Hoffmann-Delvaux C, Mertens M C
Acta Psychiatr Belg. 1977 May-Jun;77(3):379-98.
This study was performed to determine the nature and organisation of specific defense mechanism in myocardial infarct patterns as compared to controls. It is also aimed at describing the organisation of these defenses and their relation to anxiety, depression and aggressivity. The samples consist in two populations of 112 male subjects with and without infarct and matched for age and socio-economic status. The EMO questionnaire of G.O. Baehr and M.E. Baehr and the COPE form from the FIRO scales of Schutz were used for psychological evaluation. The results show that the myocardial patients use more turning-against-self and that the other defence mechanisms do not discriminate between the subgroups. Furthermore, the scores for anxiety, depression, inferiority, hostility are similar in both groups. The patients state less sexual problems and use less fantasies than do normal controles. However, they use more somatic concern, but not significantly as compared to controls. This analysis was also concerned with the correlations between these defenses and affects. Furthermore, both subgroups were subdivided in three subsamples according to the score for turning-against self (high, median, low). Turning-against-self is associated with hostility in the patients while this mechanism is associated with a higher susceptibility to dayly events in normal subjects.
本研究旨在确定与对照组相比，心肌梗死模式中特异性防御机制的性质和组织形式。其还旨在描述这些防御机制的组织形式及其与焦虑、抑郁和攻击性的关系。样本包括两组男性受试者，每组112人，一组有心肌梗死，另一组无心肌梗死，两组在年龄和社会经济地位上相匹配。采用G.O. 贝尔和M.E. 贝尔的EMO问卷以及舒茨FIRO量表中的应对方式问卷进行心理评估。结果显示，心肌梗死患者更多地采用自我攻击，而其他防御机制在亚组之间没有差异。此外，两组在焦虑、抑郁、自卑、敌意方面的得分相似。与正常对照组相比，患者自述的性问题较少，幻想也较少。然而，他们更多地关注身体问题，但与对照组相比差异不显著。该分析还关注这些防御机制与情感之间的相关性。此外，根据自我攻击得分（高、中、低），两个亚组又各自细分为三个子样本。自我攻击在患者中与敌意相关，而在正常受试者中，这种机制与对日常事件的更高易感性相关。
