中国临床心理学杂志

强迫障碍及其共病人格障碍患者的心理防御特点

单位：1. 北京回龙观医院北京 100096
2. 苏州大学医学部临床心理研究所江苏苏州 215123

分类号：R395.2

出版年,卷(期):页码：2012,20(4):485-488

摘要：

目的:研究强迫障碍及其共病人格障碍患者的心理防御方式。方法:符合DSM-IV临床诊断标准的35例OCD患者和35名正常对照者。用人格诊断问卷筛查人格障碍,再用人格障碍晤谈手册确定共病人格障碍的患者;所有被试接受防御方式问卷测查。结果:35例OCD患者有22例(62.9%)共病人格障碍;共病人格障碍组在诸多不成熟(P<0.05或P<0.001)和中间防御方式上(P<0.05,P<0.01或P<0.001)高于对照组,在某些成熟防御方式上低于对照组(P<0.05或P<0.01)。非共病人格障碍组在不成熟和中间防御方式上仅退缩和制止得分高于对照组(P<0.05),而成熟防御方式低于对照组(P<0.05或P<0.001)。结论:共病人格障碍的强迫障碍患者更多地使用不成熟和中间型防御方式,同时较少使用成熟的防御方式。而没有共病人格障碍的强迫障碍患者只是较少使用成熟的防御方式。

Objective: To investigate the defense mechanisms of obsessive-compulsive disorder patients and those comorbid with personality disorders. Methods: DSM-IV was administrated to subjects to diagnose 35 OCD, PDQ+4（Personality Diagnostic Questionnaire）and PDI-IV（Personality Disorder Interview） were then administrated to 35 OCD subjects to determine whether they also suffered from personality disorders. DSQ(Defense style Questionnaire) was administrated to estimate the defense mechanisms of all patients. Results: 22 of the 35 (62.9%) OCD patients met DSM-IV criteria for personality disorders. OCD patients who suffered from personality disorder significantly used more immature and neurotic defense mechanisms, and less mature mechanisms. While pure OCD patients only use less mature defense mechanisms.Conclusion: The patients who comorbid personality disorders use more immature and neurotic defense mechanisms and less mature mechanisms, while the pure OCD patients only use less mature defense mechanisms.

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