抑郁症患者掩饰和防御方式的相关研究  

A correlative research between disguise and defense style of the depressive patients

作　　者：张淑芳[1] 缪绍疆[1] 童俊[1] 王牮[1] 张红[1] 王鹏[1] 向东方[1] 汤炯[1] 丁瑞佳[1] 

机构地区：[1]华中科技大学同济医学院附属精神卫生中心(武汉市心理医院),武汉430019

出　　处：《中华行为医学与脑科学杂志》2009年第7期621-622,共2页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：华中科技大学同济医学院附属精神卫生中心项目

摘　　要：目的探讨抑郁症患者的掩饰特点与防御方式。方法采用明尼苏达多项人格调查表（MMPI）和防御方式问卷（DSQ）分别对50名抑郁症患者进行测查。结果不同性别抑郁症患者的诈病分有差异（P〈0．05）；不成熟的防御方式与诈病分高正相关（r=0．633，P〈0．01），与校正分高负相关（r=-0．533，P〈0．01），与掩饰分高正相关（r=0．612，P〈0．01），中间型防御方式与诈病分高正相关（r=0．426，P〈0．01），与校正分负相关（r=-0．313，P〈0．05）；F—K分与不成熟防御方式高正相关（r=0．698，P〈0．01）、与中间型防御方式高正相关（r=0．448，P〈0．01），与掩饰分正相关（r=0．395，P〈0．05）；以F-K为因变量的多元回归分析结果显示，投射、隔离、压抑可以解释F—K分50．8％的变异量，投射的解释量为36．8％。结论抑郁症患者夸大的精神病理与不成熟的防御方式和中间型防御方式有关。Objective To find out some distinct defense style in depression patients and the correlation between disguise and defense of them. Methods MMPI and DSQ questionnaire was administrated to 50 patients suffering from depression. Results There was difference in F scores between male and female （t = 0. 036, P 〈 0.05 ）. The premature defense style was significant positively related to malingering scores（ r=0.633, P〈.001 ） and disguise scores （ r= 0.612, P〈 0.01 ）, and significant negatively related to correction scores（ r= -0. 533, P 〈0.01 ）. The median defense style was significant positively related to malifigering scores （ r = 0.426, P 〈 0. 01 ）, and negatively related to correction scores（ r = -0.313, P 〈 0.05 ）. F-K factor was positive related with premature, median and disguise factors with statistical significance （ r=0. 698, P〈0.01 ; r=0.448, P〈0.01 ; r = 0. 395, P〈0.05）. By multiple regression analysis,50.8% variation of F-K scores could be explained by projection, isolation and repression variables. Conclusion The grandiosity in psychopathology in these patients is related with lack of the mature defense style and disguise.

关 键 词：抑郁症 掩饰 防御方式 明尼苏达多项人格调查表 防御方式问卷 

分 类 号：R749.4[医药卫生—神经病学与精神病学]