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不成熟的防御机制是否介导了羞耻、内疚和心理病理症状之间的关系?

Do Immature Defense Mechanisms Mediate the Relationship Between Shame, Guilt, and Psychopathological Symptoms?

作者信息

Cavalera Cesare, Andreani Paolo, Baumgartner Oliver, Oasi Osmano

机构信息

Deparment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

出版信息

Front Psychol. 2022 May 3;13:832237. doi: 10.3389/fpsyg.2022.832237. eCollection 2022.

Abstract

When shame and guilt emotional experiences related to stressful events remain unresolved, they can be related to psychological impairment and recursive thoughts. The present study aims to explore the association between state shame and state guilt related to past stressful experiences and psychopathological symptoms and evaluating a mediation role by immature defenses. A total of 90 participants (48.9% female; mean age 23.66) were considered in the present study to (a) investigate correlations between state guilt and shame scores related to personal stressful events and psychopathological symptoms related to global severity index; (b) assess whether state guilt and shame scores related to personal stressful events are positively correlated with immature defenses; (c) test whether immature defenses mediates the relationship between, respectively, state shame and state guilt with psychopathological symptoms. Significant correlations between state shame, state guilt, psychopathological symptoms, and immature defenses were found. Higher activations on immature defenses partially mediated the relationship between psychopathological symptoms and state shame and state guilt, respectively. Past experiences related to shame and guilt should be targeted by specific treatments that could help stop recursive maladaptive thoughts and empower more adaptive defensive strategies.

摘要

当与压力事件相关的羞耻和内疚情绪体验得不到解决时,它们可能与心理障碍和反复出现的想法有关。本研究旨在探讨与过去压力经历相关的状态羞耻和状态内疚之间的关联以及心理病理症状,并评估不成熟防御机制的中介作用。本研究共纳入90名参与者(48.9%为女性;平均年龄23.66岁),以(a)调查与个人压力事件相关的状态内疚和羞耻得分与与总体严重程度指数相关的心理病理症状之间的相关性;(b)评估与个人压力事件相关的状态内疚和羞耻得分是否与不成熟防御机制呈正相关;(c)检验不成熟防御机制是否分别在状态羞耻和状态内疚与心理病理症状之间的关系中起中介作用。研究发现状态羞耻、状态内疚、心理病理症状和不成熟防御机制之间存在显著相关性。不成熟防御机制的较高激活分别部分中介了心理病理症状与状态羞耻和状态内疚之间的关系。与羞耻和内疚相关的过去经历应通过特定治疗来解决,这些治疗有助于阻止反复出现的适应不良想法,并增强更具适应性的防御策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c42b/9113260/61b2a1a792e3/fpsyg-13-832237-g001.jpg

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