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焦虑症与抑郁症患者心理防御方式社会支持和家庭功能研究
引用本文:肖勃,谢文娇,张帆,施壮炎,丘春柳,邱开封.焦虑症与抑郁症患者心理防御方式社会支持和家庭功能研究[J].中国行为医学科学,2006,15(9):797-799.
作者姓名:肖勃  谢文娇  张帆  施壮炎  丘春柳  邱开封
作者单位:汕头大学精神卫生中心,汕头大学精神卫生中心,汕头市珠池医院,汕头市珠池医院,汕头大学医学院第一附属医院,汕头大学医学院第一附属医院
基金项目:汕头市重点科技计划项目汕府(2004102)
摘    要:目的探讨抑郁症和焦虑症患者防御方式、社会支持和家庭功能特征。方法采用防御方式问卷,社会支持量表对40名抑郁症患者、40名焦虑症患者和40名正常人进行调查,采用家庭环境量表对2组患者进行测试。结果(1)抑郁组和焦虑组患者得到的主客观社会支持及支持总分抑郁组(41.25±6.44)分;焦虑组(40.86±6.17)分]明显高于正常对照组(37.19±7.88)分](P<0.01~0.05),支持的利用度却明显低于正常组(P<0.01或0.05),而2组之间差异无显著性;(2)抑郁症组和焦虑症组不成熟防御方式的投射、抱怨、幻想、退缩、躯体化,中间型防御方式的否认、假性利他、隔离因子得分均明显高于正常对照组(P<0.05),在成熟防御因子中压抑及幽默因子得分均明显低于对照组(P<0.01),抑郁症组被动攻击、隔离得分明显高于焦虑症组和对照组(P<0.01)。焦虑症组假性利他、反作用形成防御方式得分明显高于抑郁症组和对照组(P<0.01)。(3)抑郁组汉密顿焦虑量表评分与投射、交往倾向呈显著正相关(r=0.426,r=0.401),与隔离呈显著负相关(r=-0.397,r=-0.501);焦虑组HAMD评分与躯体化、否认呈显著正相关,HAMA评分与反作用形成、理想化呈显著负相关。(4)焦虑和抑郁组患者均显示在矛盾性方面得分显著高于国内常模,在情感表达、成功性、文化性、娱乐性和组织性方面得分显著低于国内常模(P<0.01或0.05),抑郁组患者还在亲密度、独立性方面得分显著低于焦虑组和国内常模患者(P<0.01)。结论(1)焦虑症和抑郁症患者的防御方式存在不成熟倾向,社会支持系统差且家庭功能有缺陷;(2)焦虑症和抑郁症患者的防御方式和家庭功能缺陷各有其特点。

关 键 词:焦虑症  抑郁症  心理防御机制  社会支持  家庭功能
收稿时间:2006-02-25
修稿时间:2006年2月25日

Investigation on the defense style , social support and family function in patients with depression and anxiety
XIAO Bo,XIE Wen-jiao. ZHANG Fan,et al..Investigation on the defense style , social support and family function in patients with depression and anxiety[J].Chinese Journal of Behavioral Medical Science,2006,15(9):797-799.
Authors:XIAO Bo  XIE Wen-jiao ZHANG Fan  
Institution:XIAO Bo,XIE Wen-jiao. ZHANG Fan,et al. Mental Health Centre of Shantou University,Shantou 515061,China
Abstract:ObjectiveTo study the characteristics of the social support,defense style family function in patients with depression and anxiety. Methods40 patients with depression , 40 with anxiety and 40 healthy people were assessed with DSQ (defensive style questionnaire) , social support rating scale and family enviroment scale-Chinese version. ResultsCompared with normal group ,the objective , subjective support score and total score were markedly higher ( P <0.01~0.05),but the utilization of suppor was markedly lower( P <0.01 or 0.05 ).The scores of projection,help-rejection complaining,sutistic fantasy, regression somatization, pseudoaltruism,isolation,denial were significantly higher ( P <0.05),but the scores of suppression and humor of mature defense were lower( P <0.05). The scores of isolation,passive aggression in depression group were higer than other two group( P <0.01) ,and the scores of pseudoaltruism,reaction formation in anxiety were most highest in three group( P <0.01). In depression group, there were positive correlation between score of HAMA and projection,intercourse tendency,negative correlation between score of HAMA and isolation. In anxiety group , the score of HAMD had positive correlation with somatization,denial,negative correlation with reaction formation , idealization. Two patients have higher scores on conflict but lower scores on achievement orientation ,cultural orientation, active-recreation,and organization( P <0.01 or 0.05).Patients with depression had lower scores on intimacy and independence as compared with Chinese norms( P <0.05 or 0.01) .ConclusionPatients with depression and anxiety have social support and family function deficit , the defense styles of depression and anxiety patients tended to be immature and had different characteristics between them.
Keywords:Defense style  Depression  Anxiety Social Support  Family function
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