摘要
目的:探讨跨性别群体抑郁症状和焦虑症状及其与防御机制的关系.方法:选取在某医院性心理门诊就诊的跨性别者451人,使用抑郁自评量表(SDS)、焦虑自评量表(SAS)、防御机制量表(DSQ)进行测量.SDS标准分≥53分为存在抑郁症状,SAS标准分≥50分为存在焦虑症状.结果:跨性别群体抑郁检出率为46.8％,焦虑检出率为28.8％.多元线性回归分析发现,SDS得分与DSQ的投射、潜意显现、抱怨、退缩、躯体化、控制、隔离、同一化得分正向关联(β=0.08～0.22),与升华、压抑、伴无能之全能、否认得分负向关联(β=-0.09～-0.19);SAS得分与DSQ的投射、潜意显现、躯体化、控制、隔离、同一化、消耗倾向得分正向关联(β=0.09-0.26),与升华、压抑、伴无能之全能、否认得分负向关联(β=-0.09～-0.15).结论:跨性别群体抑郁、焦虑症状检出比例较高,其抑郁、焦虑症状可能与某些防御的使用有关.
Abstract
Objective:To explore the relation of depressive and anxiety symptoms to defense mechanism in transgender population.Methods:Totally 451 transgender patients in the sexual and psychological outpatient depart-ment of a hospital were selected.They were assessed with the self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)and Defense Mechanism Scale(DSQ).The SDS standard score of ≥53 was classified as having depressive symptoms,and the SAS standard score of ≥50 was classified as having anxiety symptoms.Re-sults:The detection rates of depression and anxiety were 46.8％and 28.8％respectively.Multiple linear regression analysis showed that SDS scores were positively correlated with DSQ scores of projection,conceit,complaint,with-drawal,somatization,control,isolation and identity(β=0.08-0.22),while SDS scores were negatively correlated with DSQ scores of sublimation,depression,omnipotence with incompetence and denial(0=-0.09--0.19).The SAS scores were positively correlated with the DSQ scores of projection,latent manifestation,somatization,control,isolation,identity,and consumption tendency(0=0.09-0.26),while the SAS scores were negatively cor-related with the DSQ scores of sublimation,depression,omnipotence accompanied by incompetence,and denial(β=-0.09--0.15).Conclusion:The proportion of depression and anxiety symptoms detected in the transgender group is higher,which may be related to the use of some defenses.
基金项目
北京市医院管理中心"登峰"人才培养计划(DFL20192001)
维普
万方数据