首页|青少年抑郁障碍患者防御方式和生活事件对心理健康的影响

青少年抑郁障碍患者防御方式和生活事件对心理健康的影响

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目的 了解青少年抑郁障碍患者的防御方式和生活事件与心理健康的关系,为青少年抑郁障碍的防治提供依据。方法 选取我院门诊及住院的青少年抑郁障碍患者作为研究组共161例,健康体检者及在校学生作为对照组共180例,采用心理健康症状自评量表(SCL-90)、防御方式问卷(DSQ)及青少年生活事件量表(ASLEC)进行评估。两组所得量表数据使用SPSS 22。0进行统计分析。结果 研究组的ASLEC与SCL-90总分均高于对照组(P<0。05);青少年抑郁障碍患者DSQ中不成熟型防御机制评分与SCL-90和ASLEC评分呈显著正相关(P<0。05);成熟型防御机制与SCL-90和ASLEC评分呈负相关(P<0。05);中间型防御机制与SCL-90和ASLEC评分无明显相关性(P>0。05)。结论 青少年抑郁障碍患者的不良生活事件发生频率高于同龄健康人群,其心理健康水平明显低于同龄健康人群。不成熟防御机制是影响心理健康情况的高危因素,而成熟防御机制是心理健康情况的良好保护因素,中间型防御机制和掩饰因子对心理健康情况无直接影响关系。
Effect of defense style and life events on mental health in adolescents with depressive disorder
Objective To investigate the relationship between defense style,life events and mental health in ado-lescents with depressive disorder,and provide evidence for the prevention and treatment of adolescent depressive dis-order.Methods A total of 161 outpatient and inpatient adolescents with depression disorder in our hospital were se-lected as the study group,and 180 healthy physical examination subjects and school students were selected as the control group.Symptom Check List-90(SCL-90),Defense style questionnaire(DSQ)and Adolescent Life Events Scale(ASLEC)were assessed.SPSS 22.0 was used for statistical analysis.Result The ASLEC and SCL-90 total scores in the study group were higher than those in the control group(P<0.05).The immature defense mechanism scores in DSQ were significantly positively correlated with SCL-90 and ASLEC scores(P<0.05).The mature de-fense mechanism was negatively correlated with SCL-90 and ASLEC scores(P<0.05).There were no statistical significantly correlation differences between the intermediate defense mechanism and SCL-90 and ASLEC scores(P>0.05).Conclusion The frequency of adverse life events in adolescents with depressive disorder is higher than that of healthy people of the same age,and their mental health level is significantly lower than that of healthy people of the same age.Immature defense mechanism is high risk factor affecting mental health,while mature defense mechanism is a good protective factor for mental health,intermediate defense mechanism and masking factor there are no direct influence on mental health.

AdolescentsDepressive disorderDefense modeLife eventsMental health

杜立、罗颖、丁鹏锦、龚玲

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贵阳市第二人民医院,贵州贵阳 550004

青少年 抑郁障碍 防御方式 生活事件 心理健康

2025

贵州医药
贵州省医药卫生学会办公室

贵州医药

影响因子:0.493
ISSN:1000-744X
年,卷(期):2025.49(1)