《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (12): 1167-1169.

• 临床研究 • 上一篇    下一篇

40例强迫症患者心理防御机制分析

李英丽;宋崇升;张东;徐泽;武志强   

  1. 北京回龙观医院精神医学研究中心，北京市 100096
  • 收稿日期:2009-08-03 出版日期:2009-12-25 发布日期:2009-12-25

Analysis of Defense Mechanism in 40 Patients with Obsessive-Compulsive Disorder

LI Ying-li,SONG Chong-sheng,ZHANG Dong,et al   

  1. Beijing Huilongguan Hospital, Beijing 100096, China
  • Received:2009-08-03 Published:2009-12-25 Online:2009-12-25

PDF (PC)

被引次数

5

摘要： 目的 探讨强迫症患者心理防御机制的特点。方法 应用耶鲁布朗强迫量表对门诊确诊为强迫症的患者进行测查，选取≥16分者40例入强迫症组，选取与之匹配的33名正常人作为对照组。对两组受试者应用防御方式问卷进行测试。结果 ①强迫症组不成熟防御机制因子分高于对照组，成熟防御机制因子分低于对照组，中间型防御机制因子分高于对照组（均P<0.01）；②强迫症组在被动攻击、潜意显现、分裂、退缩、躯体化等不成熟的防御机制以及解除、假性利他、隔离等中间型防御机制上的得分高于对照组（P<0.05 或P<0.01）；③强迫症组男性在防御机制升华、压抑、消耗倾向上的得分高于组内女性（P<0.05）。结论 强迫症患者多使用不成熟的防御机制及中间型防御机制，较少使用成熟的防御机制；男性强迫症患者较女性更倾向于使用升华、压抑、消耗倾向的防御机制。

关键词: 强迫症, 防御机制, 耶鲁布朗强迫量表, 防御方式问卷

Abstract: Objective To explore the characteristics of defense mechanism in patients with obsessive-compulsive disorder(OCD).Methods Outpatients diagnosed as OCD were tested by Yale-Brown obsessive Compulsive Scale. Among them, 40 patients with score beyond or equal to 16 were selected as research group. 33 healthy individuals were selected as normal group. They were tested with Defense Style Questionnaire.Results ①The factor score of immature defense mechanisms in the OCD group is much higher than that in the normal group (P<0.01); the factor score of mature defense mechanisms in the OCD group is lower than that in the normal group (P<0.05); the factor score of middle defense mechanisms in the OCD group is much higher than that in the normal group (P<0.01). ②Passive aggression, acting out, splitting, regression, somatization in the immature defense mechanisms and relief, false altruism, isolation in the middle defense mechanisms are much more used by the OCD group than that in the normal group; but suppression and humor in the mature defense mechanisms are less used by the OCD group than that of the normal group(P<0.05 or P<0.01). ③Sublimation, suppression and consuming tendency are much more used in male patients than female ones in OCD group(P<0.05).Conclusion The patients with OCD tend to use the immature defense mechanisms and middle defense mechanisms, and there is some difference between male and female patients in using defense mechanisms.

Key words: obsessive-compulsive disorder, defense mechanism, Yale-Brown Obsessive Compulsive Scale, Defense Style Questionnaire