成都市某医院失眠症患者防御机制、述情障碍与心理控制源的相关性研究  

Study on Defense Style,Alexithymia and Locus of Control of Insomniac in a Hospital in Chengdu

作　　者：袁茵[1] 卢莲[1] 欧阳旭伟[1] 冯钰淑 周静[1] 

机构地区：[1]成都市第四人民医院,成都610036

出　　处：《医学与社会》2016年第12期87-90,共4页Medicine and Society

基　　金：四川省卫生厅科学研究项目;编号为120528

摘　　要：目的:探讨失眠症患者防御机制、述情障碍和心理控制源的特点及其相关性。方法:采用防御方式问卷(DSQ)、多伦多述情障碍量表(TAS-20)、心理控制源量表(IPC),对成都市某医院33名失眠症患者和80名非失眠症患者进行问卷调查,对数据进行描述性统计和多元统计分析。结果:失眠症患者的不成熟防御机制得分为(4.11±1.09)分,掩饰因子得分为(5.26±1.13)分,均显著高于对照组(均P<0.05),成熟防御机制得分为(4.99±0.92)分,显著低于对照组(P<0.05)。失眠症患者的述情障碍总分为(73.26±9.86)分,因子Ⅰ-Ⅳ得分均显著高于对照组(P<0.05)。失眠症患者机遇得分为(21.09±6.83)分,他人因子得分为(19.08±8.94)分,均高于对照组(均P<0.05),内控性得分低于对照组(P<0.01)。失眠症患者的不成熟防御机制与述情障碍因子Ⅱ和外控心理控制源有关(均P<0.05)。结论:关注失眠症患者的不成熟防御机制、述情障碍、外控归因以及三者之间的相关性,并给予相应心理辅导,对治疗失眠症有重要意义。Objective： To evaluate the defense style, characteristics of alexithymia and locus of control of insomniac and their correlations. Methods： The questionnaire was conducted among 33 insomniac of a hospital in Chengdu were with the Defense Style Questionnaire（DSQ）, Toronto Alexithymia Scale（TAS） and Internality, Powerful others, and Chance scale（ IPC）, and 80 healthy people were involved as controls. The data were statistically analyzed through descriptive statistics and multivariate statistics. Results： Compared with the control group , the insomniac showed higher scores in immature defense style （4.11 ±6.09） and cover factor（ 5.26± 1.13 ） （P〈0.05）, and the insomniac showed lower scores in mature defense style （4.99 ±0.92 ） （P〈0.01）. Compared with the control group , the insomniac showed higher scores in TAS-20 total score （73.26 ±9.86）, factor Ⅰ, factor Ⅱ ,factor Ⅲ and factor IV（P〈0.05）. Compared with the control group, the insomniac showed higher scores in chance （21.09±6.83） ,powerful others（19.03±8.94） （P〈0.01）, and lower scores in internality（P〈0.01）. The insomniac＇s imaamature defense style was significantly correlative with their scores of alexithymia and external locus of control Conclusion： Paying attention to immature defense style, alexithymia, external locus of control and their relationship, and giving corresponding psychological service would have great significance for treating insomnia.

关 键 词：失眠症 防御方式 述情障碍 心理控制源 成都 

分 类 号：R193.3[医药卫生—卫生事业管理]