Journal of International Psychiatry

[Abstract] Objective To explore the influencing factors of postoperative psychological distress status in unmarried nulliparous women with thyroid cancer. Methods From December 2021 to May 2022, unmarried nulliparous female patients with thyroid malignant tumors by postoperative pathology in department of thyroid-mammary hernia surgery of Shanghai Sixth People’ s Hospital were selected as research subjects. According to the results of psychological distress self-assessment score, the enrolled patients were divided into mild distress group (n=100) and severe distress group (n=102). The general demographic data, awareness rate of fertility-related knowledge, self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score were compared between groups. Binary Logistic regression analysis was adopted to analyze the influencing factors of postoperative psychological distress status in unmarried nulliparous women with thyroid cancer. Results Compared with the severe distress group, the education level and medical insurance coverage rate in the mild distress group were higher, and the diagnosis time, surgical frequency and pathological stage were shorter or lower (P<0.05). The awareness rates of various items of fertility-related knowledge in the mild distress group were higher than those in the severe distress group (P<0.05). The scores of SAS and SDS were lower in the mild distress group than those in the severe distress group (P<0.05). Logistic regression analysis suggested that education level, medical insurance, surgical frequency, pathological staging, awareness status of fertility knowledge, SAS and SDS were all influencing factors of psychological distress degree. Conclusion Psychological distress degree after thyroid cancer surgery is high in unmarried nulliparous women with low education level, no medical insurance, repeated surgery, few understanding of fertility knowledge and high pathological stage, SAS score and SDS score. It is necessary to take corresponding measures according to the specific conditions of patients to reduce the distress degree and promote the psychological adjustment and physical rehabilitation of patients.

[Key words] Women; Unmarried nulliparous; Thyroid cancer; Psychological distress; Influencing factors