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[心理健康问题青少年的人格结构、心理动力冲突与防御方式之间的关联]

[Associations between Personality Structure, Psychodynamic Conflicts and Defense Styles in Adolescents with Mental Health Problems].

作者信息

Akın Aslı, Reichel Paul Magnus, Weber Elisabeth Clara, Kluge Greta, Goth Kirstin, Obbarius Alexander, Seiffge-Krenke Inge, Sarrar Lea

机构信息

Abteilung für Psychosomatik, Klinik für Herz-, Thorax- und Gefäßchirurgie, Deutsches Herzzentrum der Charité, Charité Universitätsmedizin Berlin.

Psychologie, MSB Medical School Berlin GmbH, Berlin.

出版信息

Psychother Psychosom Med Psychol. 2024 May;74(5):157-164. doi: 10.1055/a-2255-3572. Epub 2024 Apr 5.

DOI:10.1055/a-2255-3572
PMID:38580307
Abstract

OBJECTIVES

An exploration of the interrelationships between central psychodynamic constructs in adolescents with mental health problems was conducted.

METHODS

230 adolescents (Mage=18.0±1.9) were assessed using the Structure and the Conflict Questionnaire of the Operationalized Psychodynamic Diagnosis System in Childhood and Adolescence and the Defense Style Questionnaire for Adolescents.

RESULTS

Controlling for the influence of gender, age, and socioeconomic status, low to moderate associations were revealed between increased psychodynamic conflict levels and immature defense styles (r=0.20 to 0.39, p<0.05 to 0.001) as wells as deficits in the personality structure and increased psychodynamic conflict levels (r=0.15 to 0.55, p<0.05 to p<0.001) or immature defense styles (r=0.30 to 0.69, p<0.001). Psychodynamic conflicts as well as defense styles could be predicted by the structural dimensions as well as age and sex (R2=0 .04 to 0.49, p<0.05 to 0.001).

CONCLUSIONS

Theory-compliant correlations were demonstrated. The findings are particularly relevant against the background of the revision of the classification of personality functioning (ICD-11) in childhood and adolescence.

摘要

目的

对有心理健康问题的青少年的核心心理动力结构之间的相互关系进行了探索。

方法

使用儿童和青少年操作性心理动力诊断系统的结构与冲突问卷以及青少年防御方式问卷对230名青少年(平均年龄=18.0±1.9)进行评估。

结果

在控制了性别、年龄和社会经济地位的影响后,心理动力冲突水平升高与不成熟防御方式之间呈现低到中度的关联(r=0.20至0.39,p<0.05至0.001),以及人格结构缺陷与心理动力冲突水平升高(r=0.15至0.55,p<0.05至p<0.001)或不成熟防御方式(r=0.30至0.69,p<0.001)之间也呈现低到中度的关联。心理动力冲突以及防御方式可以通过结构维度以及年龄和性别进行预测(R2=0.04至0.49,p<0.05至0.001)。

结论

证实了符合理论的相关性。在儿童和青少年人格功能分类(ICD-11)修订的背景下,这些发现尤为重要。

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