抑郁症患者的防御功能:系统性审查和元分析
Flavia Fiorentino1, Gabriele Lo Buglio1, Mara Morelli1
1Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
与对照人群相比,患有抑郁症的人使用更多的不成熟的防御机制. 心理干预可以提高整体防御功能,表明潜在的治疗点,特别是在年轻的患者.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 心理健康 心理健康
背景情况:
- 对抑郁症防御机制研究的概括性有限.
- 需要将抑郁症患者的防御机制与非临床对照进行比较.
- 需要在心理干预期间检查防御机制的变化.
研究的目的:
- 将抑郁症患者的防御机制与非临床对照进行比较.
- 在心理干预期间检查防御机制的变化.
- 为了解决现有关于抑郁症防御机制研究的有限概括性.
主要方法:
- 按照PRISMA 2020指南进行系统审查和元分析.
- 搜索了PubMed,科学网和PsycINFO的相关研究.
- 对成熟,非成熟和整体防御功能 (ODF) 进行了随机效应的元分析.
主要成果:
- 抑郁症患者使用的非成熟防御显著多 (SMD = 0.74).
- 两组之间成熟防御没有显著差异 (SMD = 0.33).
- 在心理干预期间,整体防御功能 (ODF) 显著增加 (SMD = 0.55).
结论:
- 患有抑郁症的个体表现出大量使用不成熟的防御.
- 未成熟的防御可能是心理干预的可行目标.
- 干预措施有望改善整体防御功能,特别是在年轻人群中.
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