关键词: 肿瘤心理学, 心理行为, Conners儿童行为问卷, S-M量表

Abstract:

Objective To explore the differences in psychological behavior between children with solid tumors after surgery and non-tumor children, and to analyze the influencing factors. Methods Convenience sampling method was used to select 150 children with pathologically diagnosed solid tumors at Children's Hospital Affiliated of Zhengzhou University from May 2022 to April 2023 as the pediatric tumor group. During the same period, 100 healthy children were selected as the control group. The Conners Comprehensive Behavior Rating Scale (CBRS) and the Normal Development of Social Skills from Infame to Junior High School Children (S-M) were used to assess the psychological behavior and social life ability. Influencing factors for postoperative psychological and behavioral abnormalities in children with solid tumors were identified by logistic regression analysis. Results There were significant differences in the scores of learning problems, anxiety, and hyperactivity index in the psychological and behavioral dimensions of children at different age groups (P<0.05). The scores of various psychological and behavioral dimensions in the pediatric tumor group were significantly higher than those of the control group (P<0.05). The scores of sports, independent living, self-management, homework operations, and group activities in the pediatric group were significantly lower than those of the control group (P<0.05). There were significant differences in the age, time to return to school after surgery, completion of treatment, financial burden on the family, harmonious family relationship and social living ability comparison in children between abnormal and normal psychological behavior groups (P<0.05). CBRS score was negatively correlated with the S-M score (r=-0.667, P<0.01). Logistic regression analysis showed that older age, longer time to return to school after surgery, completion of treatment, harmonious family relationship, and good social living ability were protective factors for psychological and behavioral problems after surgery for children with solid tumors, while a heavy family financial burden was a risk factor (P<0.05). Conclusion The psychological and behavioral scores of children with solid tumors are at a moderate level. Paying attention to the postoperative psychological behavior of children with solid tumors and improving their social life abilities can help them integrate into the group and promote healthy growth.

Key words: psycho-oncology, psychological behavior, Conners Comprehensive Behavior Rating Scale, S-M scale