男性躯体形式障碍患者防御方式与家庭暴力的调查分析

Investigation and Analysis of the Defense Mechanism and Domestic Violence of Male Patients with Somatization Disorder

目的 :探讨躯体形式障碍患者的心理障碍与家庭暴力之间的相关性 ,提高人们对这类患者损他行为的认识 ,重视其危害性 ,提高社区精神健康服务水平。 方法 :对病例组 (37例 )之妻、对照组 (37例 )之妻进行家庭暴力问卷测试评分。对病例组、对照组、病例组之妻、对照组之妻进行防御机制问卷 (DSQ)测试评分。 结果 :病例组家庭暴力积分显著高于对照组 (P <0 .0 1)。病例组与对照组相比较多应用不成熟及中间型防御机制 (P <0 .0 1)。 结论 :躯体形式障碍患者的心理障碍是其家庭暴力的重要原因。

Objective: To evaluate the relationship between the psychological impediment of the patients with somatization disorder (SD) and domestic violence,and to enhance people's recognition of this kind of patients' harmful action to others so as to attach more importance to the patients and to the improvement of mental health service of the community. Methods: Questionnaire scoring was conducted among the wives of the SD group and the control group concerning domestic violence. It was also conducted in the SD group,the control group and the wives of the two groups concerning defense mechanism. Results: The average score on demestic violence of the SD group was significantly higher than that of the normal control. Immature and intermediate defenses were more usual in the SD group than in the normal control( P < 0.01 ). Conclusion: Psychological impediment of SD patients is an important cause of domestic violence.