目的：探讨癌症相关创伤后应激障碍（PTSD）患者心理应对方式特点。方法：采用临床用创伤后应激障碍诊断量表（CAPS）对67例癌症患者进行诊断性访谈，分为PTSD组（n=37）和对照组（n=30）。完成一般情况调查表、癌症应对问卷（CCMQ）。结果：PTSD组较少采取面对（1.95依0.45）的应对方式，而多采用回避和压抑（2.30依0.44）、屈服（2.45依0.72）、幻想（2.32依0.50）、发泄（2.16依0.53）的应对方式（＜0.01或＜0.05），癌症相关PTSD症状的严重程度与面对的应对方式显著负相关（＝-0.455，＜0.01），与回避和压抑、屈服、发泄显著正相关（＝0.470，＜0.01；＝0.349，＜0.05；＝0.354，＜0.01）。结论：心理应对方式不良与癌症相关PTSD的严重程度密切相关。%Objective: To explore the features of coping styles in patients with cancer-related post-traumatic stress disorders(PTSD). Methods:The Clinician-Administered PTSD Scale (CAPS) was applied to evaluated 67 cancer patients. The patients were divided into the PTSD group (n=37) and control group (n=30). All patients were interviewed with the general condition questionnaire and the Cancer Coping Modes Questionnaire (CCMQ). Results:Fewer in the PTSD group had taken facing coping style (1.95±0.45), but majority of them were likely to choose the coping styles of avoidance and repression (2.30±0.44), yield (2.45±0.72), fantasy (2.32±0.50) and vent (2.16±0.53) ( <0.05). The severity of cancer-related PTSD was negatively correlated with confront ( =-0.455,<0.01), and positively correlated with avoidance and repression, yield, vent ( =0.470,<0.01;=0.349,<0.05;=0.354,<0.01). Conclusion:Patients with poor coping style were significantly correlated with the severity of cancer-related PTSD.
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