抑郁症患者生活事件、应付方式及其防御方式的研究  

The study of life events,coping and defence styli in patients with depression

作　　者：石金琴[1] 曾昭祥[1] 付凤珍[1] 卢世臣[1] 

机构地区：[1]山东省济宁市精神病防治院,272051

出　　处：《现代护理（上旬版）》2007年第4期941-943,共3页Modern Nursing

摘　　要：目的探讨抑郁症患者的生活事件、应付方式及其防御方式，以期在今后的临床工作中为患者实施心理干预措施提供依据。方法采用自评抑郁量表（SDS）、生活事件量表（LES）、应付方式问卷及防御方式问卷（DSQ）对68例抑郁症患者（观察组）和68名健康志愿者（对照组）进行测评，并将测评结果加以比较。结果观察组患者的LES总分及LES频次均明显高于对照组（P〈0．01）；观察组患者的退避及自责评分明显高于对照组，求助及解决问题评分明显低于对照组（P〈0．01），而幻想及合理化评分2组间比较，则无显著性差异（P〉0．05）；观察组患者的中间型及不成熟防御机制评分明显高于对照组，而成熟防御机制评分则明显低于对照组（P〈0．01）。结论抑郁症患者所经历的生活事件较多，他们面对压力情景时较多采用消极的应付方式和不适当的心理防御方式，此为今后开展分析性心理治疗，实施心理干预措施提供了依据。Objective To explore life events, coping and defensce style in patients with depression. Methods 68 patients with depression and 68 controls were investigated with questionair of SDS, LES, Coping style and DSQ. Results The total score of LES and the frequency of life envants in depression group were higher than that of in control group （P〈0.01）; The depression group showed higher score of avoidance and self-blame and lower score of help-seeking and problem--solving compared with control group （P 〈 0.01）. The score of fancy and rationalization weren＇t show significant difference between groups （P 〉 0. 05）. The score of intermedius type and immature defence mechanism in depression group were significately higher than that of in control group, and the immature defence mechanism score was lower in depression group. Conclusions Patients with depressive disorder experience more life events, they tends to adopt negative response means or unsuitable psychologicall defence style when faced with pressure. Above all, the study supplies evidence for psychological treatment and interference for patients with depression.

关 键 词：抑郁症 生活事件 应付方式 防御方式 

分 类 号：R473.74[医药卫生—护理学]