Correlation analysis between mental health and symptom distress in breast cancer patients

Q4 Medicine

肿瘤研究与临床 Pub Date : 2020-02-28 DOI:10.3760/CMA.J.ISSN.1006-9801.2020.02.008

Linying Wang, Min Li, Hulin Liu, Jun Guo, Jingjing Han, Yanyan Gao

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Abstract

Objective To investigate the correlation between mental health and symptom distress in breast cancer patients. Methods The clinical data of 110 female breast cancer patients at Shanxi Bethune Hospital from June 2017 to March 2018 were collected. The patients were assessed for symptomatic distress with depression self-rating scale (SDS). Functional assessment of cancer therapy-breast (FACT-B) and the functional assessment of chronic illness therapy-spiritual well-being (FACIT-SP) were used to make the mental assessment. Multiple linear regression analysis was used to analyze the effect of symptom distress on the mental health of the patients. Results The scores of symptom distress, mental health, FACT-B and FACIT-SP were (19.94±5.78), (50.68±10.64), (16.85±4.75), (33.83±8.33), respectively. Multivariate analysis showed that mental health score of the patients with symptom distress > 18 scores was reduced by 5.15 points (P=0.01) compared with the patients with symptom distress≤18 scores. Compared with the patients with annual household income < 50 000 yuan, the mental health score of patients with annual household income of 50 000-79 000 yuan was increased by 9.46 points (P < 0.01), and the mental health score of patients with annual family income ≥ 80 000 yuan was increased by 5.92 points (P < 0.01); compared with the patients in phase I, the mental health score of the patients in phaseⅡwas decreased by 2.62 points (P=0.02), and the mental health score of the patients in phase Ⅲ was decreased by 4.98 points (P < 0.01). Conclusions Symptom distress is an independent risk factor for affecting mental health of breast cancer patients. Solving symptom distress of patients can improve mental health status of the patients. Key words: Breast neoplasms; Mental health; Symptom distress

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癌症患者心理健康与症状困扰的相关性分析

目的探讨乳腺癌患者心理健康状况与症状困扰的关系。方法收集2017年6月至2018年3月山西省白求恩医院110例女性乳腺癌患者的临床资料。采用抑郁自评量表(SDS)对患者进行症状困扰评估。采用肿瘤治疗-乳腺功能评估(FACT-B)和慢性疾病治疗-精神健康功能评估(FACIT-SP)进行心理评估。采用多元线性回归分析症状困扰对患者心理健康的影响。结果症状困扰、心理健康、FACT-B、FACIT-SP评分分别为(19.94±5.78)分、(50.68±10.64)分、(16.85±4.75)分、(33.83±8.33)分。多因素分析显示，症状困扰患者的心理健康评分bbb18分较症状困扰≤18分患者降低5.15分(P=0.01)。与家庭年收入< 5万元的患者相比，家庭年收入为5万~ 79万元的患者心理健康评分提高了9.46分(P < 0.01)，家庭年收入≥8万元的患者心理健康评分提高了5.92分(P < 0.01);与I期患者相比，Ⅱ期患者心理健康评分降低2.62分(P=0.02)，Ⅲ期患者心理健康评分降低4.98分(P < 0.01)。结论症状困扰是影响乳腺癌患者心理健康的独立危险因素。解决患者的症状困扰，可以改善患者的心理健康状况。关键词:乳腺肿瘤;心理健康;症状的痛苦

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来源期刊

肿瘤研究与临床 Medicine-Oncology

CiteScore

0.10

自引率

0.00%

发文量

7737

期刊介绍： "Cancer Research and Clinic" is a series of magazines of the Chinese Medical Association under the supervision of the National Health Commission and sponsored by the Chinese Medical Association. It mainly reflects scientific research results and academic trends in the field of malignant tumors. The main columns include monographs, guidelines and consensus, standards and norms, treatises, short treatises, survey reports, reviews, clinical pathology (case) discussions, case reports, etc. The readers are middle- and senior-level medical staff engaged in basic research and clinical work on malignant tumors.