抑郁症患者心理弹性、防御机制与抑郁的相关性分析

Correlation Analysis of Resilience,Defense Mechanism and Depression in Patient with Depression

目的:探索抑郁症患者心理弹性、防御机制对抑郁的影响。方法:选取山西省某三级甲等医院精神科门诊、住院部符合ICD-10抑郁障碍诊断标准的61例抑郁症患者,采用汉密尔顿抑郁量表(HAMD)、防御机制自评量表(DSQ)、心理弹性量表(CD-RISC)进行问卷调查。结果:1心理弹性中的乐观性与抑郁显著负相关(r=-0.29,P<0.05),不成熟型防御机制、中间型防御机制与抑郁之间呈正相关(r=0.32,0.31;P<0.05),不成熟型防御机制与心理弹性得分呈显著负相关(r=-0.37,P<0.01);2在心理弹性中的乐观性对于抑郁程度的预测中,不成熟的防御机制起完全中介效应,中介效应占总效应的比例为37.5%。结论:心理弹性中的乐观性是抑郁的重要保护因子,而不良的防御机制是影响抑郁的内部因素,并且心理弹性中的乐观性对于抑郁程度的预测是通过不成熟防御机制实现的。

Objective.. To explore the effects of resilience and defense mechanism of depression.Methods..61 patients with depressive symptoms were selected to be assessed by Hamilton Depression Rating Scale（HAMD）, the Defense Mechanism of Self--evaluation Questionnaire （DSQ）and the Conner--Davidson Resilience Scale（CD--RISC）. Results：①Immature defense mechanism,intermediate defense mechanisms were significantly and positively correlated with depression（P〈0.05） ,and the optimism of resilience was significantly and negatively correlated with depression （P〈0.05）;Immature defense mechanism were significantly and negatively correlated with resilience score （P〈0.01）.②Immature defense mechanism mediated the relationship among optimism and depression,and the ratio was 37.5%.Conclusion..The optimism can predict the degree of depression by immature defense mechanism.