Changes in the psychological defense mechanism and clinical features of patients with OCD - A four-year follow-up study.
J Affect Disord
; 317: 131-135, 2022 11 15.
Article
in En
| MEDLINE
| ID: mdl-35987303
ABSTRACT
OBJECTIVE:
The present study aims to (1) follow up with 4-year changes in the efficacy outcome, defense style questionnaire (DSQ) score, and clinical features of patients with obsessive-compulsive disorder (OCD) and (2) analyze the relationship between different levels of efficacy and changes in the patients' psychological defense mechanisms.METHODS:
The following data collection and 4-year follow-up were completed for 153 patients with OCD (1) the treatment process, efficacy outcome, course of disease, and clinical features of OCD were collected using a self-made general information questionnaire and (2) the control method was used to analyze the changes in clinical symptoms (Yale-Brown obsessive compulsive scale [YBOCS], Hamilton anxiety score [HAMA], and Hamilton depression scale [HAMD]) in patients with OCD. Moreover, the changes in the psychological defense mechanism (measured by DSQ) and the relation between the prognosis and DSQ score were investigated.RESULTS:
(1) The HAMA score (8.7⯱â¯4.8 points), HAMD score (12.0⯱â¯6.6 points) and YBOCS score (16.4⯱â¯8.4 points) were significantly lower during the follow-up than at the time of enrollment (pâ¯<â¯0.01). In the two DSQ evaluations, there were no significant differences in the factors, with the exception of a significant decrease in the use of "reaction formation" (tâ¯=â¯2.533, pâ¯=â¯0.015). The changes of mature defense factors in the significant efficacy group significantly increased (pâ¯<â¯0.01). Which was mainly manifested in the significant increase in the score of "sublimation" item, and the difference was extremely significant (tâ¯=â¯-3.093, pâ¯=â¯0.006).CONCLUSION:
An abnormal psychological defense mechanism plays an important role in OCD, and the use of a mature defense mechanism is significantly related to the treatment efficacy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Obsessive-Compulsive Disorder
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
J Affect Disord
Year:
2022
Document type:
Article
Affiliation country: