Changes in personality comparing before and after informed concent of breast cancer patients.

本研究以24例女性乳腺癌患者为研究对象，探讨癌症知情对乳腺癌患者的影响。他们是京都警察医院精神科的门诊病人。分别在首次检查、入院时、术前、术后、出院时进行检查和随访。心理测试如下。1.情绪量表，2.应对方式，4.人格特质，5.癌症心理适应，6. 3.social罗夏测试。在面试的时候，他们被问到。1.他们被告知癌症时的理解程度。2.他们对家人的反应。3.结果表明：1.患者入院至出院时情绪有明显改善; 2.社会支持（特别是有配偶和/或父母的患者）对上述情绪的改善有显著作用; 3.性格乐观的患者其情绪表现为积极的; 4.应对方式：积极、向前看、永不言败的患者在手术前情绪也较乐观; 5.对两类患者进行罗夏测验，一是被告知乳腺癌的患者，二是未被告知的患者。我们测量了他们对罗夏测验卡片上明暗变化的印象。前一组患者倾向于将墨迹解释为内脏器官的发病，而后一组患者倾向于在卡片的内部看到阴影区域。

The present research aims at studying what influence informed concent of cancer has on breast cancer patients.The subjects were 24 female breast cancer patients. They were out-patients of the mamelary unit of Kyoto Police Hospital. Each subject was severally tested and intervewed at various stages : first examination, time of admission to hospitalization, before operation, after operation, time of leavihg hospital. The psychologiial tests are as follows. 1.mood scale, 2.coping style, 3.social support, 4.personality trait, 5.mental adjustment to cancer, 6. Rorschach test.At the time of the interview they were asked. 1.Degree of understanding at the time they were informed of cancer. 2.How they reacted in terms of their family. 3.Degree of trust in doctor-patient relationship.The main results were :1.Mood improved remarkably between the time of admission to and release from the hospital.2.Social supports-specially for those with spause and/or parents-brought the above improvement in mood conspicuously.3.For those optimistic in personality their mood registered quite positive.4.Coping style, those with a positive, forward-looking, never-say-die attitude had a more upbeat mood even before the operation.5.Rorschach test was administered to two kinds of patients : those who had been informed of diagnosis of breast cancer and those who had not. We measured their impressions of shadings from light to dark on the Rorschach cards. The former group of patients tended to interpret the ink blottings as morbidity of internal organs, while the latter group tended to see shaded areas in the inner portion of the card.