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临床情境中的人格解体、幻想及应对行为。

Depersonalization, fantasies, and coping behavior in clinical context.

作者信息

Wolfradt U, Engelmann S

机构信息

Department of Psychology, Martin-Luther-Universität, Halle, Germany.

出版信息

J Clin Psychol. 1999 Feb;55(2):225-32. doi: 10.1002/(sici)1097-4679(199902)55:2<225::aid-jclp10>3.0.co;2-e.

DOI:10.1002/(sici)1097-4679(199902)55:2<225::aid-jclp10>3.0.co;2-e
PMID:10100823
Abstract

The main purpose of the present study was to determine the relation between specific dissociative experiences (depersonalization, fantasies) and self-reported coping behavior in a clinical (depression, anxiety, schizophrenia) and nonclinical sample (normal adults). Dissociative experiences were assessed with the Questionnaire of Experiences of Dissociation (QED) of Riley (1988) and coping behavior with the Stress-Process Questionnaire (SPQ; Janke, Erdmann, & Boucsein, 1985). A factor analysis of the QED items revealed a two-factor extraction: Factor 1 "depersonalization" and Factor 2 "fantasies/daydreams." The clinical group scored higher on the QED factor "depersonalization" and had more passive forms of coping behavior (resignation, social isolation, self-compassion, self-blame) than the normal adults. Similar correlation patterns were found for both groups: The QED factor "depersonalization" correlated highly with the coping behaviors "resignation," "social isolation," "self-blame," "self-compassion," and "rumination." No correlation between Factor 2 "fantasies/daydreams" and the coping behavior was found. Finally, correlations between depersonalization, trait anxiety, and personal need for structure were reported.

摘要

本研究的主要目的是确定特定的分离体验(人格解体、幻想)与临床样本(抑郁症、焦虑症、精神分裂症)和非临床样本(正常成年人)中自我报告的应对行为之间的关系。分离体验通过莱利(1988年)的《分离体验问卷》(QED)进行评估,应对行为通过《应激过程问卷》(SPQ;扬克、埃德曼和布辛,1985年)进行评估。对QED项目的因子分析得出了一个两因子提取结果:因子1“人格解体”和因子2“幻想/白日梦”。临床组在QED因子“人格解体”上得分更高,并且与正常成年人相比,具有更多被动的应对行为形式(听天由命、社交孤立、自我怜悯、自责)。两组都发现了类似的相关模式:QED因子“人格解体”与应对行为“听天由命”、“社交孤立”、“自责”、“自我怜悯”和“沉思”高度相关。未发现因子2“幻想/白日梦”与应对行为之间存在相关性。最后,报告了人格解体、特质焦虑和个人对结构的需求之间的相关性。

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