首发精神分裂症患者的成人亲附类型与其防御方式及主要的症状

目的：探索首发精神分裂症患者的成人亲附类型与其防御机制、主要症状之间的关系，为进一步理解其临床症状提供相关的研究基础。方法：选取30例确诊为精神分裂症的首发患者为研究组，建立配对正常人30例为对照组，均采用成人亲附量表（AAS）、防御方式问卷（DSQ）及阳性和阴性症状量表（PANSS）为主要测量工具进行评定。结果：2组在成人亲附安全和不安全类型的分布上，在不成熟防御机制和成熟防御机制得分上均差异有显著性意义（P〈0．01）；研究组中安全和不安全亲附类型在不成熟防御机制得分和阴性量表得分上差异有统计学意义。结论：首发精神分裂症患者的成人亲附类型以不安全型为主，主要使用不成熟的防御机制；可能患者中亲附类型为安全型者所运用的防御机制相对成熟，并相对较少表现为阴性症状。

Relationship between the Adult Attachment Styles of First-onset Schizophrenias and Defense Styles and Syndromes

Objective:To investigate the adult attachment styles of first-onset schizophrenias,and their relationship with defense mechanism and syndrome.Methods: CCMD-3 was applied to select 30 firs-onset schizophrenias,and a comparison was made between the schizophrenia group and normal control group by using psychological measures: adult attachment scale(AAS),defense style questionnaire(DSQ) and positive and negative syndrome scale(PANSS).Statistically,Chi-square test and T test were used.Results: Chi-square test revealed a significant difference in adult attachment style between study group and control group;Firs-onset schizophrenias scored significantly higher than normal people did on immature defense style,and lower on mature defense style;There was significant difference in immature defense style score and negative syndrome score between the insecure attachment style and secure attachment style groups of schizophrenias.Conclusion: The dominant adult attachment styles of first-onset Schizophrenias may be the insecure attachment ones,and they use the immature defense style mostly.