Please wait a minute...
文章检索
预防医学  2023, Vol. 35 Issue (5): 392-395    DOI: 10.19485/j.cnki.issn2096-5087.2023.05.006
  论著 本期目录 | 过刊浏览 | 高级检索 |
跨性别群体抑郁、焦虑与防御机制研究
王占强1, 董瀚文1, 邸晓兰2, 杨可冰2, 牛雅娟2
1.承德医学院心理系,河北 承德 067000;
2.北京回龙观医院,北京 100096
Depression, anxiety and defense mechanism among transgender populations
WANG Zhanqiang1, DONG Hanwen1, DI Xiaolan2, YANG Kebing2, NIU Yajuan2
1. Department of Psychology, Chengde Medical College, Chengde, Hebei 067000, China;
2. Beijing Huilongguan Hospital, Beijing 100096, China
全文: PDF(788 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解跨性别群体抑郁和焦虑状况及其与防御机制的关系,为改善跨性别群体心理健康提供依据。方法 选择2020年12月—2021年12月首次就诊于北京回龙观医院性心理门诊的跨性别者为调查对象,采用自编一般情况调查表、抑郁自评量表(SDS)、焦虑自评量表(SAS)、防御机制问卷(DSQ)收集调查对象人口学资料、抑郁、焦虑和防御机制类型情况;采用多因素logistic回归模型分析抑郁、焦虑的影响因素。结果 调查跨性别者126人,其中男性95人,占75.40%,年龄为(21.53±4.55)岁;女性31人,占24.60%,年龄为(23.58±5.55)岁。检出抑郁59例,检出率为46.83%;其中轻度、中度、重度抑郁分别占44.07%、30.51%和25.42%。检出焦虑33例,检出率为26.19%;其中轻度、中度和重度焦虑分别占60.61%、21.21%和18.18%。男性抑郁检出率为54.74%,高于女性的22.58%;有过自伤自杀行为者抑郁和焦虑检出率分别为62.79%和41.86%,均高于无自伤自杀行为者的38.55%和18.07%(均P<0.05)。多因素logistic回归分析结果显示,不成熟型防御机制增加跨性别群体发生抑郁(OR=1.034,95%CI:1.018~1.051)、焦虑的风险(OR=1.031,95%CI:1.014~1.049),而成熟型防御机制降低跨性别群体发生抑郁(OR=0.887,95%CI:0.832~0.946)、焦虑的风险(OR=0.878,95%CI:0.821~0.938)。结论 本次调查的跨性别群体分别有46.83%和26.19%检出抑郁和焦虑,采取成熟型防御机制有助于降低跨性别群体抑郁、焦虑风险。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
王占强
董瀚文
邸晓兰
杨可冰
牛雅娟
关键词 跨性别群体抑郁焦虑防御机制    
AbstractObjective To investigate the prevalence of depression and anxiety among transgender populations and the correlation with defense mechanism, so as to provide the evidence for improving mental health among transgender populations. Methods Transgender populations that visited Psychosexual Outpatient Department of Beijing Huilongguan Hospital for the first time from December 2020 to December 2021 were enrolled. Participants' demographics, depression, anxiety and type of defense mechanisms were collected using self-designed questionnaires, Self-rating Depression Scale, Self-rating Anxiety Scale and Defense Style Questionnaire (DSQ). Factors affecting depression and anxiety were identified using a multivariable logistic regression model. Results Totally 126 transgender individuals were enrolled, including 95 men (75.40%) with a mean age of (21.53±4.55) years and 31 women (24.60%) with a mean age of (23.58±5.55) years. The prevalence of depression was 46.83% among participants, including 44.07% of participants with mild depression, 30.51% with moderate depression and 25.42% with severe depression, and the prevalence of anxiety was 26.19% among participants, including 60.61% of participants with mild anxiety, 21.21% with moderate anxiety and 18.18% with severe anxiety. The detection of depression was 54.74% among men and 22.58% among women (P<0.05), and the detection of both depression (62.79% vs. 38.55%, P<0.05) and anxiety (41.86% vs. 18.07%, P<0.05) was significantly higher among transgender populations with self-injury or suicide behaviors than among those without. Multivariable logistic regression analysis showed that immature defense mechanisms increased the risk of depression (OR=1.034, 95%CI: 1.018-1.051) and anxiety (OR=1.031, 95%CI: 1.014-1.049) among transgender populations, while mature defense mechanisms reduced the risk of depression (OR=0.887, 95%CI: 0.832-0.946) and anxiety (OR=0.878, 95%CI: 0.821-0.938) among transgender populations. Conclusions The prevalence of depression and anxiety was 46.83% and 26.19% among transgender populations included in this study. Mature defense mechanisms are beneficial to reduce the risk of depression and anxiety among transgender populations.
Key wordstransgender population    depression    anxiety    defense mechanism
收稿日期: 2021-11-04      修回日期: 2023-03-21      出版日期: 2023-05-10
中图分类号:  R749.99  
通信作者: 牛雅娟,E-mail:niuyajuan@126.com   
作者简介: 王占强,硕士研究生在读
引用本文:   
王占强, 董瀚文, 邸晓兰, 杨可冰, 牛雅娟. 跨性别群体抑郁、焦虑与防御机制研究[J]. 预防医学, 2023, 35(5): 392-395.
WANG Zhanqiang, DONG Hanwen, DI Xiaolan, YANG Kebing, NIU Yajuan. Depression, anxiety and defense mechanism among transgender populations. Preventive Medicine, 2023, 35(5): 392-395.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.05.006      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I5/392
[1] DISANTOSTEFANO J.International classification of diseases 10th revision(ICD-10)[J]. J Nurse Pract,2010,5(1):56-57.
[2] 夏楠,刘爱忠.跨性别者的心理健康问题(综述)[J].中国心理卫生杂志,2021,35(3):231-235.
[3] 北京同志中心,北京大学社会学系.2017年中国跨性别群体生存现状调查报告[R].2017.
[4] 刘贤臣,唐茂芹,陈琨,等.SDS和CES-D对大学生抑郁症状评定结果的比较[J].中国心理卫生杂志,1995,9(1):19-20,37.
[5] 乔艳阳,王健,张春雨.焦虑自评量表在公务员群体中的信效度检验及区域性常模的制定[J].心理学进展,2022,12(6):2269-2278.
[6] 路敦跃,张丽杰,赵瑞,等.防御方式问卷初步试用结果[J].中国心理卫生杂志,1993,7(2):53-56,94.
[7] 李宁宁. 《防御方式问卷》验证性信效度分析[D].大连:大连医科大学,2013.
[8] STANTON A M, BATCHELDER A W.Differences in mental health symptom severity and care engagement among transgender and gender diverse individuals:findings from a large community health center[J]. PLoS One,2021,16(1):245-248.
[9] CHANG R,ZENG C,QIAO S,et al.The mediating effect of depression on the relation between interpersonal needs and suicidal ideation among Chinese transgender women[J]. Front Public Health,2022,9(1):76-78.
[10] WANG Y, HU Z.Mapping out a spectrum of the Chinese public's discrimination toward the LGBT community:results from a national survey[J]. BMC Public Health,2020,20(1):669-672.
[11] HUA B,YANG V F,GOLDSEN K F.LGBT older adults at a crossroads in mainland China:the intersections of stigma,cultural values,and structural changes within a shifting context[J]. Int J Aging Hum Dev,2019,88(4):440-456.
[12] WANG Y,WILSON A,CHEN R,et al.Behind the rainbow,"Tongqi" wives of men who have sex with men in China:a systematic review[J]. Front Psychol,2020,10(5):29-32.
[13] HU X,WANG Y.LGB identity among young Chinese:the influence of traditional culture[J]. J Homosex,2013,60(5):667-672.
[14] ZILCHA-MANO S.Toward personalized psychotherapy:the importance of the trait-like/state-like distinction for understanding therapeutic change[J]. Am Psychol,2021,76(3):516-528.
[15] VAILLANT G E.Involuntary coping mechanisms:a psychodynamic perspective[J].Dialogues Clin Neurosci,2011,13(3):366-370.
[16] JUN J Y,LEE Y J.Association between defense mechanisms and psychiatric symptoms in North Korean Refugees[J]. Compr Psychiatry,2015,56(3):179-182.
[17] 叶帆,王江梅.心理干预结合药物治疗对青少年抑郁患者心理防御机制的影响研究[J].心理月刊,2021,16(9):43-44,56.
[18] SUN M, JI H, CHEN X, et al.The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study[J]. BMC Public Health,2022,22(1):955-967.
[1] 段芮, 王红. 2011—2018年我国中老年人抑郁症状流行趋势分析[J]. 预防医学, 2023, 35(8): 649-654.
[2] 王怀昭, 乔婷婷, 范艳存. 老年人日常生活活动能力、自评健康状况在慢性病影响抑郁症状中的效应研究[J]. 预防医学, 2023, 35(7): 574-577.
[3] 庄群飞, 王锦毓, 李鸽伶, 江舜杰, 沈祝苹, 李倩. 某三级肿瘤专科医院医务人员焦虑与压力知觉水平的相关性研究[J]. 预防医学, 2023, 35(5): 388-391.
[4] 吴绍峰, 王素珍, 朱秀媛, 李静, 冯美菱, 章德林. 农村老年慢性病患者抑郁症状的影响因素研究[J]. 预防医学, 2023, 35(4): 277-281.
[5] 张丛笑, 郑琳, 沈利明, 黄闽燕, 陈晖, 牛星凯, 宋凯. 某区中小学生抑郁症状调查[J]. 预防医学, 2023, 35(3): 196-199,204.
[6] 张曼, 吴鉴伦, 程心蓓, 马源, 郑卫军. 老年人家庭代际接触、抑郁症状与自评健康状况的关联研究[J]. 预防医学, 2023, 35(10): 840-843.
[7] 罗珂梦, 李胜, 吕梦莲, 林君芬. 浙江省基层医务人员抑郁症状调查[J]. 预防医学, 2023, 35(10): 881-884,889.
[8] 牛慧侠, 王晓峰, 楼晓明. 抗抑郁药生态毒性效应研究进展[J]. 预防医学, 2022, 34(9): 902-905,913.
[9] 余鸽, 娄乐, 徐方忠. 记忆任务指标评估抑郁障碍风险研究[J]. 预防医学, 2022, 34(7): 687-691.
[10] 沈强, 张月琴, 江圣洁, 甘露, 尉莹莹. 新冠肺炎疫情期间医务人员焦虑状况的Meta分析[J]. 预防医学, 2022, 34(7): 720-726.
[11] 曹慧, 章丽英, 钱军. 产后盆底肌训练依从性的影响因素分析[J]. 预防医学, 2022, 34(7): 751-755.
[12] 倪卫桂, 余勇, 谢悦, 汪敬轩, 陈婷婷, 杨春霞. 成都市结直肠癌患者抑郁症状的影响因素研究[J]. 预防医学, 2022, 34(2): 147-150.
[13] 何丁玲, 冯世平, 赵霞, 郭利华, 吕春容, 李虹霞, 郭慧, 黄蕾. 艾滋病住院患者焦虑和抑郁情况调查[J]. 预防医学, 2022, 34(2): 166-170,175.
[14] 凌洁, 张敬敏, 赵玲慧. 嘉兴市中小学生网络成瘾现况调查[J]. 预防医学, 2022, 34(12): 1207-1211.
[15] 薛潘琪, 张译心, 周莉芳, 魏芳, 方兴林, 邹华. 快递从业人员职业紧张、生活满意度与抑郁症状的关联研究[J]. 预防医学, 2022, 34(12): 1201-1206,1211.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed