Abstract：Objective To investigate the current status of alexithymia in patients with first-episode differentiated thyroid cancer after surgery and to analyze the influencing factors of alexithymia. Methods From February 2022 to December, 412 patients with first-episode differentiated thyroid carcinoma 1 month after operation were investigated by personal data, disease characteristics, Toronto alexithymia scale (TAS-20), and post-traumatic growth inventory (PTGI). Results Totally 22.6% and 21.8% of postoperative patients with first-episode differentiated thyroid cancer had suspected alexithymia and present alexithymia respectively. The average total score of post-traumatic growth in patients with first-episode differentiated thyroid cancer was (50.61±14.25) points, the post-traumatic growth score in the alexithymia group was (35.46±6.34) points, the post-traumatic growth score in the non-alexithymia group was (58.68±13.04) points, and the post-traumatic growth score in the suspected alexithymia group was (45.43±5.69) points, and the differences were statistically significant (LSD-t=17.726, 6.407, both P<0.001). Hierarchical logistic regression analysis showed that interpersonal relationships, new possibilities, personal strength, and spiritual change dimensions of post-traumatic growth were the protective factors of alexithymia (P<0.05), while lymph node metastasis, lesion≥1.5 cm, and TNM stage Ⅱ were risk factors of alexithymia (P<0.05). Conclusions The incidence of alexithymia in postoperative patients with first-episode differentiated thyroid carcinoma is high, and the occurrence of post-traumatic growth, lesion metastasis, lesion size, and disease stage affect its occurrence. Therefore, the targeted psychological intervention should be strengthened.
张越,周凤芹. 首发分化型甲状腺癌术后患者述情障碍现状及其影响因素[J]. 中国校医, 2024, 38(1): 41-44.
ZHANG Yue, ZHOU Fengqin. Current status of alexithymia and its influencing factors in patients with first-episode differentiated thyroid cancer after surgery. Chinese Journal of School Doctor, 2024, 38(1): 41-44.
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2024, Vol. 38 
