乳腺癌患者中很普遍,在全身治疗期间通常会恶化.
- 新辅助化疗可以显著影响患者的情绪健康.
- 了解这些情绪变化对于全面的癌症护理至关重要.
研究的目的:
- 评估接受新辅助化疗的乳腺癌患者焦虑和抑郁症严重程度的变化.
- 确定影响化疗期间情绪结果的因素.
- 为制定有针对性的精神瘤干预措施提供信息.
主要方法:
- 研究了一组211名患有I-III期乳腺癌的妇女.
- 医院焦虑和抑郁量表 (HADS) 评估了化疗前后的情绪状态.
- 统计分析包括威尔科克森签名等级测试和描述性统计数据.
主要成果:
- 在化疗后观察到焦虑和抑郁水平显著增加.
- 近50%的患者报告临床相关的焦虑,超过33%的患者表现出抑郁症状.
- 经济困难与更高的情绪负担密切相关,与婚姻状况,居住地或癌症阶段不同.
结论:
- 新辅助化疗与乳腺癌患者焦虑和抑郁症显著增加有关.
- 常规心理评估和精神瘤支持是癌症护理的重要组成部分.
- 应特别注意面临社会经济挑战的患者,例如经济困难.
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