跨性别群体抑郁、焦虑与防御机制研究  

Depression,anxiety and defense mechanism among transgender populations

作　　者：王占强 董瀚文 邸晓兰[2] 杨可冰[2] 牛雅娟[2] WANG Zhanqiang;DONG Hanwen;DI Xiaolan;YANG Kebing;NIU Yajuan(Department of Psychology,Chengde Medical College,Chengde,Hebei 067000,China;Beijing Huilongguan Hospital,Beijing 100096,China)

机构地区：[1]承德医学院心理系,河北承德067000 [2]北京回龙观医院,北京100096

出　　处：《预防医学》2023年第5期392-395,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解跨性别群体抑郁和焦虑状况及其与防御机制的关系,为改善跨性别群体心理健康提供依据。方法选择2020年12月—2021年12月首次就诊于北京回龙观医院性心理门诊的跨性别者为调查对象,采用自编一般情况调查表、抑郁自评量表(SDS)、焦虑自评量表(SAS)、防御机制问卷(DSQ)收集调查对象人口学资料、抑郁、焦虑和防御机制类型情况;采用多因素logistic回归模型分析抑郁、焦虑的影响因素。结果调查跨性别者126人,其中男性95人,占75.40%,年龄为(21.53±4.55)岁;女性31人,占24.60%,年龄为(23.58±5.55)岁。检出抑郁59例,检出率为46.83%;其中轻度、中度、重度抑郁分别占44.07%、30.51%和25.42%。检出焦虑33例,检出率为26.19%;其中轻度、中度和重度焦虑分别占60.61%、21.21%和18.18%。男性抑郁检出率为54.74%,高于女性的22.58%;有过自伤自杀行为者抑郁和焦虑检出率分别为62.79%和41.86%,均高于无自伤自杀行为者的38.55%和18.07%(均P<0.05)。多因素logistic回归分析结果显示,不成熟型防御机制增加跨性别群体发生抑郁(OR=1.034,95%CI:1.018~1.051)、焦虑的风险(OR=1.031,95%CI:1.014~1.049),而成熟型防御机制降低跨性别群体发生抑郁(OR=0.887,95%CI:0.832~0.946)、焦虑的风险(OR=0.878,95%CI:0.821~0.938)。结论本次调查的跨性别群体分别有46.83%和26.19%检出抑郁和焦虑,采取成熟型防御机制有助于降低跨性别群体抑郁、焦虑风险。Objective To investigate the prevalence of depression and anxiety among transgender populations and the correlation with defense mechanism,so as to provide the evidence for improving mental health among transgender popu⁃lations.Methods Transgender populations that visited Psychosexual Outpatient Department of Beijing Huilongguan Hos⁃pital for the first time from December 2020 to December 2021 were enrolled.Participants'demographics,depression,anxiety and type of defense mechanisms were collected using self-designed questionnaires,Self-rating Depression Scale,Self-rating Anxiety Scale and Defense Style Questionnaire(DSQ).Factors affecting depression and anxiety were identi⁃fied using a multivariable logistic regression model.Results Totally 126 transgender individuals were enrolled,includ⁃ing 95 men(75.40%)with a mean age of(21.53±4.55)years and 31 women(24.60%)with a mean age of(23.58±5.55)years.The prevalence of depression was 46.83%among participants,including 44.07%of participants with mild depres⁃sion,30.51%with moderate depression and 25.42%with severe depression,and the prevalence of anxiety was 26.19%among participants,including 60.61%of participants with mild anxiety,21.21%with moderate anxiety and 18.18%with severe anxiety.The detection of depression was 54.74%among men and 22.58%among women(P<0.05),and the detec⁃tion of both depression(62.79%vs.38.55%,P<0.05)and anxiety(41.86%vs.18.07%,P<0.05)was significantly higher among transgender populations with self-injury or suicide behaviors than among those without.Multivariable logistic regression analysis showed that immature defense mechanisms increased the risk of depression(OR=1.034,95%CI:1.018-1.051)and anxiety(OR=1.031,95%CI:1.014-1.049)among transgender populations,while mature defense mechanisms reduced the risk of depression(OR=0.887,95%CI:0.832-0.946)and anxiety(OR=0.878,95%CI:0.821-0.938)among transgender populations.Conclusions The prevalence of depression and anxiety was 46.83%and 26.19%among trans⁃gender populations included in t

关 键 词：跨性别群体 抑郁 焦虑 防御机制 

分 类 号：R749.99[医药卫生—神经病学与精神病学]