消化性溃疡和神经症心理防御机制的对照研究

A control study of the psychological defensive mechanism in patients with peptic ulcer and patients with neurosis.

目的 探讨消化性溃疡和神经症心理防御机制的差别。方法 采用心理防御方式问卷对 4 7例消化性溃疡、6 7例神经症患者进行测试 ,并与 72例健康人作对照。结果 消化性溃疡组与正常组相比较多使用潜意显现、躯体化、理想化 ,较少使用回避 ;神经症组与正常对照组相比较多使用潜意显现、躯体化、理想化、隔离、交往倾向 ,较少使用被动攻击、抱怨、制止、回避、幽默 ;消化性溃疡组与神经症组相比较多使用幽默、伴无能之全能 ,较少使用投射、退缩、交往倾向。结论 消化性溃疡及神经症具有不同的防御方式 。

Objective To investigate whether patients with peptic ulcer have different defense to patients with neurosis.Method 47 patients with peptic ulcer,67 patients with neurosis,and 72 normal controls were tested with defense styles questionnaire(DSQ).Results Compared with normal control,patients with peptic ulcer had more acting out,somatization, idealization and less withdrawal;Patients with neurosis had more acting out,somatization,idealization,isolation,intercourse tendency,but less passive aggression,complain,withdrawal,inhibition,humor.Compared with neurosis patients,patients with peptic ulcer had more humor,omnipotence,but less projection,regression,intercourse tendency.Conclusion Patients with peptic ulcer have different defense styles to patients with neurosis.It is necessary to give the different psychological intervention in clinical work.