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。
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(β=-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(β=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.
作者
王占强
董瀚文
张月倩
邸晓兰
杨可冰
赵荣江
谭淑平
牛雅娟
WANG Zhanqiang;DONG Hanwen;ZHANG Yueqian;DI Xiaolan;YANG Kebing;ZHAO Rongjiang;TAN Shuping;NIU Yajuan(Chengde Medical University,Chengde 067000,Hebei Province,China;Bejing Huilongguan Hospital,Bejing 00096,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2024年第9期802-807,共6页
Chinese Mental Health Journal
基金
北京市医院管理中心“登峰”人才培养计划(DFL20192001)。
关键词
跨性别群体
防御机制
抑郁
焦虑
transgender population
defense mechanism
depression
anxiety
