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[什么能预防神经症?对具有高风险因素的神经症患者和健康对照者的一项比较研究结果]

[What protects against neurosis? Results of a comparative study of neurotic patients with high risk factors and healthy probands].

作者信息

Lieberz K

机构信息

Abteilung für Psychotherapie und Psychosomatische Medizin , Universitätsklinikums Rudolf-Virchow, Freien Universität Berlin.

出版信息

Z Psychosom Med Psychoanal. 1988;34(4):338-50.

PMID:3239272
Abstract

In a study of 103 adult neurotic persons and a parallel control group of well persons comparable in terms of age, gender and occupation, a total of 48 patients was found to have had a background of extreme family conflict, while 32 of the persons in the control group came from like backgrounds. The persons in these two high-risk groups were examined for differences in their respective histories and in their present life circumstances. The healthy persons could be distinguished from the neurotic persons in the following various respects: 1. through a lack of single-risk factors during childhood and youth (e.g. very young mothers), 2. through an overall lower level of stress during childhood and youth, 3. through a more positive mother-imago, 4. through the presence of compensatory parental relationships, as well as 5. through avoidance-behavior in adulthood in which premature commitments which might otherwise be difficult to dissolve, are circumvented. The findings were further discussed with respect to the disparate family-dynamics to be found in the backgrounds of the patient group and the control group.

摘要

在一项针对103名成年神经症患者以及一个由年龄、性别和职业与之匹配的健康人群组成的平行对照组的研究中,发现共有48名患者有极端家庭冲突的背景,而对照组中有32人来自类似背景。对这两个高风险组的人员进行了检查,以了解他们各自的病史和当前生活状况的差异。健康人群在以下各个方面可与神经症患者区分开来:1. 童年和青年时期缺乏单一风险因素(例如母亲年龄过小);2. 童年和青年时期的总体压力水平较低;3. 有更积极的母亲意象;4. 存在补偿性的亲子关系;5. 在成年期有回避行为,即规避那些否则可能难以解除的过早承诺。针对患者组和对照组背景中发现的不同家庭动态,对研究结果进行了进一步讨论。

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