心理治疗对强迫症患者防御机制的影响  

The Defense Mechanism and the Changes after the Treatment of Patients with Obsessive-Compulsive Disorder

作　　者：孙春云[1] 屈英[1] 

机构地区：[1]北京回龙观医院,北京100096

出　　处：《中国心理卫生杂志》2005年第12期829-831,共3页Chinese Mental Health Journal

摘　　要：目的:探讨强迫症患者防御机制的特点及心理治疗前后的变化。方法:26例住院进行心理治疗的强迫症患者分别于心理治疗前一天及心理治疗10周后进行Yale-Brown强迫症状量表(Y-BOCS)评定并填写防御机制问卷(DSQ),并和26例正常人DSQ评分进行对照。结果:(1)强迫症患者组不成熟防御机制因子分(4.5±0.8)显著高于正常组(3.0±0.5,t=7.0,P<0.01);成熟防御机制因子分(5.0±0.8)显著低于正常组(5.7±0.7),t=-3.1,P<0.01)。(2)强迫症患者组心理治疗10周后不成熟防御机制因子分(4.0±0.9)显著低于治疗前(4.5±1.0,t=-2.5,P<0.01);成熟防御机制因子分(5.7±0.7)显著高于治疗前(5.0±0.9,t=-3.9,P<0.01)。结论:强迫症患者过多使用不成熟防御机制,心理治疗可使防御机制向成熟方向发展。Objective： To explore the defense mechanism of patients with Obsessive-Compulsive Disorder （ OCD ）and to measure the changes in defense mechanisms after the treatment. Methods： Before and after 10- week psychotherapy, 26 patients with OCD were assessed with the Defense Style Questionnaire （ DSQ ） and Yale-Brown Obsessive-Compulsive Scale（Y-BOCS）; DSQ were also used to test 26 normal subjects. Results： （ 1 ） The scores of immature mechanism factor （4.5± 0.8）were significantly higher in OCD patients than in normal （ 3.0± 0.5 ）,the scores of mature mechanism factor （ 5.0±0.8 ） were significantly lower in OCD patients than in normal （5.7± 0.7）; （ 2 ）After 10- week psychotherapy the scores of immature mechanism factor （ 4.0±0.9 ）were significantly lower than before （ 4.5±1.0 ）,the scores of mature mechanism factor （ 5.7± 0.7 ）were significantly higher than before （ 5.0±0.9 ）.Conclusion： OCD patients often use immature mechanism, but after psychotherapy, they can use more mature mechanism.

关 键 词：强迫症 病例对照研究 心理治疗 防御机制 

分 类 号：R749.055[医药卫生—神经病学与精神病学] R749.7[医药卫生—临床医学]