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Childhood Maltreatment Impacts Cognitive Function in Emerging Adulthood: A Systematic Review and Meta-Analysis. 儿童虐待对成年早期认知功能的影响:一项系统回顾和荟萃分析。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-30 DOI: 10.1177/00332941251411294
Wai M Wong, Bixi Zhang, Damaris Foley, Valentina Nikulina

Extant literature demonstrated mixed findings on the relationship between childhood maltreatment and executive function. This meta-analysis aimed to consolidate the current findings and investigate the long-term influences of child maltreatment on cognitive flexibility, inhibitory control, and working memory in emerging adults. PsycINFO (EBSCO), ERIC (EBSCO), ERIC (ProQuest), COCHRANE, and MEDLINE were searched to identify a final sample of 17 studies. Inclusion criteria were studies that recruited emerging adults, measured childhood maltreatment, and included specific measurements of cognitive flexibility, inhibitory control, and working memory. Subgroup analyses were performed among the three domains of executive function. To account for covariates and dependency, moderator analyses were computed to test the relative magnitude and direction of effect sizes among the categories of executive function. The analyses showed that emerging adults with a history of childhood maltreatment exhibited worse cognitive flexibility (g = -0.30, SE = 0.08, p = .0002), and inhibitory control (g = -0.10, SE = 0.05, p = .04), as compared to the non-abused emerging adults. Working memory between the abused emerging adults as a child and the non-abused was comparable (g = 0.26, SE = 0.17, p = .13). Moderators analyses, controlling for peer review status and age of participants, consistently displayed that the effect size of child maltreatment on working memory to be significantly more positive than that on cognitive flexibility (univariate moderators model: b = 0.31, SE = 0.13, p = .02; Correlated and hierarchical effects model: b = 0.30, SE = 0.12, p = .02) whereas the effect of child maltreatment on cognitive flexibility did not significantly differ from that of inhibitory control (univariate moderators model: b = 0.15, SE = 0.11, p = .18; Correlated and hierarchical effects model: b = -0.01, SE = 0.10, p = .88). Experiences of childhood maltreatment impaired cognitive flexibility, and inhibitory control but preserved working memory among emerging adults. The results supported both the deficits model on the adverse effects of childhood maltreatment and the adaptation model on maintaining an optimal level of working memory despite harsh and difficult upbringing.

现存的文献证明了儿童虐待与执行功能之间关系的复杂发现。本荟萃分析旨在巩固现有研究结果,并探讨儿童虐待对新生成人认知灵活性、抑制控制和工作记忆的长期影响。检索PsycINFO (EBSCO)、ERIC (EBSCO)、ERIC (ProQuest)、COCHRANE和MEDLINE以确定17项研究的最终样本。纳入标准是招募新成人,测量儿童虐待,并包括认知灵活性,抑制控制和工作记忆的具体测量。在执行功能的三个领域中进行亚组分析。为了解释协变量和依赖性,计算了调节分析,以测试执行功能类别中效应大小的相对大小和方向。结果表明,与未受虐待的青少年相比,有童年虐待史的青少年表现出更差的认知灵活性(g = -0.30, SE = 0.08, p = 0.0002)和抑制控制(g = -0.10, SE = 0.05, p = 0.04)。受虐待儿童与未受虐待儿童的工作记忆具有可比性(g = 0.26, SE = 0.17, p = 0.13)。在控制同行评比地位和年龄的条件下,调节因子分析一致显示,儿童虐待对工作记忆的影响显著大于对认知灵活性的影响(单变量调节因子模型:b = 0.31, SE = 0.13, p = 0.02;相关层次效应模型:b = 0.30, SE = 0.12, p = 0.02),而儿童虐待对认知灵活性的影响与抑制控制无显著差异(单变量调节因子模型:b = 0.15, SE = 0.11, p = 0.18;相关层次效应模型:b = -0.01, SE = 0.10, p = 0.88)。童年虐待的经历损害了认知灵活性和抑制控制,但保留了新兴成人的工作记忆。研究结果支持童年虐待不良影响的缺陷模型和在严酷和困难的成长环境下保持最佳工作记忆水平的适应模型。
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引用次数: 0
Looking Towards the Future in the COVID-19 Context: Links With Intolerance of Uncertainty and Mental Health. 在2019冠状病毒病背景下展望未来:与不容忍不确定性和心理健康的联系。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-29 DOI: 10.1177/00332941251414338
Elena-Diana Dodiță, Alina Macovei, Loredana R Diaconu-Gherasim

The uncertainty that surrounded the COVID-19 pandemic played a key role in the mental health experienced by people during that period. The present study examined the relation between future time perspective and mental health in the context of the COVID-19 pandemic and whether intolerance of uncertainty may play a mediating role in this relation. A sample of 349 university students (Mage = 23.57, 87.4% females) completed scales assessing future time perspective, intolerance of uncertainty, positive mental health and psychological distress. The path analysis indicated that future time perspective was negatively related to both psychological distress and intolerance of uncertainty. The negative implications were significantly linked with both positive mental health and psychological distress. Further, the negative implications mediated the relation between future time perspectives and both indicators of mental health. These results underlined intolerance of uncertainty as a potential mechanism that might explain the impact of future time perspective on mental health in the context of the COVID-19 pandemic. The results are discussed in terms of practical implications regarding future time perspective and intolerance of uncertainty on young people's mental health.

围绕COVID-19大流行的不确定性在这一时期人们的心理健康状况中发挥了关键作用。本研究探讨了COVID-19大流行背景下未来时间观与心理健康之间的关系,以及对不确定性的不耐受是否可能在这种关系中发挥中介作用。349名大学生(男性23.57人,女性87.4%)完成了未来时间观、不确定性耐受性、积极心理健康和心理困扰量表。通径分析显示,未来时间观与心理困扰和不确定性耐受性均呈负相关。消极影响与积极的心理健康和心理困扰都有显著联系。此外,负面影响介导了未来时间观与两项心理健康指标之间的关系。这些结果强调,在COVID-19大流行背景下,对不确定性的不容忍可能是一种潜在的机制,可以解释未来时间观对心理健康的影响。从未来时间观和不确定性不容性对青少年心理健康的实际影响两方面讨论了研究结果。
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引用次数: 0
Self-Compassion as a Moderator Between Anxiety and Depressive Symptomatology and Problematic Use of the Internet and Smartphones. 自我同情在焦虑和抑郁症状学与互联网和智能手机的问题使用之间的调节作用。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-29 DOI: 10.1177/00332941251410060
Nerea Etxaburu, Gema Aonso-Diego, Ana Estévez

Self-compassion is a psychological construct associated with enhanced well-being, which, to a lesser extent, has been examined in relation to addictive behaviors. The present study aims to: (1) examine gender differences in self-compassion, anxiety and depressive symptoms, and problematic Internet and smartphone use; (2) analyze the relationships among these variables; and (3) determine whether self-compassion moderates the association between anxiety and depressive symptomatology and problematic Internet and smartphone use. The sample consisted of 953 Spanish secondary school students aged 13 to 18 years (M = 15.42, SD = 1.17; 55.0% females). Significant gender differences were found in all study variables except problematic Internet use, with females reporting higher levels of anxiety, depression, and problematic smartphone use, and males scoring higher in self-compassion. Moderation analyses revealed that depression and anxiety were positively associated with both problematic Internet smartphone use, while self-compassion showed negative associations with both outcomes. Significant interactions were observed, with stronger positive associations between anxiety and depression and both problematic Internet and smartphone use at higher levels of self-compassion. Our results underscore that association between depressive and anxiety symptoms and problematic Internet and smartphone use in adolescents varied across levels of self-compassion, supporting its consideration in interventions targeting behavioral addictions.

自我同情是一种与增强幸福感相关的心理结构,在较小程度上,它与成瘾行为的关系也得到了检验。本研究旨在:(1)研究自我同情、焦虑和抑郁症状、网络和智能手机使用问题的性别差异;(2)分析这些变量之间的关系;(3)确定自我同情是否调节焦虑和抑郁症状与问题网络和智能手机使用之间的关联。样本包括953名13 - 18岁的西班牙中学生(M = 15.42, SD = 1.17, 55.0%为女性)。在所有研究变量中都发现了显著的性别差异,除了有问题的互联网使用,女性报告的焦虑、抑郁和有问题的智能手机使用水平更高,而男性在自我同情方面得分更高。适度分析显示,抑郁和焦虑与有问题的互联网智能手机使用呈正相关,而自我同情与这两种结果呈负相关。研究人员观察到显著的相互作用,在自我同情水平较高的人群中,焦虑和抑郁与有问题的互联网和智能手机使用之间存在更强的正相关。我们的研究结果强调了抑郁和焦虑症状与青少年有问题的互联网和智能手机使用之间的联系在不同水平的自我同情中有所不同,支持在针对行为成瘾的干预中考虑它。
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引用次数: 0
Extending TAM Model: The Role of Intrinsic Motivation and Self-Efficacy on Algerian EFL University Students' Behavioral Intention to Use Duolingo. 扩展TAM模型:内在动机和自我效能感在阿尔及利亚英语大学生多邻国使用行为意向中的作用。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-29 DOI: 10.1177/00332941251411212
Nadia Saraa, Abdo Hasan Al-Qadri, Hazim M Alhaqbani, Mohammed Ateik Al-Khadher

Duolingo, a gamified educational digital platform, has received significant popularity in EFL education. In this context, the study purposes to explores how Algerian EFL learners respond to using Duolingo as a digital technology learning tool. Specifically, the study sought to investigate the role of Self-Efficacy (SE) and Intrinsic Motivation (IM) in shaping Algerian EFL learners' behavioral intention (BI) to use Duolingo within an extended Technology Acceptance Model (TAM) framework. Both direct and indirect effects were tested alongside the moderating roles of Digital Resource Access and Institutional Support using structural equation modeling approach. Data were collected from 319 EFL undergraduate students through a validated questionnaire. Findings revealed significant direct effect of both Self-Efficacy and Intrinsic Motivation on BI. In addition, Self-Efficacy indirectly influenced BI through perceived usefulness (PU), while Intrinsic Motivation had an indirect effect via Perceived Ease of Use (PEU). Furthermore, Institutional Support and Digital Resource access has significantly moderate the PU and PEU on BI pathways respectively. The study highlights the need for Algerian higher education to adopt local pedagogical and infrastructural strategies to optimize the use of digital language tools in EFL education.

多邻国作为一个游戏化的教育数字平台,在英语教育中受到了极大的欢迎。在此背景下,本研究旨在探讨阿尔及利亚英语学习者如何使用Duolingo作为数字技术学习工具。具体而言,本研究试图在扩展的技术接受模型(TAM)框架内调查自我效能感(SE)和内在动机(IM)在塑造阿尔及利亚英语学习者使用多邻国的行为意向(BI)中的作用。采用结构方程建模方法对数字资源获取和制度支持的直接和间接影响以及调节作用进行了检验。通过一份有效的问卷调查收集了319名英语本科生的数据。研究结果显示,自我效能感和内在动机对BI有显著的直接影响。此外,自我效能感通过感知有用性(PU)间接影响BI,而内在动机通过感知易用性(PEU)间接影响BI。此外,制度支持和数字资源获取分别显著调节了商业智能路径上的PU和PEU。该研究强调了阿尔及利亚高等教育需要采用当地的教学和基础设施战略,以优化数字语言工具在英语教育中的使用。
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引用次数: 0
Support at Our Fingertips: An Experimental Comparison of In-Person, Video, Voice and Text-Based Support. 触手可及的支持:面对面、视频、语音和基于文本的支持的实验比较。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-26 DOI: 10.1177/00332941251409165
Susan Holtzman, Diana Lisi, Rebecca Godard, Anita DeLongis

Digital forms of communication afford users unprecedented access to supportive others during times of need. Yet there has been little experimental research that compares the nature and effectiveness of informal support provided through digital communication. In this lab-based experiment, 348 female young adults took part in a stressful task and were randomly assigned to receive support from a close female friend through (1) in-person communication, (2) video calling, (3) voice calling, (4) text messaging, or (5) a no-support control condition. In-person, video and voice communication resulted in similar perceived levels of received support, satisfaction with support, and affective outcomes of support. However, participants who received support through texting reported significantly lower positive affect and less laughter and smiling (compared to all other forms of communication). Text message support was also perceived as less empathetic and resulted in lower satisfaction (compared to in-person communication). The present study replicates and extends past research by identifying specific ways in which text-based support may fall short. In both research and clinical contexts, more work is needed to optimize this popular and convenient platform for the provision of social support.

数字形式的通信使用户在需要时能够前所未有地获得他人的支持。然而,很少有实验研究比较通过数字通信提供的非正式支持的性质和有效性。在这项基于实验室的实验中,348名年轻女性参与了一项有压力的任务,并被随机分配到从一位亲密的女性朋友那里获得支持,通过(1)面对面交流,(2)视频通话,(3)语音通话,(4)短信,或(5)不支持的控制条件。面对面交流、视频交流和语音交流在获得支持的感知水平、支持满意度和支持的情感结果方面产生了相似的结果。然而,通过短信获得支持的参与者报告的积极影响明显较低,笑声和微笑也较少(与所有其他形式的交流相比)。短信支持也被认为缺乏同理心,导致满意度较低(与面对面交流相比)。本研究通过确定文本支持可能不足的具体方式,复制并扩展了过去的研究。在研究和临床环境中,需要做更多的工作来优化这个受欢迎和方便的平台,以提供社会支持。
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引用次数: 0
Psychological Correlates of Professionalism and Goal-Oriented Behavior Among Postgraduate Medical Residents in Pakistan. 巴基斯坦研究生住院医师专业精神与目标导向行为的心理相关关系
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-24 DOI: 10.1177/00332941251411296
Kashif Ali, Fozia Fatima, Khola Noreen, Mudassar Noor, Alina Alvi, Omaima Asif

Professionalism and goal-oriented behavior are essential constructs within psychological and educational growth of medical residents. Based on self-determination theory and achievement goal theory, the present research explored the relationship between professionalism dimensions and goal-oriented behaviors within postgraduate residents in Pakistan. A cross-sectional quantitative design was used with 150 medical residents of CMH Multan Institute of Medical Sciences. Professionalism was determined with the Professionalism Assessment Tool (PAT), and motivational orientation was determined with the General Achievement Goal Orientation Scale (GAGOS). High professionalism was found, with ethics and altruism as the highest rated, followed by communication as the lowest. Mastery and global motivation were the most prominent goal orientations. Pearson correlation revealed a moderately positive and significant association between goal-oriented behavior and professionalism (r = 0.656, p < .001). Linear regression indicated that goal-oriented behavior accounted for 43% of the variance in professionalism (R2 = 0.43). Regression analysis showed that goal-oriented behavior was moderately positively correlated with professionalism, and global motivation was the best predictor. The results highlight the significance of intrinsic motivation and self-regulated learning to promote professionalism and justify the integration of psychological concepts in medical training. The current research adds to the psychological body of knowledge in motivation and identity formation in clinical education settings.

专业精神与目标导向行为是住院医师心理成长与教育成长的基本建构。基于自我决定理论和成就目标理论,本研究探讨了巴基斯坦研究生住院医师专业化维度与目标导向行为的关系。采用横断面定量设计对木尔坦医学研究所150名住院医师进行调查。专业度采用专业度评估工具(PAT),动机取向采用一般成就目标取向量表(GAGOS)。调查发现,专业程度很高,其中道德和利他主义得分最高,其次是沟通能力最低。精通和全局动机是最突出的目标取向。Pearson相关分析显示,目标导向行为与职业化之间存在中度正相关(r = 0.656, p < 0.001)。线性回归结果显示,目标导向行为占专业度方差的43% (R2 = 0.43)。回归分析显示,目标导向行为与职业化有中度正相关,整体动机是最佳预测因子。研究结果强调了内在动机和自我调节学习对促进专业精神的重要性,并证明了在医学培训中整合心理学概念的合理性。目前的研究增加了临床教育背景下动机和身份形成的心理学知识体系。
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引用次数: 0
Perceived Effectiveness of Punitive Disciplines and Positive Behavioural Adjustment Measures for Adolescent Rebellions of Secondary School Students. 惩罚性纪律对中学生青少年叛逆行为的感知效果与积极行为调节措施。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-23 DOI: 10.1177/00332941251411300
Hong Thu Thi Nguyen

The study aims to explore the stakeholders' perspectives on punitive disciplinary forms and positive behavioral adjustment measures for adolescent rebellions of secondary school students. The mixed-method research involves the participation of 351 people, including 93 teachers, 72 parents and 186 students from secondary schools in Vietnam. Questionnaires, and interviews are the primary research instruments for data collection. The results indicate that the application of positive measures is more supported by students and tends to change behavior more positively. Student learning motivation is enhanced with different behavioral adjustment measures. Although there are differences in assessment, students, teachers and parents all highly appreciate the effectiveness of this method. Additionally, barriers to implementing measures to prevent "rebellious" behavior of students were found to include: Cultural barriers; low awareness of students; achievement pressure from families and schools; the downside of the technology explosion. Some recommendations were also proposed for students, families, schools and society to overcome the challenges of adolescent rebellion.

本研究旨在探讨利益相关者对中学生青少年叛逆的惩罚性惩戒形式和积极行为调节措施的看法。这项混合方法研究共有351人参与,其中包括93名教师、72名家长和186名来自越南中学的学生。问卷调查和访谈是数据收集的主要研究工具。结果表明,积极措施的应用更受学生的支持,并倾向于更积极地改变行为。不同的行为调节措施可以增强学生的学习动机。虽然在评估上存在差异,但学生、老师和家长都高度赞赏这种方法的有效性。此外,实施防止学生“叛逆”行为的措施的障碍包括:文化障碍;学生自觉性低;来自家庭和学校的成就压力;技术爆炸的负面影响。报告还为学生、家庭、学校和社会提出了一些建议,以克服青少年叛逆带来的挑战。
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引用次数: 0
Keeping a Low Profile: When Outcome Uncertainty Promotes Behavioral Inhibition. 保持低调:当结果不确定性促进行为抑制。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-23 DOI: 10.1177/00332941251410042
Xun Deng, Yiding Xi, Jingya Huang

We propose the "low-profile effect," suggesting that individuals awaiting uncertain outcomes of significant life events exhibit behavioral inhibition and adopt a low-profile demeanor in public to manage anxiety and social scrutiny. Through four experiments, we provide robust evidence for this hypothesis. Experiment 1 showed that participants reflecting on important, uncontrollable outcomes were less inclined to seek public attention or engage in self-promotion. Experiments 2 and 3 further demonstrated reduced preferences for conspicuous brands and a reluctance to publicly correct others' mistakes, respectively, highlighting restrained social behaviors. Behavioral inhibition was identified as a potential mediator of these effects. Experiment 4, conducted in a field setting, revealed that the low-profile effect intensifies as the temporal proximity of the anticipated outcome increases, underscoring the role of uncertainty's immediacy. This research contributes to the literature on decision-making under uncertainty by introducing the low-profile effect as a novel behavioral response, offering insights into how individuals navigate social environments during periods of personal uncertainty. These findings have implications for understanding self-presentation, social behavior, and coping mechanisms in uncertain contexts.

我们提出了“低调效应”,即个人在等待重大生活事件的不确定结果时表现出行为抑制,并在公共场合采取低调的举止来管理焦虑和社会监督。通过四个实验,我们为这一假设提供了有力的证据。实验1显示,反思重要的、不可控的结果的参与者不太倾向于寻求公众关注或进行自我推销。实验2和实验3进一步表明,人们对炫耀性品牌的偏好降低,不愿公开纠正他人的错误,这分别突出了受约束的社会行为。行为抑制被认为是这些影响的潜在中介。在实地环境中进行的实验4显示,低调效应随着预期结果的时间接近性增加而增强,强调了不确定性的即时性的作用。本研究通过引入低调效应作为一种新的行为反应,为不确定性下的决策提供了文献依据,并为个体在不确定性时期如何驾驭社会环境提供了见解。这些发现对理解不确定环境中的自我表现、社会行为和应对机制具有重要意义。
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引用次数: 0
Coalitional Utility of Formidable Men as a Function of Perceived Humor Styles. 令人敬畏的男人的联盟效用与感知幽默风格的关系。
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-23 DOI: 10.1177/00332941251411299
Mitch Brown, Patrick A Stewart, Gregg R Murray

Perceivers use men's facial width-to-height ratio (fWHR) in coalitional decision-making, weighing the costs and benefits associated with formidable men based upon this cue. Nonetheless, inferences of coalitional utility remain multimodal. Interpersonal signals connoting affiliative intent could implicate formidable men as valuable when otherwise seen as liabilities in these coalitional processes. This study considers this possibility with a replication and extension of previous research indicating the contexts in which high-fWHR men are (un)desirable by considering signals of affiliative and aggressive intent through humor. We recruited a nationally representative U.S. adult sample (N = 1,385) to evaluate a series of high-fWHR and low-fWHR male targets described as employing aggressive or affiliative humor. Participants indicated the effectiveness of the targets in high-status roles (i.e., intergroup representation and intragroup enforcement) and tasks that require physical strength or mental finesse to solve complex problems. High-fWHR men were perceived as more effective in tasks requiring strength. The inferred costs of formidability for tasks requiring finesse were mitigated when high-fWHR men used affiliative humor. Low-fWHR men and affiliative humorists were further preferred for diplomacy. Results reflect the importance of multimodal inferences in coalition decision-making.

感知者在联合决策中使用男性面部宽高比(fWHR),根据这一线索衡量与强大男性相关的成本和收益。尽管如此,联合效用的推论仍然是多模式的。在这些联盟过程中,隐含从属意图的人际信号可能会使强大的人变得有价值,否则就会被视为负债。本研究通过复制和扩展先前的研究来考虑这种可能性,该研究表明,通过考虑幽默的附属和攻击意图信号,高腰高比男性(不)受欢迎。我们招募了一个具有全国代表性的美国成人样本(N = 1385)来评估一系列高身高比和低身高比的男性目标,这些目标被描述为使用攻击性或附属性幽默。参与者指出了目标在高地位角色(即群体间代表和群体内部执行)和需要体力或智力来解决复杂问题的任务中的有效性。高腰宽比的男性被认为在需要力量的任务中更有效。当高whr男性使用附属幽默时,对于需要技巧的任务的强大性的推断成本得到了缓解。低臀高比的男性和有亲和力的幽默家更倾向于从事外交工作。结果反映了多模态推理在联盟决策中的重要性。
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引用次数: 0
Gender Differences in Anxiety and Depression Levels among Oncology Patients: A Cross-Sectional Study Across Treatment Stages. 肿瘤患者焦虑和抑郁水平的性别差异:跨治疗阶段的横断面研究
IF 1.6 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-23 DOI: 10.1177/00332941251409173
Bruna Cristina Moreira Santos, Bruno Menezes Teixeira Campos, Ana Beatriz de Mello Domingos, Eduardo Tavares Lima Trajano, Larissa Alexsandra da Silva Neto Trajano

Anxiety and depression are disorders that affect thousands of people annually. Among those affected, cancer patients stand out, as they frequently develop these conditions during the pre-and post-operative periods and throughout chemotherapy treatment. These conditions can hinder recovery and quality of life, especially in cases of metastatic neoplasms. The aim was to evaluate anxiety and depression levels in cancer patients during the pre-and post-surgical phases and while undergoing treatment at the oncology clinic of a University Hospital and to collect sociodemographic information on tumor sites and metastasis. The Hospital Anxiety and Depression Scale (HADS) and the Generalized Anxiety Disorder Scale (GAD-7) were used for analysis. The study included 338 patients aged between 16 and 95 years, and statistical tests were conducted to assess normality and compare anxiety and depression levels between genders. The most common types of cancer were breast (24.85%), colorectal (22.78%), and prostate (18.34%). It was observed that 55.62% of the patients had metastases, primarily in the bones (15.08%) and lymph nodes (14.20%). The comparison of anxiety levels showed a statistically significant difference (P = 0.001) between men and women, with women exhibiting higher levels. Depression was also more prevalent among women (P = 0.0001). No significant differences were found in anxiety and depression levels between surgical and chemotherapy treatment groups. In conclusion, patients undergoing clinical and surgical oncology treatments experience varying levels of anxiety and depression, with female patients having a higher prevalence of both.

焦虑和抑郁是每年影响成千上万人的疾病。在受影响的患者中,癌症患者尤为突出,因为他们经常在手术前后和化疗期间出现这些情况。这些情况会阻碍恢复和生活质量,特别是在转移性肿瘤的情况下。目的是评估癌症患者在手术前后和在大学医院肿瘤诊所接受治疗期间的焦虑和抑郁水平,并收集有关肿瘤部位和转移的社会人口学信息。采用医院焦虑抑郁量表(HADS)和广泛性焦虑障碍量表(GAD-7)进行分析。该研究包括338名年龄在16岁至95岁之间的患者,并进行了统计测试,以评估正常情况,并比较性别之间的焦虑和抑郁水平。最常见的癌症类型是乳腺癌(24.85%)、结直肠癌(22.78%)和前列腺癌(18.34%)。55.62%的患者发生转移,主要转移部位为骨(15.08%)和淋巴结(14.20%)。男性和女性的焦虑水平比较,差异有统计学意义(P = 0.001),女性的焦虑水平更高。抑郁症在女性中也更为普遍(P = 0.0001)。手术组和化疗组在焦虑和抑郁水平上没有显著差异。总之,接受临床和外科肿瘤治疗的患者经历不同程度的焦虑和抑郁,女性患者两者的患病率更高。
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