抑郁症患者早期适应不良图式与临床症状、人格特征及防御机制的相关性分析

Correlation Analysis of Early Maladaptive Schema and Clinical Symptoms, Personality Characteristics and Defense Mechanism of Depression Patients

摘要: 目的：探讨早期适应不良图式与抑郁症患者临床症状、人格特征及防御机制的相关性。方法：选取符合ICD-10抑郁症诊断标准的94例患者，使用Young图式问卷–短式2 (YSQ-SF2)评估早期适应不良图式(EMS)，贝克抑郁问卷(BDI)及症状自评量表(SCL-90)评估临床症状，明尼苏达多项人格测验(MMPI)评估人格特征，防御方式问卷(DSQ)评估防御机制。结果：抑郁症患者EMS与BDI，MMPI，DSQ，SCL-90各因子有统计学意义(P < 0.05)，相关系数(r)的均值最高的前四位和有统计学意义相关性的因子数最多的前四位因子分别都是对疾病和伤害的易感性、情感压抑、社交孤立、情感剥夺，后两位因子分别都是失败、依赖/无能力。结论：对疾病和伤害的易感性、情感压抑、社交孤立、情感剥夺对抑郁症患者的临床症状、人格特征及防御机制的影响程度较高而广泛，而失败、依赖/无能力则相对小且局限。

Abstract: Objective: To explore the correlation between early maladaptive schema and clinical symptoms, personality characteristics and defense mechanism of depression patients. Methods: 94 patients who met ICD-10 diagnostic criteria for depression were selected. Young Schema Questionnaire-Short Form 2 (YSQ-SF2) was used to evaluate early maladaptive schema (EMS), Beck Depression Questionnaire (BDI) and Symptom Checklist-90 (SCL-90) to evaluate clinical symptoms, Minnesota Multiphasic Personality Inventory (MMPI) to evaluate personality characteristics, and Defense Style Questionnaire (DSQ) to evaluate defense mechanisms. Results: The correlation coefficients of EMS and BDI, MMPI, DSQ, SCL-90 in depression patients were statistically significant (P < 0.05). The first four factors with higher average correlation coefficient and the first four factors with higher number of significantly related factors were Vulnerability to Harm or Illness, Emotional Inhibition, Social Isolation and Emotional Deprivation and the last two were Failure, Dependency/Incompetence respectively. Conclusion: Vulnerability to Harm or Illness, Emotional Inhibition, Social Isolation and Emotional Deprivation have relatively high and extensive effects on clinical symptoms, personality characteristics, and defense mechanisms of depression patients, while Failure, Dependency/Incompetence are relatively small and limited.