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[神经症患者对身体的情感感知。其与焦虑、抑郁及各类防御机制的关系]

[Affective perception of the body in neurotics. Its relation to anxiety, depression, and various types of defense].

作者信息

Buxant P

出版信息

Acta Psychiatr Belg. 1976 May;76(3):415-37.

PMID:1020680
Abstract

This study compares and relates affective bodily perception (ABP), anxiety, depression, and the utilisation of some defense mechanisms in 25 neurotic women (16 depressives, 9 hysterical) and 25 normal women. ABP is evaluated according to satisfaction and anxiety (Body cathexis scale), distorsions (Body distortion questionnaire) and body conscience (Body prominence). Anxiety is measured with Cattell questionnaire, depression through Zung and Hamilton scales, and defense mechanisms by the Firo Form Cope of Schutz. Neurotics have a ABP more negative and are more depressed and anxious than normals; they use more regression while controls tend to use introjection. In comparison with depressives, hysterical women have higher scores in body distortion, mostly in the feeling of boundary loss; they express more masked anxiety and react more often through projection. Among neurotics, those who have a very disturbed ABP are more anxious, more depressed, and more prone to denial, projection, and regression in comparison with the others. In both samples, anxiety and depression have a negative correlation with body satisfaction and a positive one with body distortions and somatic anxiety. In the control group, body satisfaction is inversely related with feeling of dirt. Somatic anxiety is also inversely related to unusual feelings of body and skin obstruction. The intensity of body consciousness is related to using isolation and distortions are negatively related to using denial. In neurotics, denial is in opposition with the intensity of body awareness and is linked to somatic anxiety. The intensity of body awareness is also correlated to various forms of anxiety. Distortions are positively related to regression. The comparison of both samples shows a degradation of ABP in neurotics. The study of correlations clarifies several relations between deficient ABP anxiety, depression and the use of some defense mechanisms.

摘要

本研究比较并关联了25名神经质女性(16名抑郁症患者、9名癔症患者)和25名正常女性的情感身体感知(ABP)、焦虑、抑郁以及一些防御机制的运用情况。根据满意度和焦虑(身体投入量表)、扭曲(身体扭曲问卷)以及身体意识(身体突出度)来评估ABP。使用卡特尔问卷测量焦虑,通过zung量表和汉密尔顿量表测量抑郁,并用舒茨的Firo形式应对方式量表测量防御机制。神经质患者的ABP更消极,比正常人更抑郁、更焦虑;他们更多地使用退行,而对照组则倾向于使用内摄。与抑郁症患者相比,癔症女性在身体扭曲方面得分更高,主要是在边界丧失感方面;她们表现出更多的隐蔽性焦虑,并且更常通过投射做出反应。在神经质患者中,与其他人相比,那些ABP非常紊乱的人更焦虑、更抑郁,并且更容易否认、投射和退行。在两个样本中,焦虑和抑郁与身体满意度呈负相关,与身体扭曲和躯体焦虑呈正相关。在对照组中,身体满意度与肮脏感呈负相关。躯体焦虑也与身体和皮肤异常感觉呈负相关。身体意识的强度与隔离的使用有关,而扭曲与否认的使用呈负相关。在神经质患者中,否认与身体意识强度相反,并与躯体焦虑相关。身体意识强度也与各种形式的焦虑相关。扭曲与退行呈正相关。两个样本的比较显示神经质患者的ABP有所退化。相关性研究阐明了ABP缺陷、焦虑、抑郁与一些防御机制使用之间的几种关系。

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