CAJ | 학술논문

目的探讨斑秃患者的心理健康情况、心理防御机制以及两者的相关性.方法采用心理健康测查表及心理防御方式问卷(DSQ),对80例斑秃患者进行测试并与60例正常受试者进行对照研究.结果斑秃组在抑郁[( 10.64±2.02)分]、躯体化(8.36±1.84)分]、焦虑[(13.46±2.25)分]、疑心[(8.30±2.11)分]、脱离实际[(7.77±2.18)分]因子分均高于对照组(P＜0.01).不成熟心理防御机制[(5.54±1.83)分]及中间型防御机制[(6.09±1.77)分]因子分明显高于对照组(P＜0.01).说谎分数、躯体化、抑郁、焦虑、病态人格、疑心因子均与DSQ1呈显著正相关(P＜0.01),躯体化、焦虑因子与DSQ2呈显著负相关(P＜0.01),躯体化因子与DSQ4呈显著负相关(P＜0.01).结论斑秃患者心理健康水平较低,心理防御机制存在一定缺陷,与其心理健康水平存在显著相关.
목적 탐토반독환자적심리건강정황、심리방어궤제이급량자적상관성.방법 채용심리건강측사표급심리방어방식문권(DSQ),대80례반독환자진행측시병여60례정상수시자진행대조연구.결과 반독조재억욱[( 10.64±2.02)분]、구체화(8.36±1.84)분]、초필[(13.46±2.25)분]、의심[(8.30±2.11)분]、탈리실제[(7.77±2.18)분]인자분균고우대조조(P＜0.01).불성숙심리방어궤제[(5.54±1.83)분]급중간형방어궤제[(6.09±1.77)분]인자분명현고우대조조(P＜0.01).설황분수、구체화、억욱、초필、병태인격、의심인자균여DSQ1정현저정상관(P＜0.01),구체화、초필인자여DSQ2정현저부상관(P＜0.01),구체화인자여DSQ4정현저부상관(P＜0.01).결론 반독환자심리건강수평교저,심리방어궤제존재일정결함,여기심리건강수평존재현저상관.
Objective To evaluate psychological defense mechanisms,mental health status and their correlation in patients with alopecia areata.Methods A survey was conducted by using psychological health inventory (PHI) and defense style questionnaire (DSQ) in 80 patients with alopecia areata and 60 normal human controls.Results The patients with alopecia areata showed a significantly higher factor score on depression (10.64 ± 2.02),somatization (8.36 ± 1.84),anxiety( 13.46 ± 2.25 ),hypochondria( 8.30 ± 2.11 ),derealization (7.77 ± 2.18),immature psychological defense mechanism (5.54 ± 1.83) and intermediate psychological defense mechanism (6.09 ± 1.77) than the normal controls did (all P ＜ 0.01 ).The DSQ1 score was positively correlated with the factor scores on lying,somatization,depression,anxiety,psychopathic deviate and hypochondria (all P ＜ 0.01 ),while DSQ2 score was negatively correlated with the factor scores on somatization and anxiety (both P ＜ 0.01),and DSQ4 score with somatization factor score (P ＜ 0.01 ).Conclusions Mental health status is poor in patients with alopecia areata with defective psychological defense mechanisms,which are statistically correlated with the mental health level.