强迫症患者瑞典大学人格量表特征及其与防御方式的关系  

Relationship between defense and SSP measured personality in obsessive-compulsive disorder patients

作　　者：张海音[1] 蒋文晖[1] 王振[1] 肖泽萍[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心临床心理科,上海200030

出　　处：《中华行为医学与脑科学杂志》2011年第2期140-142,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：基金项目：上海市卫生局青年科研基金项目（044Y26）

摘　　要：目的探讨强迫症患者的人格特质及其与心理防御方式之间的关系。方法收集34例符合DSM—IV诊断标准的强迫症患者（强迫症组）及31例健康对照，采用瑞典大学人格量表（SSP）评估2组样本的人格特质，采用防御方式问卷（DSQ）评估2组样本的心理防御特点。结果强迫症组瑞典大学人格量表的躯体性焦虑、精神性焦虑、应激敏感性、怨恨、兴奋性和不信任6个分量表得分[（57．14±11．54）分，（63．35±10．22）分，（66．95±10．21）分，（61．27±7．09）分，（53．93±9．04）分，（56．72±10．61）分]显著高于健康对照组O=2．06～5．10，P〈0．05）。强迫症组与对照组相比更多地使用投射、被动攻击、潜意识显现、幻想、退缩等不成熟防御机制（t=3．08～6．73，P〈0．01），而较少使用升华、压抑和幽默的成熟防御机制（t=-2．27～4．39，P〈0．05）；中间型防御方式反向形成、解除和同一化因子分均显著高于健康对照组0=2．15～4．66，P〈0．05）。强迫症患者SSP除社交愿望和冷漠2个分量表外其余分量表均与不成熟防御机制因子分呈正相关（r=0．375～0．719，P〈0．05）；躯体性焦虑分量表与成熟防御机制因子分呈正相关（r=0．378，P〈0．05）；精神性焦虑、躯体性焦虑、冲动性、冒险探索、怨恨、不信任、言语攻击和身体攻击8个分量表与中间型防御机制因子分呈正相关（r=0．381～0．548，P〈0．05），除社交愿望分量表外其余分量表均与掩饰因子分呈正相关（r=0．342～0．530，P〈0．05）。结论强迫症患者具有神经质和攻击性人格特质；强迫症患者更多地使用不成熟的防御方式；强迪症患者的人格特质与防御方式之间存在明显的相关性。Objective To study the relationship between personality and defense mechanism of obsessive- compulsive disorder （OCD） patients. Methods Thirty-four OCD patients were tested with Swedish University Scales of Personality （SSP） and defensive style questionnaire （DSQ）, and the resuh was compared with that of thirty-one normal controls. Results The SSP scores of STA, PsTA, SS, E, TI and M of OCD patients were significantly higher than that of normal controls（t = 2.06- 5.10, P〈 0.05 ）. Comparing with normal controls, OCD patients tended to use immature and intermediate mechanism such as projection, passive aggression, unconscious emerge, phan- tasy, withdrawl and reaction formation, but less used mature mechanism such as sublimation, suppression and humor （t = - 2.27 - 6.73, P 〈 0.05 ）. All subscales of SSP in OCD patients, excluding SD and D, had positive correlation with total score of immature mechanism （r= 0. 375 - 0. 719, P〈 0.05）. The OCD patients＇ SSP scores of STA had positive correlation with mature mechanism （r = 0. 378, P 〈 0.05 ）. The OCD patients＇ STA, PsTA, I, AS, E, M, VTA and PhTA score of SSP had positive correlation with intermediate mechanism （r = 0. 381 - 0. 548, P〈 0.05 ）. All subscales of SSP in OCD patients, excluding SD, had positive correlation with total score of concealment （r = 0.342- 0. 530, P 〈0.05）. Conclusion OCD patients have the neurotic and aggressive features of personality; and the personalities of OCD patients have significant correlation with defense mechanism.

关 键 词：瑞典大学人格量表 强迫症 人格特点 防御方式 

分 类 号：R749.7[医药卫生—神经病学与精神病学]