Corruble Emmanuelle, Hatem Nizar, Damy Claire, Falissard Bruno, Guelfi Julien-Daniel, Reynaud Michel, Hardy Patrick
Psychiatry Department, Bicêtre Hospital, Assistance Publique, Hôpitaux de Paris, Paris XI University, Le Kremlin Bicêtre, Paris, France.
Psychopathology. 2003 Nov-Dec;36(6):279-84. doi: 10.1159/000075185. Epub 2003 Nov 27.
The aim of our study was to identify if defense mechanisms are associated with impulsivity and lifetime suicide attempts in depressed patients.
The Defense Style Questionnaire, the Impulsivity Rating Scale and the Impulse Control Scale were used in 77 depressed inpatients.
Impulsivity was correlated positively with immature and neurotic styles and negatively with mature style. Some but not all defense mechanisms were relevant in this respect. The number of lifetime suicide attempts was positively correlated not only with impulsivity, but also with immature style and to a lesser extent with neurotic style. Several defense mechanisms were involved in these correlations: undoing, projection, passive aggression, acting out, splitting and somatization.
Like impulsivity, defense styles may be relevant to discriminate recurrent suicide attempters in depression. Prospective assessment of defense styles and suicide attempts in depression is needed.
我们研究的目的是确定防御机制是否与抑郁症患者的冲动性及终生自杀未遂相关。
对77名住院抑郁症患者使用了防御方式问卷、冲动性评定量表和冲动控制量表。
冲动性与不成熟及神经质防御方式呈正相关，与成熟防御方式呈负相关。在这方面，部分而非全部防御机制具有相关性。终生自杀未遂次数不仅与冲动性呈正相关，还与不成熟防御方式呈正相关，与神经质防御方式呈较弱正相关。这些相关性涉及多种防御机制：抵消、投射、被动攻击、付诸行动、分裂和躯体化。
与冲动性一样，防御方式可能有助于区分抑郁症复发性自杀未遂者。需要对抑郁症患者的防御方式和自杀未遂情况进行前瞻性评估。
