中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
11期
992-994
,共3页
抑郁发作%心理防御机制%应对方式%心理干预
抑鬱髮作%心理防禦機製%應對方式%心理榦預
억욱발작%심리방어궤제%응대방식%심리간예
Depressive episode%Psychological defense mechanism%Coping style%Psychological intervention
目的 探讨抑郁发作患者的心理防御与应对方式特点.方法 根据CCMD-3诊断标准,实验组共104例,分层抽样取对照组104例,分别用防御方式问卷(DSQ)、应对方式问卷(CSQ)进行测评.结果 实验组不成熟型防御方式[(5.19±0.73)分]高于对照组[(4.41±0.76)分],差异有统计学意义(t=2.93,P＜0.05),其中退缩、躯体化、回避、被动攻击高于对照组,抱怨、幻想低于对照组,差异均有统计学意义;实验组成熟型防御方式[(4.49±0.61)分]低于对照组[(6.01±0.85)分],差异有统计学意义(t=6.02,P＜0.01),其中升华、幽默低于对照组,而压抑高于对照组,差异均有统计学意义.在应对方式上,解决问题、求助、合理化低于对照组(t=-4.58,P＜0.01;t=-4.49,P＜0.01;t=-4.01,P＜0.01),自责、退避高于对照组(t=8.21,P＜0.01;t=5.31,P＜0.01).结论 抑郁发作患者倾向于使用不成熟的心理防御机制与应对方式,心理干预需要对患者的不成熟型防御方式与应对方式进行干预,引导患者有意识地运用成熟的防御与应对方式,以提高治疗的远期效果.
目的 探討抑鬱髮作患者的心理防禦與應對方式特點.方法 根據CCMD-3診斷標準,實驗組共104例,分層抽樣取對照組104例,分彆用防禦方式問捲(DSQ)、應對方式問捲(CSQ)進行測評.結果 實驗組不成熟型防禦方式[(5.19±0.73)分]高于對照組[(4.41±0.76)分],差異有統計學意義(t=2.93,P＜0.05),其中退縮、軀體化、迴避、被動攻擊高于對照組,抱怨、幻想低于對照組,差異均有統計學意義;實驗組成熟型防禦方式[(4.49±0.61)分]低于對照組[(6.01±0.85)分],差異有統計學意義(t=6.02,P＜0.01),其中升華、幽默低于對照組,而壓抑高于對照組,差異均有統計學意義.在應對方式上,解決問題、求助、閤理化低于對照組(t=-4.58,P＜0.01;t=-4.49,P＜0.01;t=-4.01,P＜0.01),自責、退避高于對照組(t=8.21,P＜0.01;t=5.31,P＜0.01).結論 抑鬱髮作患者傾嚮于使用不成熟的心理防禦機製與應對方式,心理榦預需要對患者的不成熟型防禦方式與應對方式進行榦預,引導患者有意識地運用成熟的防禦與應對方式,以提高治療的遠期效果.
목적 탐토억욱발작환자적심리방어여응대방식특점.방법 근거CCMD-3진단표준,실험조공104례,분층추양취대조조104례,분별용방어방식문권(DSQ)、응대방식문권(CSQ)진행측평.결과 실험조불성숙형방어방식[(5.19±0.73)분]고우대조조[(4.41±0.76)분],차이유통계학의의(t=2.93,P＜0.05),기중퇴축、구체화、회피、피동공격고우대조조,포원、환상저우대조조,차이균유통계학의의;실험조성숙형방어방식[(4.49±0.61)분]저우대조조[(6.01±0.85)분],차이유통계학의의(t=6.02,P＜0.01),기중승화、유묵저우대조조,이압억고우대조조,차이균유통계학의의.재응대방식상,해결문제、구조、합이화저우대조조(t=-4.58,P＜0.01;t=-4.49,P＜0.01;t=-4.01,P＜0.01),자책、퇴피고우대조조(t=8.21,P＜0.01;t=5.31,P＜0.01).결론 억욱발작환자경향우사용불성숙적심리방어궤제여응대방식,심리간예수요대환자적불성숙형방어방식여응대방식진행간예,인도환자유의식지운용성숙적방어여응대방식,이제고치료적원기효과.
Objective To study the psychological defence (PD) and coping style (CS) of the patients suffering depressive episode (DE).Methods 104 cases of the experimental group and 104 cases of the control group,which were stratified sampled,had been investigated by applying defensive style questionnaire (DSQ),coping style questionnaire(CSQ).Results The total score of the immature PD of the experimental group(5.19±0.73) was significantly higher (t =2.93,P＜ 0.05) than that of the control group (4.41 ± 0.76).In the immature mechanism,withdrawal,somatization,avoiding,passive aggression were significantly higher,but the complaints and fantasy were significantly lower.The total score of mature PD of the experimental group(4.49±0.61) was significantly lower (t=-6.02,P＜0.01) than that of the control group(6.01±0.85).For the mature mechanism,sublimation and humor were lower and the repression was higher.And for the CS,problem solving,consulting and rationalization scores were significantly lower than those of the control group(t=-4.58,P＜0.01 ; t=-4.49,P＜0.01; t=-4.01,P＜0.01).The self-accusation,retreat scores were significantly higher than those of the control group(t=8.21,P＜0.01; t=5.31,P＜0.01).Conclusion Patients suffering DE are apt to use immature PD and CS.To increase the therapeutic effect,the style of the patients' PD and CS should be highlighted,and it is necessary to take steps to guide the patients to use mature PD and CS.
