抑郁障碍患者的生活事件、防御机制与其发病关系的研究

Correlation of Life Events and Defense Mechanism of Depression Patients with Their Sickness

目的 :探讨抑郁障碍患者的生活事件及防御机制与其疾病发生间的关系。方法 :采用自评抑郁量表(SDS)、生活事件量表 (LES)、和防御方式问卷 (DSQ)对 76名诊断为抑郁障碍的患者进行测试 ,同时按照抑郁组被试的年龄、性别构成选取 84名健康被试进行对照研究。结果 :①抑郁组患者在LES中的得分总分及频次显著高于对照组 ;②DSQ的结果显示在“不成熟防御机制”的维度上 ,抑郁组的平均得分明显高于对照组 ,其中主要以投射、被动攻击、见诸行动、幻想和躯体化 5个因子的得分突出 ;③“中间型防御机制”抑郁组的平均得分也明显高于对照组 ,其中主要以伴无能之全能和否认两个因子的得分突出 ;④在“成熟防御机制”的维度上 ,抑郁组的平均得分明显低于对照组 ,其中主要以升华机制得分为低。结论 :抑郁障碍患者所经历过的生活事件 (应激 )及他们对这些生活事件所采取的不适当的心理防御机制在其抑郁障碍的发病过程中起着重要作用。

Objective:To explore the correlation of life events and defense mechanism of depression patients with their sickness. Methods:76 patients with depression disorder were tested by SDS, LES, and DSQ. The control group including 84 people were selected from the normal people matched by age and sex. Results:①Compared with the control group, the depression group patients have higher scores, and more frequency in the LES; ②Compared with the control group, the depression group patients have higher scores in immature defense mechanism of DSQ, especially in project,passive aggressiveness,acting out, the fantasy, and somatication factors; ③The depression group patients have higher scores in the midst type of defense mechanism of DSQ also, especially in the deny and the all capacity with incapacity factors; ④The depression group patients have lower scores than those of the control group in the mature defense mechanism of DSQ, especially in the sublimation factors. Conclusion: The life events that the depression patients suffered and the inadequacy defense mechanisms for these events could pay an important role in their sickness onset.