强迫症患者父母教养方式及心理防御机制研究

目的：探讨强迫症患者父母教养方式及心理防御机制，为制定有针对性的心理干预方案提供依据。方法对60例强迫症患者（研究组）和60名健康志愿者（对照组）采用自制一般情况问卷、父母养育方式问卷及防御方式问卷进行测评分析。结果研究组父母养育方式问卷父亲的拒绝否认、过度保护和母亲的过分干涉、惩罚严厉、偏爱被试因子分显著高于对照组（ P＜0．05或0．01），其他因子分比较差异无显著性（P＞0．05）；防御方式问卷的不成熟型和中间型防御机制维度分显著高于对照组（P＜0．01），成熟型防御机制及掩饰维度分与对照组比较差异无显著性（P＞0．05）。结论强迫症患者多采用不成熟型和中间型心理防御机制，患者父母多采用拒绝否认、严厉惩罚、过分干涉等不良教养方式，应对患者及家属予以有针对性的干预，以利于改善对子女的教养方式，促进患者的康复和健康成长。

Parental rearing patterns and psychological defense mechanism of OCD patients

Objective To explore the parental rearing patterns and psychological defense mechanism of ob‐sessive‐compulsive disorder (OCD) patients in order to provide basis for working out purposeful psycho‐logical intervention measure .Methods Assessments were conducted with self‐made general state ques‐tionnaire ,Egma Minnen av Bardndosnauppforstran (EMBU ) and Defense Style Questionnaire (DSQ ) in 60 OCD patients (research group) and 60 healthy volunteers (control group) .Results Father’s factor Ⅴand Ⅵ and mother’s Ⅱ ,Ⅳ and Ⅴ score of the EMBU were significantly higher in research than in control group (P<0 .05 or 0 .01) ,there were no significant group differences in other factors scores (P>0 .05);immature and intermediate type score of the DSQ were significantly higher in research than in control group (P<0 .01) ,there were no significant group differences in mature and lie score (P>0 .05) .Conclu‐sion OCD patients usually adopt immature and intermediate type of defense mechanism ,their parents do such unhealthy rearing patterns as rejection/denying ,firm control/punishment and over‐interference ,and purposeful interventions should be given to patients and their families to promote healthy grow th .