【作者】 仇梦婷； 武礼杨； 姚俊涛； 张红梅； 朱蕾；

【Author】 Mengting Qiu;Liyang Wu;Juntao Yao;Hongmei Zhang;Lei Zhu;School of Psychology, Shaanxi Normal University;Shaanxi Provincial Tumor Hospital;Department of Oncology, Xijing Hospital affiliated The Airforce Military Medical University;

【机构】 陕西师范大学心理学院； 陕西省肿瘤医院； 空军军医大学附属西京医院肿瘤科；

【摘要】 癌症,作为一种严重威胁人们健康和生命的疾病,会给人们的心理状况带来极大的冲击和挑战。前人研究发现一半左右的癌症患者具有明显的抑郁症状,然而,只有10%左右的癌症患者愿意寻求心理干预。抑郁污名作为一种耻辱性、被排斥的情绪体验,常常使人们感到窘迫和羞愧,并会导致抑郁症患者延缓寻求心理治疗。然而,前人关于抑郁污名的研究大多针对抑郁症患者,因此难以确定抑郁污名对于癌症患者寻求心理干预意愿的影响。因此,本研究针对我国癌症患者,旨在考查中文版抑郁污名量表(Depression StigmaScale,DSS)的信效度,并探讨抑郁污名与我国癌症患者寻求心理帮助意愿的关系。本研究采用横断面研究设计,针对西安市两所医院的301名不同类型癌症的患者,通过探索性因素分析(ExploratoryFactor Analysis,EFA)与验证性因素分析(Confirmatory Factor Analysis,CFA)探索DSS的因素结构,通过克隆巴赫α系数评估DSS的内部一致性,使用生活质量效标作为考察DSS的效标关联效度,并用独立样本t检验探讨抑郁污名与寻求心理干预意愿的关系。结果发现,DSS的两个分量表(个人抑郁污名量表与感知抑郁污名量表)均包含两个因素:weak-not-sick avoidance和discrimination。个人抑郁污名与感知抑郁污名的克伦巴赫α系数分别为0.70和0.76。个人抑郁污名和感知抑郁污名均与功能性生活质量呈负相关(ps <0.05)。独立样本t检验显示,感知抑郁污名与癌症患者寻求心理帮助意愿的关系呈显著相关(t=-1.98, p <0.05),而个人抑郁污名与其无关(t=-1.71, n.s.)。本研究结果表明抑郁污名量表(DSS)具有良好的信效度,可被用于评估中国癌症患者抑郁污名态度,然而,DSS是否适合其他国家的癌症患者依然有待研究。更多还原

【Abstract】 The primary aim of this study was to examine the psychometric properties of the Chinese version of the Depression Stigma Scale(DSS) among Chinese cancer population. The secondary aim was to examine the association of depression stigma and cancer patients’ willingness to seek help for psychological problems. This study focused on 301 cancer patients recruited from two hospitals in Xi’an, China. Exploratory Factor Analysis and Confirmatory Factor Analysis were used to assess the factor structure. Internal consistency was assessed by Cronbach’s alpha. The criteria-related validity of the DSS were assessed by examining the correlations between depression stigma and quality of life. The association of depression stigma and patients’ willingness to seek help was examined by independent sample t-test. For both subscales of DSS(i.e., personal and perceived depression stigma), the factor analyses produced a two-factor structure for both subscales: weak-not-sick-avoidance and discrimination. The Cronbach’s alphas was 0.70 for the personal depression stigma scale and 0.76 for the perceived depression stigma scale. Both personal and perceived depression stigma were negatively correlated with functioning subscales of quality of life(all ps < 0.05). Independent sample t-tests showed that perceived depression stigma was significantly related to participants’ willingness to seek help(t =-1.98, p < 0.05), whereas personal depression stigma was not(t =-1.71, n.s.). Results of this study suggest that the Chinese version of the Depression Stigma Scale has suitable factor structure and psychometric properties for use in assessing depression stigma in Chinese cancer population. However, more research is needed to examine the psychometric properties of the DSS for cancer patients in other countries.更多还原