Galván-Suárez Roxana, Ontiveros-Uribe Martha Patricia, Chavez-León Enrique
Department of Teaching, National Institute of Psychiatry, Mexico City, MEX.
Department of Psychology, Anáhuac University, Mexico City, MEX.
Cureus. 2023 Jan 15;15(1):e33805. doi: 10.7759/cureus.33805. eCollection 2023 Jan.
Background Personality disorders are a multi-theoretical construct that encompasses predictable and quantifiable behavioral, cognitive, and affective characteristics in individuals. Previous studies underscore the existence of a relationship between personality disorders and defense mechanisms, these being coping styles that arise unconsciously in the face of adversity and that have adaptive purposes. There is evidence that alludes to a connection between pathological personality, defense mechanisms, and their relationship with negative mental health outcomes, such as depressive and anxious symptoms. The objective of this study was to study, psychometrically measure, and associate personality disorders, defense mechanisms, and depressive and anxious symptoms. Methodology A cross-sectional study was conducted on 81 participants with major depressive disorder, generalized anxiety disorder, and panic disorder who received treatment at a tertiary care institution between July 2021 and February 2022. Psychometric instruments were employed to evaluate the study variables, such as the Beck Depression Inventory (BDI), the Hamilton Depression Rating Scale (HAM-D), the Hamilton Anxiety Rating Scale (HAM-A), the Personality Diagnostic Questionnaire - Version 4 (PDQ-4) Plus, and the 40-item Defensive Styles Questionnaire (DSQ-40). Results Depressive and anxious symptoms were related to the scores obtained in the Defensive Styles Questionnaire and the Personality Disorders Questionnaire. Some defense mechanisms were positive predictors of the score between these scales. Conclusions There is a relationship between personality traits and defense mechanisms that could influence the development and severity of depressive and anxious psychopathology in this population.
人格障碍是一种多理论构建,涵盖了个体中可预测和可量化的行为、认知及情感特征。先前的研究强调了人格障碍与防御机制之间存在关联,防御机制是个体面对逆境时无意识产生的具有适应性目的的应对方式。有证据表明,病态人格、防御机制及其与负面心理健康结果(如抑郁和焦虑症状)之间存在联系。本研究的目的是对人格障碍、防御机制以及抑郁和焦虑症状进行研究、心理测量并建立关联。
对2021年7月至2022年2月期间在一家三级医疗机构接受治疗的81名患有重度抑郁症、广泛性焦虑症和惊恐障碍的参与者进行了横断面研究。使用心理测量工具来评估研究变量,如贝克抑郁量表(BDI)、汉密尔顿抑郁评定量表(HAM-D)、汉密尔顿焦虑评定量表(HAM-A)、人格诊断问卷-第4版(PDQ-4)加版以及40项防御方式问卷(DSQ-40)。
抑郁和焦虑症状与防御方式问卷和人格障碍问卷的得分相关。一些防御机制是这些量表得分的正向预测因子。
人格特质与防御机制之间存在关联,这可能会影响该人群中抑郁和焦虑心理病理学的发展及严重程度。