Exploratory Study On Relationship Between Personality,TCM Syndrome And Psycho Logical Status In Patients With Malignant Tumor

ObjectivesThrough the questionnaire survey on the patients with malignant tumor,malignant tumor patients with the data of gender,age,TCM diagnostic data and a preliminary evaluation of its defense mechanism,personality and psychological status of patients with malignant tumor,personality,TCM syndromes,psychological characteristics and their correlation,prediction and prevention of malignant tumors and patients psychosomatic rehabilitation provides new ideas and methods.MethodsMethods a cross-sectional survey with malignant tumor were surveyed from March 2016 to February 2017 in Guangdong Province Traditional Chinese Medical Hospital from psychological sleep science,oncology,Cancer Hospital of Peking University and Department of rehabilitation and met the inclusion criteria of malignant tumor in the dissemination of information collection table,Guangdong Province Traditional Chinese Medical Hospital plus issued Minnesota multiphasic Personality Inventory(MMPI),the Defense Style Questionnaire,Symptom Checklist 90(SCL-90)were used in the special scale,personality characteristics,defense mechanism and mental status were measured.The database was created by SPSS 17,and the rank sum test,t test,correlation analysis,statistical methods 2 test,descriptive statistics,a preliminary study on the relationship between the personality of patients with malignant tumor,TCM syndrome,mental status and characteristics of the three.ResultIn the course of the study,303 questionnaires were sent out,282 of them were rejected and those who did not meet the standards.Guangdong Province Traditional Chinese Medical Hospital,some patients voluntarily completed,and meet the requirements of the measurement of MMPI,DSQ,SCL-90,respectively,101,99 and 69 copies,statistical analysis results are as follows:1.General informationMalignant tumor patients participated in the survey(earnings of breast,42 patients)male and female ratio was 1.29:1,age mainly concentrated in the 40-60 years of age(54.6%)and 60 years old and above(34.3%),in patients with malignant tumor sites constitute ratio from high to low is:gastrointestinal cancer(35.4%),Department of hepatobiliary malignancy(13.3%),lung cancer(13.3%),breast cancer(11.3%),malignant tumors of the reproductive system(9.6%),malignant tumor of head and neck(7.5%),other parts of the malignant tumor(8.2%).In addition,the age of the breast patients is between 40-60 years old(62.5%).2.Characteristics of symptomatologyMalignant tumor patients participated in the survey of more than 25%of the frequency of symptoms from high to low is insomnia(63.1%),fatigue(61.9%),poor appetite(58.5%),anxiety(54.8%),abnormal defecation(43.5%)decreased memory(42%),dry mouth(39.5%),pain(39.4%),chills(38.7%)polyhidrosis,(27.7%)and depression(18.1%).3.The MMPI factor scores were compared with the national normInvolved in the investigation of male patients with Hs,Hy,Pt,Sc,Ma,Si scores compared with the national norm,the difference was statistically significant(P<0.05),involved in the investigation of female patients with Hs,D,Hy,Sc,Ma,Si scores compared with the national norm,the difference was statistically significant(P<0.05).4.Comparison of MMPI scores between patients with negative emotions and those with positive emotionsPatients with "anxiety" or "depression" emotions were included in the negative emotion group,and those with positive emotions were included in the positive emotion group.Compared with MMPI patients with negative emotion and positive emotion,Hs,D,Pd,Pt,Sc and Si had significant difference in negative emotion and positive emotion(P<0.05).5.Characteristics of patient defense styleAmong the cancer patients who participated in the investigation,the top three defense style frequencies were depressive(26.5%),expectation(22.4%),and sublimation(21.4%).6.The correlation between MMPI factor and Defense Style QuestionnaireWith the score of Hs of immature defense mechanism(r=0.248,P=0.017),Pd(r=0.265,P=0.011),Pt(r=0.422,P=0.000),Sc(r=0.422,P=0.000),Si(r=0.265,P=0.011)scores were positively correlated with Ma score,mature defense mechanism(r=0.237,P=0 009)and factor scores were positively correlated.D(r=-0.281,P=0.007),Pd(r=-0.216,P=0.038),Si(r=-0.216,P=0,038)scores were negatively correlated.7.SCL-90 distribution of factorsThe patients with cancer have a certain proportion of emotional disorders,mainly obsessive-compulsive,depression,somatization and anxiety,with mild and moderate.8.The SCL-90 factor scores were compared with the national normThe total scores,total scores and somatization,terror,psychosis,interpersonal sensitivity factors of the patients with cancer were compared with the national norm,the difference was statistically significant(P<0.05).9.Correlation between MMPI factor scores and SCL-90 total scoreHs in patients with malignant tumors involved in the investigation(r=0.578,P=0.000)Pd(r=0.350,P=0.007),Pa(r=0.387,P=0.002),Pt(r=0.617,P=0.000),Sc(r=0.617,P=0.000),Ma(r=0.370,P=0.004),Si(r=0.350,P=0.007)were positively correlated with the score of SCL-90.10.Correlation between defense style questionnaire results and SCL-90 total scoreThere was a positive correlation between the scores of immature defense mechanism and the total scores of SCL-90 in the patients with malignant tumor(r=0.371,P=0.003).11.Characteristics of TCM syndromes in patients with malignant tumorSingle TCM syndrome type of malignant tumor patients with Qi deficiency syndrome(89.1%),phlegm(52%),blood stasis(48.6%),yin deficiency syndrome(23.4%),compound TCM syndrome type with Qi deficiency and blood stasis wet(30.50%),anxiety in patients with malignant tumor and malignant tumor patients without anxiety syndromes showed no difference significance(P>0.05).The difference of anxiety characteristics between Qi deficiency syndrome and malignant tumor of non Qi deficiency syndrome was statistically significant(P<0.05).There was no significant difference in MMPI between Qi deficiency syndrome and Qi deficiency syndrome(P>0.05).Conclusion1.Patients with malignant tumors may have anxiety and depressive neurotic personality tendencies,which may be related to the occurrence of malignant tumors.At the same time,anxiety,depression,neurotic personality and mental personality of patients tend to be worse.2.Patients with malignant tumor is more depressed,expectations and sublimation of defense style,neuroticism,psychoticism and introversion personality tendency of patients use more immature defense style,the psychological status of patients with immature defense style is worse.3.Malignant tumor patients with poor psychological status accounted for a certain proportion,mainly mild and moderate.4.The TCM Syndromes of malignant tumor patients are mainly composed of deficiency and excess syndrome,deficiency syndrome,deficiency syndrome,Qi deficiency syndrome,phlegm dampness syndrome and blood stasis syndrome,and anxiety is more common in patients with Qi deficiency syndrome.