原发性肝癌患者抑郁症状与不成熟防御机制的关系

目的：了解原发性肝癌（PLC）患者的抑郁症状和不成熟防御机制（IDM）的水平，探讨PLC患者的抑郁症状与IDM的关系。方法：采用流调用抑郁自评量表（CES－D）和防御式方式问卷（DSQ）对PLC患者和健康组各100例进行调查。结果：1）PLC患者中49％可能或肯定有抑郁症状，其中23％肯定有抑郁症状，其发生率高于健康组；2）PLC组的CES－D总分高于健康组；3）PLC组比健康组采用较多分裂和潜意显现机制，采用较少抱怨机制；4）肯定有抑郁症状者比无抑郁症状者采用较多IDM；5）两组CES－D总分与IDM均分呈显著正相关，Pearson r为0.473-0.776，其中PLC组为0．473。结论：抑郁症状是PLC患者常见的负性情绪，医护人员应引起重视，并指导患者采用成熟的防御机制代替不成熟防御机制，预防并减轻患者的抑郁症状，以提高患者的生活质量。

The Relationship between Depressive Symptom and Immature Defense Mechanism in Patients with Primary Liver Cancer

Objective: To investigate the relationship between depressive symptom and immature defense mechanism in patients with primary liver cancer Method:100 patients and 100 healthy controls were assessed with CES-D (Center for Epidemiological Study-Depression) and DSQ (Defense Style Questionnaire) Results:According to results of CES-D, 23% patients had depressive symptoms, other 26% were in the range of possible depressed The total score of CES-D and rate of depression were significantly higher in patient group than in controls Patients used more splitting and acting out, less complain than normal controls The patients with depression used more immature defense mechanism than patients without depression The total score of CES-D was positively correlated with mean score of immature defense in both groups (r=0 473-0 776) with r=0 473 for patient group Conclusion:Depression is common in patients with primary liver cancer, those depressed have more immature defense