跨性别群体的抑郁和焦虑症状及其与防御机制的关系  

Relation of depressive and anxiety symptoms to defense mechanisms in transgender population

作　　者：王占强 董瀚文 张月倩 邸晓兰[2] 杨可冰[2] 赵荣江[2] 谭淑平[2] 牛雅娟[2] WANG Zhanqiang;DONG Hanwen;ZHANG Yueqian;DI Xiaolan;YANG Kebing;ZHAO Rongjiang;TAN Shuping;NIU Yajuan(Chengde Medical University,Chengde 067000,Hebei Province,China;Bejing Huilongguan Hospital,Bejing 00096,China)

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

出　　处：《中国心理卫生杂志》2024年第9期802-807,共6页Chinese Mental Health Journal

基　　金：北京市医院管理中心“登峰”人才培养计划(DFL20192001)。

摘　　要：目的:探讨跨性别群体抑郁症状和焦虑症状及其与防御机制的关系。方法:选取在某医院性心理门诊就诊的跨性别者451人,使用抑郁自评量表(SDS)、焦虑自评量表(SAS)、防御机制量表(DSQ)进行测量。SDS标准分≥53分为存在抑郁症状,SAS标准分≥50分为存在焦虑症状。结果:跨性别群体抑郁检出率为46.8%,焦虑检出率为28.8%。多元线性回归分析发现,SDS得分与DSQ的投射、潜意显现、抱怨、退缩、躯体化、控制、隔离、同一化得分正向关联(β=0.08~0.22),与升华、压抑、伴无能之全能、否认得分负向关联(β=-0.09~-0.19);SAS得分与DSQ的投射、潜意显现、躯体化、控制、隔离、同一化、消耗倾向得分正向关联(β=0.09~0.26),与升华、压抑、伴无能之全能、否认得分负向关联(β=-0.09~-0.15)。结论:跨性别群体抑郁、焦虑症状检出比例较高,其抑郁、焦虑症状可能与某些防御的使用有关。Objective:To explore the relation of depressive and anxiety symptoms to defense mechanism in transgender population.Methods:Totally 451 transgender patients in the sexual and psychological outpatient depart-ment of a hospital were selected.They were assessed with the self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)and Defense Mechanism Scale(DSQ).The SDS standard score of≥53 was classified as having depressive symptoms,and the SAS standard score of≥50 was classified as having anxiety symptoms.Re-sults:The detection rates of depression and anxiety were 46.8%and 28.8%respectively.Multiple linear regression analysis showed that SDS scores were positively correlated with DSQ scores of projection,conceit,complaint,with-drawal,somatization,control,isolation and identity(β=0.08-0.22),while SDS scores were negatively correlated with DSQ scores of sublimation,depression,omnipotence with incompetence and denial(β=-0.09--0.19):The SAS scores were positively correlated with the DSQ scores of projection,latent manifestation,somatization,control,isolation,identity,and consumption tendency(β=0.09-0.26),while the SAS scores were negatively cor-related with the DSQ scores of sublimation,depression,omnipotence accompanied by incompetence,and denial(β=-0.09-0.15).Conclusion:The proportion of depression and anxiety symptoms detected in the transgender group is higher,which may be related to the use of some defenses.

关 键 词：跨性别群体 防御机制 抑郁 焦虑 

分 类 号：C913.8[经济管理] R749.0[社会学]