精神分裂症患者的成人亲附类型与其防御机制的研究

Adult Attachment Styles and Defense Styles of Schizophrenias

目的探索精神分裂症患者的成人亲附类型与防御机制,为进一步理解其临床症状提供相关的研究基础。方法符合中国精神障碍分类标准第三版(CCMD-Ⅲ)中关于精神分裂症的诊断标准,选取30名确诊为精神分裂症的患者,建立配对正常对照组30人。采用成人亲附量表(AAS)及防御方式问卷(DSQ)为主要测量工具。结果研究组与对照组在成人亲附安全和不安全类型的分布上差异有显著性意义;研究组和对照组在不成熟防御机制和成熟防御机制得分上差异有显著性意义;研究组与对照组在投射、同一化等防御机制得分上差异有统计学意义。结论精神分裂症患者的成人亲附类型以不安全型为主,主要使用不成熟的防御机制;可能精神分裂症患者所运用的防御机制以投射、同一化等为主。

Objective To explore adult attachment styles and defense styles of schizophrenias and provide some disease-relative symptoms. Methods According to CCMD-Ⅲ guidelines, 30 cases of schizophrenias and 30 cases of normal population were recruited for this study, Psychological measures, namely, Adult Attachment Scale （AAS） and Defense Style Questionnaire （DSQ） were used for evaluation. Results There are significant differences between schizophrenias group and normal group in adult attachment style （insecure and secure） and defense style （immature and mature ） by Chi-square test. Conclusions The dominant adult attachment styles of schizophrenias may be the insecure attachment styles and they mainly use the immature defense style, namely, projection and identification.