摘要
目的探讨难治性强迫症患者心理防御机制的特点。方法对43例难治性强迫症患者(患者组)和60例健康志愿者(正常对照组)分别进行防御方式问卷(DSQ)以及Yale-Brown强迫量表(YBOCS)评定。结果患者组不成熟防御机制分高于正常对照组(P<0.05),其中潜意显现、退缩显著高于正常对照组(P<0.01);患者组成熟防御机制分显著低于正常对照组(P<0.01),其中升华、压抑、幽默均显著低于正常对照组(P<0.01);患者组中间型防御机制中,解除、回避、假性利他、否认高于正常对照组(P<0.05)。男性难治性强迫症患者在消耗倾向方面高于女性患者(P<0.05)。无工作难治性强迫症患者在回避方面高于有工作患者(P<0.05)。结论难治性强迫症患者较正常人过度使用不成熟和中间型防御机制。
Objective To evaluate the characteristics of psychological defense mechanism in patients with refractory obsessive-compulsive disorder(ROCD).Methods 43 patients with ROCD and 60 healthy controls were assessed with the defense style questionnaire(DSQ) and Yale-Brown obsessive-compulsive scale(Y-BOCS).Results Scores of immature mechanism factor,especially the acting out and regression,were significantly higher in ROCD group than those in control group(P0.05).Scores of mature mechanism factor,especially the sublimation,regression and humor were significantly lower in ROCD group than those in control group(P0.01).Intermediate mechanism factors such as undoing,avoidance,pseudoaltruism,denial in ROCD group were significantly higher than those in control group(P0.05).Score of displacement in male patients with ROCD was significantly higher than that in females(P0.05).Score of avoidance in unemployed ROCD patients was significantly higher than that in employed ones(P0.05).Conclusion Patients with ROCD are more likely to use the immature defense mechanisms and middle defense mechanisms.
出处
《精神医学杂志》
2011年第6期447-450,共4页
Journal of Psychiatry
关键词
难治性强迫症
心理防御机制
Refractory obsessive-compulsive disorder Psychological defense mechanism