Objective: To investigate the psychosocial characteristics and mind-physique status of pa-tients with gynecological malignant tumors. Methods: Clinical psycho-rating scale [life event scale (LES) and symptom checklist-90 (SCL-90)] was applied to test life events and mind-physique status of 60 cases of pa-tients with gynecological malignant tumor. The results were compared with those of 40 female patients with benign tumors and 40 normal females. Results: The frequency and tension value of total life events and those of negative life events in the malignant cancer group were much higher than those in the benign tumor group and normal group (P<0.05) and no remarkable differences were found in the frequency of positive life events among the three groups. The frequencies of total life events and negative life events were higher in the be-nign tumor group than those in the normal group (P<0.05) but there were no significant differences in the fre-quency of positive life events, total tension value or positive tension value among the three groups. No signifi-cant differences were found in the indices of SCL-90, positive scores and scorns of other factors among the three groups (P>0.05). The scores of somatization, obsession, interpersonal relationship sensitivity, anxiety, hostility, phobia, and paranoia were higher in the malignant tumor group than in the benign tumor group and normal group (P<0.05). The average positive scores and the depression scores in the benign tumor group were higher than those in the normal group (P<0.05), but there was no statistical significance in other indices between the benign tumor group and the normal group (P>0.05). Conclusion: Negative psychosocial factors are closely correlated with the occurrence and growth of gynecological malignant tumors. Active psychological intervention should be performed as eady as possible.%目的:研究妇科恶性肿瘤患者的社会心理特点和心身健康状况.方法:采用临床心理评定量表中的生活事件量表(LES)和90项心理症状核查表(SCL-90),对60例妇科恶性肿瘤患者遭遇的生活事件和心身健康状况进行问卷调查,与同期住院的良性肿瘤者和健康者各40例相比较.结果:1)恶性肿瘤组病前遭遇到的生活事件总频数及紧张值、负性生活事件的频数及紧张值均高于良性肿瘤组和健康对照组,差异有显著性(P<0.05),正性生活事件频数及紧张值无显著性变化.良性肿瘤组与健康对照组比较,生活事件总频数及负性事件频数高于健康对照组,差异有显著性(P<0.05),正性事件频数、精神紧张总值及正性精神紧张值,两组比较,差异无显著性.2)恶性肿瘤组SCL-90各项指标,阳性项目均分及其他因子分与健康对照组、良性肿瘤组无差异(P>0.05),躯体化、强迫、人际关系敏感、焦虑、敌对、恐怖、偏执、精神病性等均高于健康对照组和良性对照组,差异有显著性(P<0.05).良性肿瘤组阳性项目均分及抑郁分高于健康对照组,差异有显著性(P<0.05),躯体化、强迫、人际关系敏感、焦虑、敌对、恐怖、偏执、精神病性与其他因子分等与健康对照组比较,差异无显著性(P>0.05).结论:不良心理社会因素与妇科恶性肿瘤的发生密切相关,对妇科肿瘤患者应采取积极的社会心理干预措施.
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