焦虑症患者防御机制与个性及应付方式的研究  

A controlled study on defense mechanism and related factors in patients with anxiety

作　　者：王达平[1] 郑朝盾[1] 袁源香[1] 

机构地区：[1]广州市脑科医院,广州510370

出　　处：《中国行为医学科学》2005年第2期180-181,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的 探讨焦虑症患者防御机制、个性及应付方式的特点及其相互关系。方法 应用防御方式问卷、艾森克个性问卷及应付方式问卷对 52例焦虑症患者和 48例正常人进行对照。结果 与对照组比较,焦虑症组不成熟防御机制及其幻想和退缩得分 (4. 16±0. 79, 6. 06±2. 07, 5. 37±1. 68)显著增高,成熟防御及其压抑及幽默得分 (5. 04±1. 07, 5. 13±1. 75, 3. 96±1. 12)显著降低;EPQ神经质个性维度与消极应付方式得分(60. 08±10. 85, 4. 85±1. 54 )显著增高,EPQ内外向维度及积极应付方式分 ( 46. 35±12. 23, 2. 71±1. 23)显著降低。焦虑症患者的不成熟防御机制与神经质个性维度及消极应付方式呈显著正相关。结论 焦虑症患者多使用不成熟型防御机制及消极应付方式,存在个性缺陷。Objective To explore the features of the defense mechanism, personality and coping style in patients with anxiety and their interrelation. Methods 52 patients with anxiety and 48 normal controls were included in the study,and Defense Style Questionnaire(DSQ),Eysenck Personality Questionnaire(EPQ) and Coping Style Questionnaire(CSQ) were used to evaluate their defense mechanism, personality traits and coping style. Results Compared with the control group, the scores of immature mechanism, fantasy and regression were significantly higher , and the scores of mature mechanism,suppression and humor were significantly lower in anxiety patients. The scores of the extraversion and neuroticism subscale of EPQ and the scores of CSQ had significant differences in two groups. In patients with anxiety, the immature mechanism correlated positively with the neuroticism and negative coping style. Conclusion Patients with anxiety incline to use immature defense and negative coping style, and usually have the deficiency of personality. Measures should be taken to improve those deficits in psychological treatment.

关 键 词：应付方式 患者 焦虑症 不成熟防御机制 EPQ 增高 防御方式问卷 得分 个性 维度 

分 类 号：R749.7[医药卫生—神经病学与精神病学]