肿瘤患者述情障碍及其相关影响因素研究
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摘要
目的：研究恶性肿瘤住院患者述情障碍状况,探讨恶性肿瘤患者述情障碍对疾病以及治疗的影响,为提高肿瘤患者的生活质量提供参考依据。
方法：本研究为随机对照研究,对符合纳入标准的116例住院肿瘤患者及102名非肿瘤疾病患者采用自编一般情况问卷、多伦多述情障碍量表(TAS-20)、医学应对方式(MCMQ)及生活质量量表QLQ-C30进行调查,使用SPSS17.0软件进行数据处理与分析。
结果：①恶性肿瘤组患者的述情障碍发生率为44.8%,对照组发生率为5.88%；
②两组在述情障碍各因子及总分上有显著的差异,且肿瘤组各因子的平均分及总分均高于对照组；
③肿瘤患者不同职业类型在TAS、EOT方面存在显著差异；
④肿瘤患者不同病程、病情危重程度在DIF DDF、TAS总分方面存在显著差异；
⑤述情障碍中DIF和DDF以及TAS总分与生活质量的大部分领域有显著性相关,EOT与总体功能、总体症状和经济困难显著性相关,应对方式中的回避、屈服与述情障碍和生活质量相关性显著：
⑥述情障碍中DIF对生活质量各维度有直接影响,并通过应对方式对生活质量产生间接影响。
结论：肿瘤患者述情障碍发生率较高,各因子均分和述情障碍总分均高于对照组。述情障碍的主要影响因素为职业类型、病程及危重程度等。述情障碍与应对方式、生活质量相关显著,述情障碍可直接和通过应对方式间接对生活质量产生影响。
Objective:Investigate the incidence of alexithymia of inpatient. explore relative factors and the correlation between different factors.and provide evidence to improve the quality of life on patients suffering from cancer.
Methods:This was a random and comparison study.Subjects were 116 cancer inpatients who met the enrollment criteria were selected from the department of oncology and 102 benign disease outpatients from other departments.A comprehensive assessment was conducted by using self-compile general situation questionnaire, the twenty-item Toronto alexithymia scale(TAS-20)and MCMQ. QOL-30. Al 1 data were processed by SPSS 17.0 survey and analysis.
Results:
(1) Alexithymia prevalence in cancer patients was 44.8%, and the control group was 5.88%;
(2) there was significant difference between two groups, and compared with the control group,the cancer group got higher at average score and total score;
(3) The factors which had significant difference in EOT and TAS were occupation:
(4)The factors which had significant difference in DIF, DDF and TAS total score were course and emergency case degree.
(5)The factors which had sigificant difference in quality of life andTAS total score,DIF,DDF;and difference in EOT and function.general symptoms and economic difficulties;avoidance and difference in resignation and resignation in coping style and alexithymia and quality of lifel
(6)DIF has a direct effect to the quality of life, at the same time through for coping style have indirect effect.to the quality of life.
Conclusion:The incidence of alexithymia were much higher in cancer patients,but the average factors and total score were higher than those in the control group. Alexithymia's influence factors have occupation,course and critical level, coping style etc.Alexithymia and coping style,the quality of life related significnat,and direct impact to the quality of life.and the same time through coping style have inderect effect to the quality of life.
方法：本研究为随机对照研究,对符合纳入标准的116例住院肿瘤患者及102名非肿瘤疾病患者采用自编一般情况问卷、多伦多述情障碍量表(TAS-20)、医学应对方式(MCMQ)及生活质量量表QLQ-C30进行调查,使用SPSS17.0软件进行数据处理与分析。
结果：①恶性肿瘤组患者的述情障碍发生率为44.8%,对照组发生率为5.88%；
②两组在述情障碍各因子及总分上有显著的差异,且肿瘤组各因子的平均分及总分均高于对照组；
③肿瘤患者不同职业类型在TAS、EOT方面存在显著差异；
④肿瘤患者不同病程、病情危重程度在DIF DDF、TAS总分方面存在显著差异；
⑤述情障碍中DIF和DDF以及TAS总分与生活质量的大部分领域有显著性相关,EOT与总体功能、总体症状和经济困难显著性相关,应对方式中的回避、屈服与述情障碍和生活质量相关性显著：
⑥述情障碍中DIF对生活质量各维度有直接影响,并通过应对方式对生活质量产生间接影响。
结论：肿瘤患者述情障碍发生率较高,各因子均分和述情障碍总分均高于对照组。述情障碍的主要影响因素为职业类型、病程及危重程度等。述情障碍与应对方式、生活质量相关显著,述情障碍可直接和通过应对方式间接对生活质量产生影响。
Objective:Investigate the incidence of alexithymia of inpatient. explore relative factors and the correlation between different factors.and provide evidence to improve the quality of life on patients suffering from cancer.
Methods:This was a random and comparison study.Subjects were 116 cancer inpatients who met the enrollment criteria were selected from the department of oncology and 102 benign disease outpatients from other departments.A comprehensive assessment was conducted by using self-compile general situation questionnaire, the twenty-item Toronto alexithymia scale(TAS-20)and MCMQ. QOL-30. Al 1 data were processed by SPSS 17.0 survey and analysis.
Results:
(1) Alexithymia prevalence in cancer patients was 44.8%, and the control group was 5.88%;
(2) there was significant difference between two groups, and compared with the control group,the cancer group got higher at average score and total score;
(3) The factors which had significant difference in EOT and TAS were occupation:
(4)The factors which had significant difference in DIF, DDF and TAS total score were course and emergency case degree.
(5)The factors which had sigificant difference in quality of life andTAS total score,DIF,DDF;and difference in EOT and function.general symptoms and economic difficulties;avoidance and difference in resignation and resignation in coping style and alexithymia and quality of lifel
(6)DIF has a direct effect to the quality of life, at the same time through for coping style have indirect effect.to the quality of life.
Conclusion:The incidence of alexithymia were much higher in cancer patients,but the average factors and total score were higher than those in the control group. Alexithymia's influence factors have occupation,course and critical level, coping style etc.Alexithymia and coping style,the quality of life related significnat,and direct impact to the quality of life.and the same time through coping style have inderect effect to the quality of life.
引文
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[1]张敬悬.山东部分农村社区人群述情障碍及相关因素的研究.[D].山东大学硕士学位论文,2004..
[2]杨文辉.述情障碍影响生活质量的心理中介作用模型研究[D].中南大学硕士学位论文,2006
[3]徐继梅,姚立旗等.综合医院心理门诊患者的述情障碍[J].中国行为医学科学,2007(6)：505-506.
[4]佘若男,曹培国.恶性肿瘤住院患者情绪障碍及其影响因素的调查研究[D].中南大学硕士学位论文,2009.
[5]徐丽珠,覃惠英.妇科恶性肿瘤化疗患者的述情障碍与生存质量的相关性研究[D].中山大学硕士学位论文,2009.
[6]杨文辉,姚树桥.述情障碍影响生活质量的心理中介作用模型研究[D].中南大学硕士学位论文,2006.
[7]任玉明.医学院校在校大学生述情障碍与心理健康的相关性.中国临床康复.2006,10(38)：25-28.
[8]万丽红,刘明,潘承恩.肿瘤患者发生抑郁的相关因素[J].中华护理杂志.2002,37(5)：373-374.
[9]王妙君,黄华兰,江敏霞,陈琼芝,陈秀容,余淑贤,黄少容.肿瘤患者情感障碍及相关因素调查分析[J].中国肿瘤,2004,(4)：34-37.
[10]陆敏,徐荷芳,夏媛媛.肿瘤患者焦虑、抑郁情绪调查[J].中国心理卫生杂志,1999,13(3)：187-190.
[11]王德燧.心理社会因素在述情障碍病因中的研究[J].北方药学,2011,8(4)：50-51.
[12]吴皓,卢佩琳等.肿瘤患者应对方式及述情障碍研究[J].浙江预防医学,2004,16(7)：18-19.
[13]周福春,徐震.肺癌患者化疗期间的生活质量与情绪的关系[J].临床心理卫生,2005,9(16)：402-405.
[14]朱熊兆,蚁金瑶,姚树桥.述情障碍观察量表中文版信度和效度研究[J].临床心理学杂志,2003,11(4)：276-278.
[15]袁勇贵.述情障碍在中国的研究现状[J].健康心理学杂志,2002,10(4)：318-320.
[16]杨菊贤,黄震华,张月楠等.冠心病患者的行为和情感难言症[J].上海精神医 学,1991,3(1)：12
[17]石玉中,寇建芬,马利国等.肿瘤患者的述情障碍.中国临床心理学杂志.1996.4(3)：175-176.
[18]何松彬,唐维国.长期生存肿瘤患者的述情障碍[J].中国心理卫生杂志.2002.16(9)：609-610.
[19]黄展鸿,刘肇华,余明年等.泌尿系统恶性肿瘤患者的社会心理支持与生活质量评定[J].中国临床康复,2005,9(28)：78-79.
[20]张丽辉,刘旭涛,高晰.述情障碍对肺癌术后患者治疗依从性和生活指标的影响[J].肿瘤进展杂志,2007,9,5(5)：416-418,448.
[21]季建林.肿瘤病人的疼痛的临床处理[J].中国行为医学科学,2001,10(2)：152.
[22]卢丽卿,洪炜.急性白血病患者的行为特征、述情障碍及应对方式[J].中国心理卫生杂志,2007,21(3)：177-180.
[23]杜爱玲,姚桂英,杨世昌等.大学生述情障碍和应对方式与抑郁的关系[J].中国学校卫生,2011,3,32(3)：297-299.
[24]徐松泉,王彩梅,杨丽芬等.白血病患者述情障碍[J].健康心理学杂志,1998,6(1)：7-26
[25]张敬悬,刘金同原伟等.精神分裂症患者的述情障碍及影响因素研究[J].中国临床心理学志,1995,3(1)：29-31.
[26]周福春,徐震雷.肺癌患者化疗期间的生活质量与情绪的关系[J].中国心理卫生杂.2002,19(6)：402-405.
[27]张丽辉,黄带发等.述情障碍对肺癌术后患者治疗依从性和生活质量指标的影响[J].山东医药,2007,47(19)：118-119
[28]万崇华,陈明清,张灿珍.肿瘤患者生命质量测定量表EORTC QLQ-30中文版评价[J].实用肿瘤杂志,2005,20(4)：353-355
[29]卢丽卿,洪炜.急性白血病患者的行为特征、述情障碍及应对方式[J].中国心理卫生杂志,2007,21(3)：1707-180
[30]吕建周.96例恢复期男性精神分裂症患者述情障碍的临床研究[J].中国民康医学,2003,15(10)：597-599.
[31]金宇,麦慈任等.血液透析病人的述情障碍[J].中国临床心理学杂志,2001,9(3)：226-227.
[32]郭晓丽,王淑贤.膀胱肿瘤保留膀胱术后患者的应对方式的调查研究[J].全国全国肿瘤护理学术交流暨专题讲座会议论文集,2009,07：189-192.
[33]胡秀娟等.应对方式对恶性肿瘤患者生活质量的影响及护理对策[J].国际护理学杂志,2006,3,25(3)：186-188.
[34]党艳梅.维持性血液透析述情障碍患者医学应对方式和生活质量的研究[J].中华行为医学与脑科学杂志,2009,18,08.
[35]郭宏波,付凤齐.社会支持和应对方式对肾移植患者生存质量的影响[J].中国组织工程研究与临床康复,2007,11(34)：6721-6724.
[36]黄丽,沈晓红,赵梅等.肿瘤病人的应对方式与心身症状[J].中国心理卫生杂志,2000,14(2)：102
[37]Rosalind M.Peters,Mark A.Lumley.Relationship of alexthymia tO cardiovaScular diseaserisk factors among African Americans.Comprehensive Psychiatry.2007:34-41.
[38]Lumley,M.A.,Neely,L.C.& Burger,A.J(2007).The Assessment of alexitheymia in medical settings:Implications for understanding and treating health problems.Journal of Personality Assessment,89(3):230-246)
[39]Temoshok L, Heller BW. Sageview RW et al. The relationship of psychological factors of prognostic indicators in cutaneons malignant malanoma. J Psychosom Res,1985,29:138-153.
[40]Waston M.Haviland JS.Greer S et al.Influnce of psychological response on survival in breast cancer:a population based cohort study. Lancet.1999.354:1331-1336.
[41]Ruesch J.The infantile personality[J]. Psychosom Med.1948.10:134-144.
[42]Maclean PD.Psychosomatics disease and the visceral brain:recent developments bearing on Papez theory of emotion[J].Psychosom Med,1949.11:338-353.
[43]Nemiah J.C, Sifneos P.E. Affect and fantasy in patients with psychosomatic disorders in Modern Trends in Psychosomatic Medicine[J].Hill OW.London:Butterworths.1970:26-34.
[44]Sifneos.P.E.The prevalence of alexithymic'characteristics in psychosomatic patients[J].Psychother Psychosom,1973.22:255-262.
[45]T.J.Schmidt.The molecular conformations of arnifolin and some related helenanolides as determined by X-ray crystallographic and NMR spectroscopic analyses[J].Journal of Molecular Structure,1993(385):113-121.
[46]Prcelli.M.Bach.Zwaan.M.Independency of alexithy mia and somatization:A factor analytic study [J].Psychosomatics,1996.37(5):451-458.
[47]Taylor G J,Bagby RM.Parker.Disorders of affect regulation:Alexithymia in medical and psychiatric illness[M].Cambridge,U K,Cambridge University Press,1997:357-362.
[48]Haviland MG,Reise SP. A Califonia Q-set alexithymia prototype and its relationship to ego-control and ego-resiliency [J]. Psychosom Res,1996,41(6):597-607.
[49]Harrie C.M. Vorst, Bob Bermond. Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire[J]. Personality and Individual Differences,2001 (30):413-434.
[50]Honkalampi K Hintikka J,etc.Depression is strongly associated with alexithymia in the General population[J].Psychosom Res.2000,48:99-104.
[51]Grassi L.Biancosino B et al.Psychological factors affecting oncology conditions[J].Adv Psychosom Med,2007,28:57-71.
[52]Winell J,Rot h A J.Depression in cancer patient s[J].Oncology.2004,18(12):1554-1560.
[53]Akechi T.Psychiatric disorders in cancer patients:descriptive analysis of 1721 psychiatric referrals at two Japanese cancer center hospitals[J].Jpn J ClinOncol,2001,31(5):188-194.
[54]Kokkonen P,Karvonen JT.Prevalence and sociodemographic correlates of alexithymia in a population sample ofyoung adults.Compr Psychiatry.2001,42:471-6.
[55]Christine.D.Surtees.PG.Do psychological factors predict survival in breast cancer. Journal of psycholomatic Research.1989,33:561-569.
[56]Baron RM.Kenny DA.The moderator-mediator variable distinction in social psychological research:Conceptual,strategic and statistical considerations.Journal of Personality and Social Psychology,1986,51:1173-1182.
[57]Lazarus RS,Folkman S.Stress,appraisal,and coping[J].New York:Springer-Verlag.1984.
[58]Razlog,O,Longbottom,S,Marcoci,L,Seidel,F,& Razlog,L. Alexithymia in patients with substance addiction being treated by cognitive-behavioural paychotherapy within Minnesota model treatment.European Psychiatry,2007.11:151-181.
[59]Peters,R.,M,& Lumley,M.A.Relationship of alexithymia to cardiovascular disease risk factors among African Americans.Comprehensive Psychiatry,2007,48,34-41.
[60]Levant,R.,Hall,R.J.,Williams,C.M., Hasan,N.T.(2009).Gender differences in alexithymia. Psychology of Men& Masculinity,10(3):190-203
2杨文辉.述情障碍影响生活质量的心理中介作用模型研究[D1.中南大学硕士学位论文,2006
3Temoshok L, Heller BW. Sageview RW et al. The relationship of psychological factors of prognostic indicators in cutaneons malignant malanoma. J Psychosom Res,1985,29:138-153.
4Waston M,Haviland JS.Greer S et al.Influnce of psychological response on survival in breast cancer:a population based cohort study. Lancet, 1999.354:1331-1336.
1王德燧.心理社会因素在述情障碍病因中的研究[J].北方药学,2011,8(4)：50-51.
2吴皓,卢佩琳等.肿瘤患者应对方式及述情障碍研究[J].浙江预防医学,2004,16(7)：18-19.
3周福春,徐震.肺癌患者化疗期间的生活质量与情绪的关系[J].临床心理卫生,2005,9(16)：402-405.
1Ruesch J.The infantile personality[J]. Psychosom Med,1948,10:134-144.
2Maclean PD.Psychosomatics disease and the visceral brain:recent developments bearing on Papez theory of emotion[J].Psychosom Med,1949,11:338-353.
3Nemiah J.C, Sifneos P.E. Affect and fantasy in patients with psychosomatic disorders in Modern Trends in Psychosomatic Medicine[J].Hill OW,London:Butterworths,1970:26-34.
1 Sifneos P.E.The prevalence of alexithymic'characteristics in psychosomatic patients[J].Psychother Psychosom,1973,22:255-262.
2T.J.Schmidt.The molecular conformations of arnifolin and some related helenanolides as determined by X-ray crystallographic and NMR spectroscopic analyses[J]Journal of Molecular Structure.1993(385):113-121.
3 Prcelli.M,Bach.Zwaan.M.Independency of alexithy mia and somatization:A factor analytic study [J].Psychosomatics,1996.37(5):451-458.
4 Taylor G J,Bagby RM,Parker.Disorders of affect regulation:Alexithymia in medical and psychiatric illness[M].Cambridge,U K,Cambridge University Press,1997:357-362.
5Haviland MG,Reise SP. A Califonia Q-set alexithymia prototype and its relationship to ego-control and ego-resiliency [J]. Psychosom Res,1996,41(6):597-607.
1Harrie C.M. Vorst, Bob Bermond. Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire[J]. Personality and Individual Differences,2001 (30):413-434.
1朱熊兆,蚁金瑶,姚树桥.述情障碍观察量表中文版信度和效度研究[J].临床心理学杂志.2003.11(4)：276-278.
2袁勇贵.述情障碍在中国的研究现状[J].健康心理学杂志.2002.10(4)：318-320.
3杨菊贤,黄震华,张月楠等.冠心病患者的行为和情感难苦症[J].上海精神医学.1991.3(1)：12
4Honkalampi K Hintikka J,etc.Depression is strongly associated with alexithymia in the General population[J]. Psychosom Res.2000.48:99-104.
5Grassi L.Biancosino B et al.Psychological factors affecting oncology conditions[J].Adv Psychosom Med, 2007.28:57-71.
1石玉中,寇建芬,马利国等.肿瘤患者的述情障碍.中国临床心理学杂志.1996.4(3)：175-176.
2何松彬,唐维国.长期生存肿瘤患者的述情障碍[J].中国心理卫生杂志.2002.16(9)：609-610.
3黄展鸿,刘肇华.余明年等.泌尿系统恶性肿瘤患者的社会心理支持与生活质量评定[J].中国临床康复,2005,9(28)：78-79.
4张丽辉,刘旭涛,高晰.述情障碍对肺癌术后患者治疗依从性和生活指标的影响[J].肿瘤进展杂志,2007,9,5(5)：416-418,448.
1佘若男,曹培国.恶性肿瘤住院患者情绪障碍及其影响因素的调查研究[D].中南大学硕士学位论文,2009.
2季建林.肿瘤病人的疼痛的临床处理[J].中国行为医学科学,2001,10(2)：152.
3Winell J.Rot h AJ.Depression in cancer patient s[J].Oncology,2004.18(12):1554-1560.
4Akechi T.Psychiatric disorders in cancer patients:descriptive analysis of 1721 psychiatric referrals at two Japanese cancer center hospitals[J].Jpn J ClinOncol,2001,31(5):188-194.
5张惜阴.临床妇科肿瘤学(第二版)[M].复旦大学出版社,上海,2002.
1Kokkonen P.Karvonen JT.Prevalence and sociodemographic correlates of alexithymia in a population sample ofyoung adults.Compr Psychiatry.2001.42:471-6.
2张敬悬.山东部分农村社区人群述情障碍及相关因素的研究.[D].山东大学硕士学位论文,2004..
3徐继梅,姚立旗等.综合医院心理门诊患者的述情障碍[J].中国行为医学科学,2007(6)：505-506.
4Robert Anglioli.Pierluigi BenedeRi Panici妇科肿瘤的化疗—现今的治疗方法和新的治疗策略(第一版).北京：科学出版社,2007.
5任玉明.医学院校在校大学生述情障碍与心理健康的相关性.中国临床康复.2006,10(38)：25-28.
6Rosalind M.Peters.Mark A.Lumley.Relationship of alexthymia tO cardiovaScular diseaserisk factors among African Americans.Comprehensive Psychiatry.2007:34-41.
1万丽红,刘明,潘承恩.肿瘤患者发生抑郁的相关因素[J].中华护理杂志.2002,37(5)：373-374.
2王妙君,黄华兰,江敏霞,陈琼芝,陈秀容,余淑贤,黄少容.肿瘤患者情感障碍及相关因素调查分析[J].中国肿瘤,2004,(4)：34-37.
1姜乾金,主编.医学心理学[M],第3版.北京：人民卫生出版社,2002,73-92.
2许兰萍,郎森阳等主编.心身疾病的诊断与治疗[M].北京：华夏出版社,2005,498-501
3陆敏,徐荷芳,夏媛媛.肿瘤患者焦虑、抑郁情绪调查[J].中国心理卫生杂志,1999,13(3)：187-190.
1Lazarus RS.Folkman S.Stress.appraisal.and coping[M].New York:Springer-Verlag.1984.
2Christine.D.Surtees.PG.Do psychological factors predict survival in breast cancer. Journal of psycholomatic Research.1989,33:561-569.
3卢丽卿,洪炜.急性白血病患者的行为特征、述情障碍及应对方式[J].中国心理卫生杂志,2007,21(3)：177-180.
4杜爱玲,姚桂英,杨世昌等.大学生述情障碍和应对方式与抑郁的关系[J].中国学校卫生,2011,3,32(3)：297-299.
1周福春,徐震雷.肺癌患者化疗期间的生活质量与情绪的关系[J].中国心理卫生杂.2002,19(6)：402-405.
2张丽辉,黄带发等.述情障碍对肺癌术后患者治疗依从性和生活质量指标的影响[J].山东医药,2007,47(19)：118-119
3徐丽珠,覃惠英.妇科恶性肿瘤化疗患者的述情障碍与生存质量的相关性研究[D].中山大学硕士学位论文.2009.
4杨文辉,姚树桥.述情障碍影响生活质量的心理中介作用模型研究[D].中南大学硕士学位论文,2006.
1万崇华,陈明清,张灿珍.肿瘤患者生命质量测定量表EORTC QLQ-30中文版评价[J].实用肿瘤杂志,2005,20(4)：353-355
1Levant,R.,HalL,R.J.,Williams.C.M., Hasan,N.T.(2009).Gender differences in alexithymia. Psychology of Men& Masculinity,10(3):190-203
2徐松泉,王彩梅,杨丽芬等.白血病患者述情障碍[J].健康心理学杂志,1998,6(1)：7-26
3佘若男,曹培国.恶性肿瘤住院患者情绪障碍及其影响因素的调查研究[D].中南大学硕士学位论文,2009
1张敬悬,刘金同,原伟等.精神分裂症患者的述情障碍及影响因素研究[J].中国临床心理学志,1995,3(1)：29-31.
1Razlog,O.Longbottom,S,Marcoci,L,Seidel,F,& Razlog,L.Alexithymia in patients with substance addiction being treated by cognitive-behavioural paychotherapy within Minnesota model treatment.European Psychiatry,2007,11:151-181.
2Peters,R.,M,& Lumley,M.A.Relationship of alexithymia to cardiovascular disease risk factors among African Americans.Comprehensive Psychiatry,2007,48,34-41.
1卢丽卿,洪炜.急性白血病患者的行为特征、述情障碍及应对方式[J].中国心理卫生杂志,2007,21(3)：1707-180
2吕建周.96例恢复期男性精神分裂症患者述情障碍的临床研究[J].中国民康医学,2003,15(10)：597-599.
3金宇,麦慈任等.血液透析病人的述情障碍[J].中国临床心理学杂志,2001,9(3)：226-227.
4郭晓丽,王淑贤.膀胱肿瘤保留膀胱术后患者的应对方式的调查研究[J].全国全国肿瘤护理学术交流暨专题讲座会议论文集,2009,07：189-192.
5胡秀娟等.应对方式对恶性肿瘤患者生活质量的影响及护理对策[J].国际护理学杂志,2006,3,25(3)：186-188.
1党艳梅.维持性血液透析述情障碍患者医学应对方式和生活质量的研究[J].中华行为医学与脑科学杂志.2009.18,08.
2郭宏波,付凤齐.社会支持和应对方式对肾移植患者生存质量的影响[J].中国组织工程研究与临床康复,2007,11(34)：6721-6724.
3黄丽,沈晓红,赵梅等.肿瘤病人的应对方式与心身症状[J].中国心理卫杂志,2000,14(2)：102
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[1]张敬悬.山东部分农村社区人群述情障碍及相关因素的研究.[D].山东大学硕士学位论文,2004..
[2]杨文辉.述情障碍影响生活质量的心理中介作用模型研究[D].中南大学硕士学位论文,2006
[3]徐继梅,姚立旗等.综合医院心理门诊患者的述情障碍[J].中国行为医学科学,2007(6)：505-506.
[4]佘若男,曹培国.恶性肿瘤住院患者情绪障碍及其影响因素的调查研究[D].中南大学硕士学位论文,2009.
[5]徐丽珠,覃惠英.妇科恶性肿瘤化疗患者的述情障碍与生存质量的相关性研究[D].中山大学硕士学位论文,2009.
[6]杨文辉,姚树桥.述情障碍影响生活质量的心理中介作用模型研究[D].中南大学硕士学位论文,2006.
[7]任玉明.医学院校在校大学生述情障碍与心理健康的相关性.中国临床康复.2006,10(38)：25-28.
[8]万丽红,刘明,潘承恩.肿瘤患者发生抑郁的相关因素[J].中华护理杂志.2002,37(5)：373-374.
[9]王妙君,黄华兰,江敏霞,陈琼芝,陈秀容,余淑贤,黄少容.肿瘤患者情感障碍及相关因素调查分析[J].中国肿瘤,2004,(4)：34-37.
[10]陆敏,徐荷芳,夏媛媛.肿瘤患者焦虑、抑郁情绪调查[J].中国心理卫生杂志,1999,13(3)：187-190.
[11]王德燧.心理社会因素在述情障碍病因中的研究[J].北方药学,2011,8(4)：50-51.
[12]吴皓,卢佩琳等.肿瘤患者应对方式及述情障碍研究[J].浙江预防医学,2004,16(7)：18-19.
[13]周福春,徐震.肺癌患者化疗期间的生活质量与情绪的关系[J].临床心理卫生,2005,9(16)：402-405.
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