中国临床心理学杂志

持续的躯体形式的疼痛障碍患者的防御机制及相关因素研究

单位：1. 泰安市精神病医院山东泰安 271000
2. 泰安市中心医院山东泰安 271000

分类号：R395.1

出版年,卷(期):页码：2006,14(4):395-396

摘要：

目的:对持续的躯体形式的疼痛障碍(以下简称持续疼痛障碍)患者的心理防御机制及相关因素进行研究。方法:持续疼痛障碍组(70例)和正常对照组(60例),入组时填写防御方式问卷(DSQ)、艾森克个性问卷(EPQ)、生活事件量表(LES)及社会支持评定量表(SSRS)。结果:①病人组在“不成熟防御机制”维度上的得分高于对照组,其中以抱怨、幻想、退缩、躯体化4个因子得分突出;在“成熟防御机制”的维度上,病人组得分明显低于对照组。②病人组神经质评分(N)显著高于对照组,而内-外倾评分低于对照组。③患者LES的总分及频次显著高于对照组,但社会支持分比对照组低。结论:生活事件、社会支持缺乏、个性缺陷和不适当的防御机制在持续疼痛障碍发病中起重要作用。

Objective:To explore psychological defense mechanism and its related factors in patients with persistent somatoform pain disorder.Methods:Both persistent pain disorder patients(n=70) and normal controls(n=60) were measured with DSQ,EPQ,LES,SSRS.Results:①The factor scores of immature defense mechanism were significantly higher and the factor scores of mature mechanism were signicantly lower in patients than in normal controls,especially in complaint,recoil,fantasy,and somatication factors;②The N scores of EPQ were significantly higher and the E scores of EPQ were significantly lower in patients than in normal controls;③Compared with the control group,patients had higher scores and more frequency in LES,but the scores of SSRS showed much lower.Conclusion:Life events,deficiency of social supporting,maladaptive personality and inadequacy defense mechanisms played important roles in the onset and development of persistent pain disorder.

基金项目：

作者简介：

参考文献：

[1] 骆艳丽,吴文源,江三多,等.氟西汀治疗持续的躯体形式的疼痛障碍的疗效及其作用机制.中华精神科杂志,2002,5(2):113-114
[2] 任清涛,李广,马秀青.内科门诊躯体形式障碍的临床特征和治疗研究.中国临床心理学杂志,2001,9(4):284-285
[3] 汪向东,王希林,马弘.心理卫生评定量表手册.增订版.中国心理卫生杂志社,1999.115-120,101-103,127-129
[4] 龚耀先.中国修订艾森克(成人)问卷手册.湖南医科大学,1986
[5] 汤义平.神经症患者的防御方式调查.中国临床心理学杂志,2002,10(3):231-232
[6] 钟友彬著.中国心理分析.辽宁人民出版社,1988
[7] 刘国华,孟宪璋.人格特征与防御方式的相关研究.中国临床心理学杂志,2004,12(1):90-91

服务与反馈：

【文章下载】【加入收藏】