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A Comparative Study Of Life Events, Social Support And Defense Style With Depression Disorders

Posted on:2009-05-30Degree:MasterType:Thesis
Country:ChinaCandidate:N LvFull Text:PDF
GTID:2144360242981510Subject:Clinical Medicine
Abstract/Summary:PDF Full Text Request
Dpression is one of the mood disorde,which is characterized by depressed mood and a loss of interest.It takes great pain on patient's psychic and physical. The present study found that the incidence of depression is very complex.Genetic , biochemical, neurophysiological, neuroendocrine and social-psychological factors all play a role. Along with social and cultural change and the structure of social and the family mutation, researchers have turned to look for depression on social and psychological factors . China is in the process of social and economic transition, also in a period of high incidence of psychological problems. More and more people are suffering from depression, it is not difficult to see that it have a direct relationship with increased psychological and social factors. The purpose of this study is to explore the characters of life event,social support and defense styles on depression patients.This study selected 42 outpatients with depression in the Psychology department of the First Hospital of Jilin University as the depression group.From hospital workers, students, community volunteers which were randomly selected 42 healthy volunteers by gender, age, culture attainment and occupation match the depres- sion group, and the self-rating depression scale (SDS) Investigation score low than 50 points as a control group.Tow groups carried out on the scale of life events, social support rating scale, defense style Determination of the questionnaires,.Com- parison of the results of two groups used SSPS10.0 statistical analysis.The results: in the scale of life events, depression group of negative life events frequency and intensity of life events were significantly higher than the control group ; in the social support rating scale, the subjective support and the use of support were significantly lower than the control group, and objective support for the two groups had no significant difference ; in defense styles questionnaire, depression group immature defense approach signifi- cantly higher, intermediate defense style was significantly higher than the control group. And mature defense and conceal factor of the two groups had no significant difference.Results from the study we can see:The depression group of negative life events frequency and intensity of life events are higher than the total intensity, and there are significant differences. This indicates that with negative life events frequency and intensity of life events increase ,the chance of individual suffering from depression will be increasing. In this study, we found that some of the individual in the control group, their negative life events frequency and intensity of life events are higher, and some major depression patients in depression group, negative life events frequency and intensity of life events are lower. It suggests that negative life events frequency and intensity of life events helps us predict or explain the occurrence of depression ,but for the individual , not all negative life events will lead to depression, and negative life events frequency and intensity of life events can not predict the extent of depression. This shows that life events cause depression not only by the frequency or intensity, but also related to the following factors:â‘ Predictability of the life evnet, the acute stimulate which individual not prepared for and can not predict ,it will take a greater impact .individual often can not adapt to the stimulate and take a strong reaction. Some already mentally prepared for things, the individual will stress reaction smaller.â‘¡The controllability of life events, when the individual facing life events feeling strong self-confidence, can take sensible and adequate strategy to deal with, the individual will reduce depression.â‘¢The cognitive style of individual on life events. Different individuals with different cognitive style will have different effects on the same life event.As some researchers have pointed out that life events will be two ways to have an impact on mental health, one is directly affected, and the other is indirectly.Subjective social support and the use of support with depression group significantly lower than the control group, and objective support was no significant difference in tow group. This shows that in the same material assistance and social networks resources, depression patients don't experience with emotional support, or make full use of external resources. Social support to patients with depression may be due to the cognitive characteristics, personality and behavior patterns ,and the patients can not bring themselves to fully mobilize social support buffer mechanism,and take good use of social support. Lacking of social support and a high degree of tension led to the emergence or recurrence of depression.Social support is an important factor of depression. In coping with stress and frustration, depression group used more immature-and intermediate-defense mechanism than the control group. On the psychological defense mechanism itself, there is no good or bad points.It can play a role in the protection of individuals in response process.The various psychological defense mechanism ofen mixed use. It is not an independent application, even if normal individual will be at different times, in varying degrees, use of immature defense mechanisms and intermediate- defense mechanism. But in the patients with depression, either of these two mechanisms was excessive use, it can only bring temporary comfort and ease psychological pressure, but can not really solve the problem.The individual will have a variety of psychological problems. Mature defense mechanism is no significant difference in depression group and the control group. Defense mechanism usually mixed use , not independent use, even in patients with depression also make use of mature defense mechanism. But may be in patients with depression , the use of immature and intermediate defense mechanisms far greater than the mature defense mechanism. Perhaps when we are discussing depre- ssion and defense mechanisms relations, should not be simply to linked to certain types of defensive mechanism with depression, but should be taken three defense mechanism as a whole. Depression and other psychological problems have not because obstacles to the use of the certain defensive mechanism, but with immature defense mechanisms, intermediate defense mechanism and mature defense mechanism imbalance in the use of these three.In summary, we believe that the occurrence of depression is possibly related with life events and the deficiency of the social support system,immature defense styles.In clinical work, as a doctor we not only have to note that patients with depression physiological changes in the body, we also have to note that patients with psychological and social factors. Patients should be given to all aspects of treatment and help as soon as possible ,do our best to keep patients from the pain of depression.
Keywords/Search Tags:Comparative
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