防御机制在大学生社交焦虑障碍患者焦虑水平与社会支持间的中介效应  

Mediating effect of defense mechanisms between anxiety and social support in college students with social anxiety disorder

作　　者：黄慧兰 吴义高 江芹 金明琦[2] HUANG Huilan;WU Yigao;JIANG Qin;JIN Mingqi(Department of Medical Psychology,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,Anhui,China)

机构地区：[1]皖南医学院第一附属医院弋矶山医院医学心理科,安徽芜湖241001 [2]皖南医学院心理学教研室,安徽芜湖241002

出　　处：《皖南医学院学报》2025年第1期51-54,共4页Journal of Wannan Medical College

基　　金：安徽省高校人文社会科学研究项目(SK2019A0225)。

摘　　要：目的:探讨防御机制在大学生社交焦虑障碍(SAD)患者焦虑水平与社会支持间的中介效应。方法:纳入2020年6月~2021年12月芜湖市某高校的在校大学生SAD受试者,采用防御机制问卷(DSQ)、社会支持评定量表(SSRS)和利博维茨社交焦虑量表(LSAS)对受试者进行评估,并对其焦虑水平、社会支持与防御机制之间的关系采用Pearson相关及中介效应分析。结果:80例受试者成熟型防御机制评分为(4.32±0.88)分、中间型防御机制评分为(5.33±0.94)分、不成熟型防御机制评分为(3.90±0.51)分、掩饰因子评分为(5.73±0.99)分。SSRS总评分及LSAS总评分分别为(32.74±6.04)分和(62.79±24.97)分。成熟型防御机制与主观支持评分(r=-0.293)、支持利用度评分(r=-0.434)均呈负相关(P<0.01),与LSAS总评分(r=0.367,P<0.01)、害怕/焦虑评分(r=0.381,P<0.01)和回避评分(r=0.333,P<0.01)呈正相关;不成熟型防御机制与支持利用度评分(r=-0.253,P<0.05)呈显著负相关,与LSAS总评分(r=0.346,P<0.01)、害怕/焦虑评分(r=0.311,P<0.01)和回避评分(r=0.355,P<0.01)呈显著正相关。SSRS总评分和支持利用度评分的提高与LSAS总评分的降低相关(K=-0.9996、-5.042,P<0.05),成熟型防御机制在社会支持和LSAS评分之间具有一定的中介效应(P<0.01)。结论:社会支持可直接影响患者的焦虑水平,还可通过防御机制的中介作用间接影响患者的焦虑水平。Objective:To investigate the mediating effect of defense mechanisms between anxiety and social support in college students with social anxiety disorder(SAD).Methods:The study subjects with SAD were recruited from a higher learning institution in Wuhu City from June 2020 to December 2021,and assessed using the Defense Style Questionnaire(DSQ),Social Support Rating Scale(SSRS),and Liebowitz Social Anxiety Scale(LSAS).Pearson correlation and mediation analysis were conducted to investigate the relationship between anxiety levels,social support,and defense mechanisms.Results:Eighty subjects were included.The scores for mature,intermediate,immature defense mechanisms and disguising factor were 4.32±0.88,5.33±0.94,3.90±0.51,and 5.73±0.99,respectively.The total scores were 32.74±6.04 for SSRS and 62.79±24.97 for LSAS.Mature defense mechanism was negatively correlated with subjective support scores(r=-0.293,P<0.01)and support utilization scores(r=-0.434,P<0.01),yet positively with total LSAS scores(r=0.367,P<0.01),fear/anxiety scores(r=0.381,P<0.01),and avoidance scores(r=0.333,P<0.01).Immature defense mechanism showed a significant negative correlation with support utilization scores(r=-0.253,P<0.05),and a significant positive correlation with total LSAS scores(r=0.346,P<0.01),fear/anxiety scores(r=0.311,P<0.01),and avoidance scores(r=0.355,P<0.01).The increase in total SSRS scoring and support utilization scoring was associated with a decrease in total LSAS scoring(K=-0.9996;-5.042,P<0.05),which indicated a mediating effect of mature defense mechanism between social support and LSAS scores(P<0.01).Conclusion:Social support can not only directly affect the anxiety level of patients,but also indirectly influence their anxiety level through the mediating effect of defense mechanisms.

关 键 词：社交焦虑障碍 防御机制 焦虑 社会支持 中介效应 

分 类 号：R749.72[医药卫生—神经病学与精神病学]