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精神分裂症与神经症防御方式的比较

Defense styles in patients with schizophrenia and neurotic

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【作者】 刘国华孟宪璋

【Author】 LIU Guo-hua, MENG Xian-zhang. Psychological Counseling Center, Division of Students Affairs, Zhanjiang Ocean University, Guangdong 524088 , China

【机构】 湛江海洋大学学生处心理咨询中心暨南大学医学院第一附属医院心理科 524088 广东

【摘要】 目的 比较精神分裂症、神经症患者与正常人防御方式的差异。方法用防御方式问卷在473例被试(103例精神分裂症患者、139例神经症患者和231例正常人)中进行测试。结果 1.三组被试DSQ基本得分结果表明,正常人组成熟因子得分最高(44.83±7.95)、精神分裂症组中间型因子得分最高(191.49±39.24)、神经症组不成熟因子得分最高(138.30±34.72)。2.单因素方差分析显示,三组被试的各种防御因子和防御方式(同一化除外)均存在显著(P<0.05)。3.Scheffe两两比较中,正常人组与精神分裂症组和神经症组之间所有防御因子和大部分防御方式均存在显著差异(P<0.05);精神分裂症组与神经症组之间不成熟因子和大部分不成熟防御方式、成熟因子和压抑存在显著差异(P<0.05),而中间型因子和中间防御方式的差异不显著(P>0.05)。结论正常人群多使用成熟防御方式,而精神分裂症和神经症患者多使用不成熟防御方式和中间型防御方式。

【Abstract】 Objective To compare the defense styles between schizophrenia, neurotic and healthy people. Methods 473 adults(103 schizophrenia, 139 neurotic and 231 healthy persons) were assessed with DSQ ( Defensive Style Questionnaire). Results 1. The means and standardized deviations of the defense styles between three groups shows that mature defense is highest in healthy group, mediate defense highest in schizophrenia and immature defense highest in neurotic group. 2. An analysis of variance for defense styles between three groups was conducted, and the results demonstrated that the differences among all defense styles and mechanisms are significant (P<0.05). 3. In Scheffe tests, all defense styles and most defenses show significantly difference between normal group and schizophrenia or neurotic; both immature and mature style and most immature defenses have significant difference between schizophrenia and neurotic, but there are no significant differences for mediate style and mediate defenses . Conclusion This study suggests that healthy people always use mature defenses, while schizophrenia and neurotic use immature and mediate defenses more frequently.

【关键词】 精神分裂症神经症防御方式
【Key words】 SchizophreniaNeuroticDefense Style
  • 【文献出处】 中国行为医学科学 ,Chinese Journal of Behavioral Medical Science , 编辑部邮箱 ,2005年01期
  • 【分类号】R749.3;R749.7
  • 【被引频次】4
  • 【下载频次】94
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