大学生毕业前心身障碍的防御机制研究

目的探讨心身障碍的大学毕业生采用心理防御机制的特点.方法按不同专业分层抽样,采用中国心身健康量表(CPSHS)和防御方式问卷(DSQ),在毕业前对457例大学生进行上述测试.以CPSHS各因子至少有一项T分≥70和L量表T分<70为心身障碍的筛查标准.结果大学毕业生心身障碍占全部受试的13.6%,女生发病率(20.13%)明显高于男生(10.26%);心身障碍组的不成熟因子(F1)、中间型因子(F3)、掩饰因子(F4)均分显著高于正常对照组,成熟因子(F2)与正常对照组无显著差异;F1、F3与心身障碍呈密切的正相关, F4与心身障碍呈密切的负相关;F2与心身障碍的相关无显著性.结论提示在大学毕业生心身障碍的发病中介机制中不成熟型防御机制或中间型防御机制或掩饰因子的习惯性使用发挥重要作用.在毕业前对大学生进行心理健康教育显得特别重要,尤其是对女性毕业生的心理健康教育.     

潍坊某监狱寻衅滋事人员心理健康状况与心理防御方式关系探讨

目的了解寻衅滋事服刑人员心理健康状况及心理防御机制方式,为服刑人员的心理健康教育提供科学依据。方法采用症状自评量表(SCL-90)和防御方式问卷(DSQ)对218名寻衅滋事服刑人员进行问卷调查;采用同样方法对监狱工作人员88名进行相关的问卷调查。结果寻衅滋事服刑人员不成熟型防御机制、成熟型防御机制和掩饰因子均分明显高于对照组(P0.01);SCL-90量表总均分及各因子分均明显高于对照组,差异有显著性(P0.01);不成熟型防御机制因子、掩饰因子与其SCL-90各因子显著相关(P均0.01)。结论寻衅滋事人员的心理防御方式对其心理健康状态具有重要影响。     

女性吸毒者心理防御机制及心理健康状况研究

目的探讨女性吸毒者的心理防御机制与心理状况及二者的关系.方法分别用防御方式问卷(DSQ)和症状自评量表(SCL-90),对110名女性吸毒者(研究组)和41名女大学生(对照组)进行调查.结果研究组不成熟防御机制、中间型防御机制和掩饰因子评分(4.83±0.97,4.99±0.75,5.98±1.17)显著高于对照组(3.95±0.68,4.26±0.73,5.41±1.34)(P＜0.01或P＜0.05);研究组SCL-90中9个因子评分均显著高于对照组(P＜0.01);相关分析发现,研究组不成熟防御机制与SCL-90中9个因子均存在非常显著正相关(P＜0.01),中间型防御机制与SCL-90中的强迫、偏执、躯体化、抑郁存在显著正相关(P＜0.01或P＜0.05),掩饰因子与SCL-90中的敌对、偏执、强迫呈显著正相关(P＜0.01或P＜0.05).结论女性吸毒者过多地使用不成熟防御机制及中间型防御机制,心理状况差,且二者存在明显的相关性.     

强迫症患者防御方式的对照研究

目的探讨强迫症防御方式的特征及防御机制因子与焦虑、抑郁和强迫症状的相关性.方法对36名强迫症患者和36名健康对照进行防御方式问卷(DSQ)、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)及耶鲁-布朗强迫量表(Y-BOCS)测查.结果强迫症患者不成熟防御机制因子分及中间型防御机制因子分(F14.69±1.03,F24.93±0.95,F34.92±0.86,F45.30±1.23)高于对照组(F13.67±1.08,F25.68±1.03,F33.63±0.71,F45.63±1.39)(P＜0.05或P＜0.01),而成熟防御机制因子分则低于对照组(P＜0.05或P＜0.01).不成熟防御机制与焦虑、抑郁、强迫思维、强迫总分存在正相关,中间型防御机制与抑郁、焦虑有正相关.结论强迫症患者更多使用不成熟和中间型防御机制,并与焦虑、抑郁、强迫症状密切相关.     

卖淫妇女心理防御机制及心理健康状况研究

目的探讨卖淫妇女的心理防御机制与心理状况以及二者的关系.方法分别用防御方式问卷(DSQ)和症状自评量表(SCL-90)对83名卖淫妇女(研究组)和41名女大学生(对照组)进行调查.结果研究组不成熟防御机制、中间型防御机制评分[(4.78±1.02)分,(4.96±0.86)分]均高于对照组[(3.95±0.68)分,(4.26±0.73)分](P＜0.01);研究组SCL-90中9个因子评分均显著高于对照组(P＜0.01);相关分析发现,研究组不成熟防御机制与SCL-90中9个因子均存在显著正相关(P＜0.01),中间型防御机制与SCL-90中9个因子也存在显著正相关(P＜0.01或P＜0.05),掩饰因子与SCL-90中的强迫、敌对、偏执、躯体、抑郁呈正相关(P＜0.01或P＜0.05).结论卖淫妇女过多地使用不成熟防御机制及中间型防御机制,心理状况差,且二者存在明显的相关性.     

卖淫妇女心理防御机制及心理健康状况研究

目的探讨卖淫妇女的心理防御机制与心理状况以及二者的关系。方法分别用防御方式问卷(DSQ)和症状自评量表(SCL-90)对83名卖淫妇女(研究组)和41名女大学生(对照组)进行调查。结果研究组不成熟防御机制、中间型防御机制评分[(4.78±1.02)分,(4.96±0.86)分]均高于对照组[(3.95±0.68)分,(4.26±0.73)分](P<0.01);研究组SCL-90中9个因子评分均显著高于对照组(P<0.01);相关分析发现,研究组不成熟防御机制与SCL-90中9个因子均存在显著正相关(P<0.01),中间型防御机制与SCL-90中9个因子也存在显著正相关(P<0.01或P<0.05),掩饰因子与SCL-90中的强迫、敌对、偏执、躯体、抑郁呈正相关(P<0.01或P<0.05)。结论卖淫妇女过多地使用不成熟防御机制及中间型防御机制,心理状况差,且二者存在明显的相关性。     

强迫症患者防御方式的对照研究

目的探讨强迫症防御方式的特征及防御机制因子与焦虑、抑郁和强迫症状的相关性。方法对 3 6名强迫症患者和 3 6名健康对照进行防御方式问卷 (DSQ)、Zung抑郁自评量表 (SDS)、Zung焦虑自评量表 (SAS)及耶鲁 布朗强迫量表 (Y BOCS)测查。结果强迫症患者不成熟防御机制因子分及中间型防御机制因子分 (F14 .69± 1.0 3 ,F2 4.93± 0 .95 ,F3 4.92± 0 .86,F45 .3 0± 1.2 3 )高于对照组 (F13 .67± 1.0 8,F2 5 .68±1.0 3 ,F3 3 .63± 0 .71,F45 .63± 1.3 9) ( P <0 .0 5或 P <0 .0 1) ,而成熟防御机制因子分则低于对照组 ( P <0 .0 5或P <0 .0 1)。不成熟防御机制与焦虑、抑郁、强迫思维、强迫总分存在正相关 ,中间型防御机制与抑郁、焦虑有正相关。结论强迫症患者更多使用不成熟和中间型防御机制 ,并与焦虑、抑郁、强迫症状密切相关。     

女性吸毒者心理防御机制及心理健康状况研究

目的探讨女性吸毒者的心理防御机制与心理状况及二者的关系。方法分别用防御方式问卷(DSQ)和症状自评量表(SCL 90),对110名女性吸毒者(研究组)和41名女大学生(对照组)进行调查。结果研究组不成熟防御机制、中间型防御机制和掩饰因子评分( 4. 83±0. 97, 4. 99±0. 75, 5. 98±1. 17)显著高于对照组(3. 95±0. 68, 4. 26±0. 73, 5. 41±1. 34) (P<0. 01或P<0. 05);研究组SCL 90中9个因子评分均显著高于对照组(P<0. 01);相关分析发现,研究组不成熟防御机制与SCL 90中9个因子均存在非常显著正相关(P<0. 01),中间型防御机制与SCL 90中的强迫、偏执、躯体化、抑郁存在显著正相关(P<0. 01或P<0. 05),掩饰因子与SCL 90中的敌对、偏执、强迫呈显著正相关(P<0. 01或P<0. 05)。结论女性吸毒者过多地使用不成熟防御机制及中间型防御机制,心理状况差,且二者存在明显的相关性。     

医学生ASLEC和DSQ量表评定结果分析

目的:研究医学生心理健康水平。方法:对1～4年级3623名医学生进行问卷调查,采用青少年生活事件量表(ASLEC)和防御方式问卷(DSQ)为测评工具,对问卷结果进行分析,以了解大学生心理健康状况。结果:(1)医学生中生活事件的发生率为53%,在影响被试心理的生活事件中,发生次数较多的心理社会应激原依次为考试失败或不理想,被人误会和错怪,学习负担重,与同学好友发生纠纷,就业压力;(2)按各种防御机制的采用频度看,医学生中依次为成熟防御机制,掩饰因子,中间型防御机制,不成熟防御机制,且不成熟防御机制占第一位的人仅占2.43%。结论:1年中,一半以上医学生发生过相关生活事件,其中最普遍的影响因子是学习压力因子和人际关系因子。且当内在或外在的刺激因子引起情绪冲动时,被试者大多数能采用较为合理的防御机制来调节心理平衡。     

大一学生心理状态与防御机制的相关研究

目的:探讨大一学生心理健康状况并探讨此心理状况与防御机制(DSQ)的可能关系。方法:采用症状自评量表(SCL-90)和防御机制(DSQ)量表对345名大一学生进行调查。结果:大一学生SCL-90阳性项目数及各因子分除了躯体化因子外均与常模有显著性差异(P<0.01),大一学生防御机制的因子分中,大一学生最常用的10种心理防御机制是:期望、升华、压抑、幻想、回避、制止、解除、假性利他、分裂、交往倾向。SCL-90的总分和总症状指数与心理防御机制中的不成熟防御机制、中间型防御机制和掩饰有显著性的相关,与成熟型防御机制没有相关性。防御机制与心理健康状况总体指标进行回归分析,只有潜意显现、幻想、投射、统一化、抱怨进入回归方程。结论:(1)大一学生的基础心理健康水平有别于一般人群;(2)正常人若过多使用不良的防御机制应付生活中的冲突或挫折,将导致心理健康水平的下降。     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

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