藏族和汉族首发精神分裂症患者心理防御机制对照研究

摘要

目的：探讨藏族和汉族首发精神分裂症患者心理防御机制的差异。方法采用防御方式问卷（ DSQ）对60例汉族和30例藏族首发精神分裂症患者进行评定。结果汉族患者的DSQ中不成熟型防御机制的投射、抱怨、分裂因子分和总分低于藏族患者（P＜0．05），而成熟型防御机制的升华因子分和总分高于藏族患者（P＜0．05）。而汉族患者受教育年限与不成熟防御机制总分呈负相关（P＜0．05）。结论藏族和汉族精神分裂症患者在心理防御机制运用方面存在一定差异。%Objective To explore the difference of psychological defense mechanism in Tibetan nationality and Han nationality patients with first-episode schizophrenia. Methods A total of 60 Han nationality patients with first-episode schizophrenia and 30 Tibetan nationality patients with first-episode schizophrenia were selected and assessed with Defense Style Questionnaire ( DSQ) .Results The total score and factor scores of projection, complaints and split of immature defense style in DSQ in Han nationality patients were all significantly lower than those in Tibetan nationality patients ( P<0.05) .The total score and factor score of sublimation of mature defense style in DSQ in Han nationality patients were all significantly higher than those in Tibetan nationality patients (P<0.05).In Han nationality patients, the total score of immature defense style in DSQ was negatively related to their education years.Conclusion There are some differences for psychological defense mechanism between Tibetan nationality and Han nationality patients with first-episode schizophrenia.