Association of Coping Style, Cognitive Errors and Cancer-related Variables with Depression in Women Treated for Breast Cancer
Association of Coping Style, Cognitive Errors and Cancer-related Variables with Depression in Women Treated for Breast Cancer
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DOI：
10.1093/jjco/hys119
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发表时间：
2012-10-01
影响因子：
2.4
通讯作者：
Ozkan, Mine
中科院分区：
文献类型：
--
作者：
Alcalar, Nilufer;Ozkan, Sedat;Ozkan, Mine
本研究以110名接受过乳腺癌手术、完成辅助治疗且未发生转移或复发的乳腺癌患者为研究对象，探讨乳腺癌患者抑郁水平与应对方式及认知错误的相关性。对所有患者进行自动思维问卷、认知错误问卷、癌症心理适应量表和贝克抑郁量表。采用半结构化访谈表获取医疗和人口统计数据。根据Beck抑郁量表评分将所有患者分为抑郁组和非抑郁组。研究方案得到了伊斯坦布尔大学肿瘤研究所医学伦理委员会的批准，在抑郁症组中发现了更高的认知错误和自动思维评分。非抑郁组主要采用战斗精神应对方式，抑郁组主要采用无助/绝望、焦虑/专注和宿命论应对方式。抑郁症与社会人口统计学（教育水平除外）和癌症相关变量之间没有相关性。结果发现，自动思维、认知错误、文化程度、战斗精神和焦虑/专注是抑郁症的重要指标，抑郁症与患者的认知模式和伴随的焦虑存在因果关系。抑郁程度与战斗精神、应对方式、文化程度呈负相关。如果临床医生考虑到这一点，诊断和治疗抑郁症将更加有效。
The purpose of this study was to examine the correlation between depression levels with coping styles and cognitive errors in women treated for breast cancer.A total of 110 breast cancer outpatients who had had surgery at least 6 months previously, had completed adjuvant cancer treatment and had not experienced metastasis or recurrent lesions were evaluated. The Automatic Thoughts Questionnaire, Cognitive Errors Questionnaire, Mental Adjustment to Cancer Scale and Beck Depression Inventory were administered to all patients. Semi-structured interview forms were used to obtain medical and demographic data. All patients were categorized into depression and non-depression groups according to their Beck Depression Inventory scores. The study protocol was approved by the Medical Ethics Committee of Istanbul University Oncology Institute.Higher cognitive errors and automatic thought scores were found in the depression group. Fighting spirit was found to be the primary coping style used in the non-depression group, while helplessness/hopelessness, anxious/preoccupation and fatalism were the coping styles used the most in the depression group. No association between depression and socio-demographic (except for educational level) and cancer-related variables was detected. However, it was found that automatic thoughts, cognitive errors, education level, fighting spirit and anxious/preoccupation are important indicators of depression in our sample.A causal relationship exists between depression and a patients cognitive patterns and accompanying anxiety. The degree of depression is inversely related to both fighting spirit coping type and educational level. If clinicians take this into consideration, diagnosing and treating depression will be more effective.