精神分裂症和神经症患者心理防御机制的对照研究

A Control Study of the Psychological Defensive Mechanism in Patients with Schizophrenia and Patients with Neurosis

目的:探讨精神分裂症患者和神经症患者在心理防御机制的使用上与正常人的差别,为临床提供辅助诊断。方法:采用心理防御方式问卷对48例精神分裂症、64例神经症患者进行测试,并与129例健康人对照。结果:精神分裂症患者和神经症患者与正常对照组相比较,多使用不成熟的防御机制,较少使用成熟防御机制;精神分裂症组与神经症组相比,更多使用分裂,而在其它防御机制的使用上无明显差异;神经症患者较少掩饰性。结论:精神分裂症病人和神经症病人在心理防御机制的使用上与正常人不同,神经症病人与精神分裂症病人使用大致相同的心理防御机制。

Objective： To explore whether patients with schizophrenia and patients with neurosis have different psychological defense mechanisms. Methods： 48 patients with schizophrenia, 64 patients with neurosis and 129 normal controls were tested with defense styles questionnaire （DSQ）. Results： Compared with normal controls, patients with schizophrenia and patients with neurosis use more immature defense mechanisms and less mature defense mechanisms; patients with schizophrenia, compared with patients with neurosis, use more splitting, and have less difference in other defense mechanisms; patients with neurosis have less concealment. Conclusion： Patients with schizophrenia and patients with neurosis have different psychological defense mechanisms as compared with normal controls, patients with schizophrenia and patients with neurosis, have no significantly different defense mechanisms.