CAJ | 학술논문

目的：探讨强迫性障碍患者防御机制与人格特征以及两者的关系。方法采用防御方式问卷（ DSQ）、艾森克人格问卷（ EPQ）对131例强迫性障碍患者和130例正常对照进行评定。结果研究组DSQ的不成熟防御机制分、中间型防御机制分均高于对照组（P＜0．01），成熟防御机制分低于对照组（P＜0．05）。研究组EPQ的精神质、神经质得分高于对照组（P＜0．01），内外向得分低于对照组（P＜0．05）。研究组中，DSQ的投射、被动攻击、潜意显现、理想化、伴无能之全能、同一化因子分与EPQ的精神质因子分呈正相关（P＜0．05），DSQ的幻想、退缩、躯体化、回避、制止、伴无能之全能因子分与EPQ的内外向因子分呈负相关（P＜0．05），DSQ的投射、潜意显现、幻想、退缩、躯体化、回避因子分与EPQ的神经质因子分呈正相关（ P＜0．05）。结论强迫性障碍患者更多地使用不成熟防御机制和中间型防御机制，其防御机制与人格特征有关。
목적：탐토강박성장애환자방어궤제여인격특정이급량자적관계。방법채용방어방식문권（ DSQ）、애삼극인격문권（ EPQ）대131례강박성장애환자화130례정상대조진행평정。결과연구조DSQ적불성숙방어궤제분、중간형방어궤제분균고우대조조（P＜0．01），성숙방어궤제분저우대조조（P＜0．05）。연구조EPQ적정신질、신경질득분고우대조조（P＜0．01），내외향득분저우대조조（P＜0．05）。연구조중，DSQ적투사、피동공격、잠의현현、이상화、반무능지전능、동일화인자분여EPQ적정신질인자분정정상관（P＜0．05），DSQ적환상、퇴축、구체화、회피、제지、반무능지전능인자분여EPQ적내외향인자분정부상관（P＜0．05），DSQ적투사、잠의현현、환상、퇴축、구체화、회피인자분여EPQ적신경질인자분정정상관（ P＜0．05）。결론강박성장애환자경다지사용불성숙방어궤제화중간형방어궤제，기방어궤제여인격특정유관。
Objective To explore the relationship between defense mechanism and personality characteristics in patients with obsessive-compulsive disorder( OCD) .Methods A total of 131 patients with OCD in study group and 130 healthy people in control group were assessed with Defensive Style Questionnaire ( DSQ) and Eysenck’ s Personality Questionnaire( EPQ) .Results The immature and intermediate mechanism factor scores of DSQ in study group were all significantly higher than those in control group ( P<0.05) , and the mature mechanism factor scores of DSQ in study group were significantly lower than those in control group ( P<0.05) .The psychoticism and neuroticism factor scores of EPQ in study group were all significantly higher than those in control group (P<0.05), and the extraversion factor scores of EPQ in study group were significantly lower than those in control group ( P <0.05).In study group, the psychoticism factor scores of EPQ were positively related to the projection, passive aggression, unconscious emerge, rationalization, omnipotence-devaluation, identification factor scores of DSQ ( P <0.05), the extraversion factor scores of EPQ negatively related to the phantagy, withdrawl, somatization, avoidance, restraint, omnipotence-devaluation of DSQ( P <0.05), and the neuroticism factor scores of EPQ positively related to the projection, unconscious emerge, phantagy, withdrawl, somatization, avoidance factor scores of DSQ( P<0.05).Conclusion There is much immature and intermediate defense mechanism in patients with OCD, which is related to their personality characteristics.