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抑郁障碍患者人格特征与父母教养方式、自身防御 方式的相关性
梁光利万礼霞李海玲左晓伟李波王成东
0
()
摘要:
目的 探讨抑郁障碍患者人格特征与父母教养方式、自身防御方式的关系。方法 将徐州市 东方人民医院 2016 年 8 月至 2019 年 7 月收治的 60 例抑郁障碍患者作为观察组,并选择 60 名健康志愿者 为对照组,向两组受试者发放明尼苏达多项个性调查表(MMPI)、父母教养方式评价量表(EMBU)、防御 方式问卷(DSQ),分析抑郁障碍患者人格特征与父母教养方式、自身防御方式的关系。结果 MMPI 量 表评分中,观察组疑病、抑郁、癔症、精神病态、妄想狂、精神衰弱评分均高于对照组(t=12.949、15.893、 20.349、7.188、6.863、5.391,P< 0.05);EMBU 量表评分中,观察组父母情感温暖与理解因子分低于对 照组(t=3.126、3.096,P< 0.05),父母惩罚与严厉因子分、拒绝与否认因子分、父亲过度保护因子分、母 亲过分干涉与保护因子分均高于对照组(t=3.256、3.661、4.622、3.744、4.225、2.832,P< 0.05);DSQ 评分 中,观察组不成熟防御机制评分高于对照组(t=4.938,P< 0.05),成熟防御机制评分低于对照组(t=3.423, P< 0.05)。相关性分析显示,抑郁障碍患者抑郁、精神病态、精神衰弱与其父母惩罚与严厉因子分、 拒绝与否认因子分、父亲过度保护因子分、母亲过分干涉与保护因子分呈正相关(r=0.304~0.348, P< 0.05),疑病、抑郁与父母情感温暖与理解因子分呈负相关(r=-0.322~-0.344,P< 0.05);抑郁障碍患 者抑郁、精神病态、妄想狂、精神衰弱与其不成熟防御机制评分呈正相关(r=0.303~0.334,P< 0.05),疑 病、抑郁、癔症与其成熟防御机制评分呈负相关(r=-0.305~-0.309,P< 0.05);抑郁障碍患者父母惩罚 与严厉因子分、拒绝与否认因子分、父亲过度保护因子分、母亲过分干涉与保护因子分与其不成熟防御 机制呈正相关(r=0.393~0.418,P< 0.05),与其成熟防御机制呈负相关(r=-0.385~-0.407,P< 0.05);父 母情感温暖与理解与其不成熟防御机制呈负相关(r=-0.404、-0.416,P< 0.05),与其成熟防御机制呈正 相关(r=0.412、0.422,P< 0.05)。结论 抑郁障碍患者人格特征与父母教养方式(父母情感温暖与理解、 惩罚与严厉、拒绝与否认、父亲过度保护、母亲过分干涉与保护)、自身防御方式(不成熟防御机制)具有 相关性。
关键词:  抑郁障碍  人格特征  父母教养方式  自身防御方式
DOI:10.3969/j.issn.1009-6574.2020.03.006
基金项目:徐州市科技局重点研发计划(KC17180)
Relationship between personality characteristics and parenting styles, self-defense styles in patients with depressive disorders
Liang Guangli, Wan Lixia, Li Hailing, Zuo Xiaowei, Li Bo, Wang Chengdong
()
Abstract:
Objective To analyze the relationship between personality characteristics and parenting styles, self-defense styles in patients with depressive disorders. Methods A total of 60 patients with depressive disorders who were admitted to Dongfang People's Hospital of Xuzhou from August 2016 to July 2019 were selected as the research subjects, and 60 healthy volunteers were selected as controls. Minnesota multiphasic personality inventory (MMPI), Egna minnen av bamdoms uoofostran (EMBU) and Defense Style Questionnaire (DSQ) were used to analyze the relationship between personality characteristics and parenting styles, self-defense styles of patients with depressive disorders. Results The hypochondriasis, depression, hysteria, psychopathy, paranoia and athopia scores of the observation group were higher than those of the control group in MMPI (t=12.949,15.893,20.349,7.188,6.863,5.391;P< 0.05). In EMBU, the scores of parents' emotional warmth and understanding of the observation group were lower than those of the control group (t=3.126, 3.096,P < 0.05), while the scores of parental punishment andstrictness, rejection and denial, father's excessive protection, mother's excessive interference and protection were all higher than those of the control group (t=3.256,3.661,4.622,3.744,4.225,2.832;P < 0.05). In DSQ, the immature defense mechanism score of the observation group was higher than that of the control group (t=4.938, P< 0.05), while the mature defense mechanism score was lower than that of the control group (t=3.423,P< 0.05). Depression, psychopathy and athopia of patients with depressive disorders were positively correlated with scores of parental punishment and strictness, rejection and denial, father's excessive protection, and mother's excessive interference and protection (r=0.304-0.348,P< 0.05). Hypochondriasis and depression were negatively correlated with scores of parental emotional warmth and understanding (r=-0.322- -0.344,P < 0.05). Depression, psychopathy, paranoiaand athopia were positively correlated with the immature defense mechanism score (r=0.303- 0.334,P < 0.05). Hypochondriasis, depression and hysteria were negatively correlated with themature defense mechanism score (r=-0.305- -0.309,P < 0.05). The scores of parental punishment and strictness, rejection and denial, father's excessive protection, and mother's excessive interference and protection were positively correlated with the immature defense mechanism (r=0.393-0.418,P < 0.05), and were negatively correlated with the mature defense mechanism (r=-0.385- -0.407,P < 0.05). Parental emotional warmth and understanding were negatively correlated with the immature defense mechanism (r=-0.404,-0.416,P< 0.05), and were positively correlated with mature defense mechanism (r=0.412,0.422,P< 0.05). Conclusions The personality characteristics of patients with depressive disorders are related to their parenting styles (parental emotional warmth and understanding, punishment and strictness, rejection and denial, father's excessive protection, and mother's excessive interference and protection) and self-defense styles (immature defense mechanism).
Key words:  Depressive disorders  Personality characteristics  Parenting style  Self-defense style

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