“单纯”焦虑症和“单纯”抑郁症中的防御机制

Defense Mechanisms in "Pure" Anxiety and "Pure" Depressive Disorders.

作者信息

Colovic Olga, Lecic Tosevski Dusica, Perunicic Mladenovic Ivana, Milosavljevic Maja, Munjiza Ana

机构信息

*Institute of Mental Health; †Psychology Department, Faculty for Media and Communication, University of Singidunum; ‡Medical Faculty, University of Belgrade; and §Serbian Academy of Sciences and Arts, Belgrade, Serbia.

出版信息

J Nerv Ment Dis. 2016 Oct;204(10):746-751. doi: 10.1097/NMD.0000000000000559.

DOI:10.1097/NMD.0000000000000559

PMID:27434191

Abstract

Our study was intended to test whether there are any differences in the way defense mechanisms are used by patients suffering from pure anxiety and those with pure depressive disorders. The sample size was as follows: depressive disorders without psychotic symptoms 30, anxiety disorders 30, and the healthy control group 30. The assessment of defense mechanisms was made using the DSQ-40 questionnaire. Our findings show that "pure" anxiety disorders differ from "pure" depressive disorders only in the use of immature defense mechanisms. The group with depressive disorders was significantly more prone to use immature defense mechanisms than the group with anxiety disorders (p = 0.005), primarily projection (p = 0.001) and devaluation (p = 0.003). These defense mechanisms may therefore be used both to differentiate between anxiety and depressive disorders and also to determine which symptoms (anxiety or depressive disorders) are dominant at any given stage of treatment.

摘要

我们的研究旨在测试患有单纯焦虑症的患者和患有单纯抑郁症的患者在使用防御机制的方式上是否存在差异。样本量如下：无精神病症状的抑郁症患者30例，焦虑症患者30例，健康对照组30例。使用DSQ - 40问卷对防御机制进行评估。我们的研究结果表明，“单纯”焦虑症与“单纯”抑郁症的区别仅在于未成熟防御机制的使用。抑郁症组比焦虑症组更倾向于使用未成熟防御机制（p = 0.005），主要是投射（p = 0.001）和贬低（p = 0.003）。因此，这些防御机制既可以用于区分焦虑症和抑郁症，也可以用于确定在治疗的任何给定阶段哪些症状（焦虑症或抑郁症）占主导地位。