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临床环境中症状缓解及心境正常状态维持的作用

The Role of Suppression and the Maintenance of Euthymia in Clinical Settings.

作者信息

Merlo Emanuele Maria, Stoian Anca Pantea, Motofei Ion G, Settineri Salvatore

机构信息

Department of Adult and Childhood Human Pathology "Gaetano Barresi," University of Messina, Messina, Italy.

Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

Front Psychol. 2021 May 20;12:677811. doi: 10.3389/fpsyg.2021.677811. eCollection 2021.

Abstract

Defense mechanisms serve as mediators referred to the subjects' attempt to manage stressors capable of threatening their integrity. Mature defense mechanisms represent the high adaptive group, including suppression, which allows the subject to distance disturbing contents from consciousness. In line with general defensive intents, suppression would preserve stable mood states, as in the case of euthymia. Clinical issues usually disturb , so that the study of subjects' suppressive tendencies would suggest possible existing relations among defense mechanisms, mood states, and clinical issues. The study highlighted the significant existing relations among factors such as suppression, euthymia, mood states, and clinical psychological phenomena. The observation group was composed of 150 participants, 51 males (34%) and 99 females (66%), aged from 25 to 30 years old, with a mean age of 26.63 years old (SD = 1.51). The study was conducted through the use of measures related to subjects' characteristics, euthymia, psychological flexibility and psychological well-being (Euthymia Scale), suppression (Suppression Mental Questionnaire), well-being (Who-5), and compassion (ProQol-5). The performed analyses consisted of descriptive statistics, correlations, differences, and regressions among the considered variables. Starting from the first hypothesis, SMQ factors appeared to be significantly and positively correlated with Euthymia factors, rather than Regression in the Ego service (-). In line with the previous result, significant and positive correlations emerged among SMQ and Well-being (WHO-5) variables, maintaining an inverse relation with Regression in the Ego service. Significant differences emerged between male and female groups concerning SMQ total score and rationalization, with higher male group scores. Finally, significant dependencies emerged among the selected predictors (SMQ variables) and Compassion satisfaction. The emerged results highlighted significant relations among the considered variables so that it was possible to highlight the common directions assumed by suppression variables, well-being, and euthymia. Moreover, suppression appeared as a significant predictor with a causal role in clinical satisfaction. The results that have emerged allow us to consider defenses through an empirical perspective, useful to suggest an extension to other groups, phenomena, and conditions.

摘要

防御机制充当调解因素,涉及个体应对可能威胁其自身完整性的压力源的尝试。成熟的防御机制代表高度适应性的类别,包括压抑,压抑使个体能够将令人不安的内容与意识保持距离。与一般防御意图一致,压抑有助于维持稳定的情绪状态,比如在心境正常的情况下。临床问题通常会造成干扰,因此对个体压抑倾向的研究可能揭示防御机制、情绪状态和临床问题之间可能存在的关系。该研究突出了压抑、心境正常、情绪状态和临床心理现象等因素之间显著的现存关系。观察组由150名参与者组成,其中男性51名(34%),女性99名(66%),年龄在25至30岁之间,平均年龄为26.63岁(标准差=1.51)。该研究通过使用与个体特征、心境正常、心理灵活性和心理健康(心境正常量表)、压抑(压抑心理问卷)、幸福感(WHO-5)和同情心(ProQol-5)相关的测量方法进行。所进行的分析包括描述性统计、相关性分析、差异分析以及所考虑变量之间的回归分析。从第一个假设出发,压抑心理问卷(SMQ)的因素似乎与心境正常因素显著正相关,而不是自我服务中的回归(-)。与之前的结果一致,压抑心理问卷与幸福感(WHO-5)变量之间出现显著正相关,与自我服务中的回归呈反比关系。在压抑心理问卷总分和合理化方面,男性组和女性组之间存在显著差异,男性组得分更高。最后,在选定的预测因素(压抑心理问卷变量)和同情心满意度之间出现了显著相关性。研究结果突出了所考虑变量之间的显著关系,从而有可能突出压抑变量、幸福感和心境正常所呈现的共同趋势。此外,压抑似乎是临床满意度的一个具有因果作用的重要预测因素。研究结果使我们能够从实证角度考虑防御机制,这有助于将其扩展应用于其他群体、现象和情况。

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