摘要目的 探讨抑郁症患者的依恋类型、述情障碍及其防御方式的关系.方法 采用修订版成人依恋量表(AAS-1996)、多伦多述情障碍量表(TAS)及防御方式问卷(DSQ),对32名抑郁症患者和80名对照组被试进行评定.结果抑郁症患者的依恋类型与对照组差异有统计学意义(x2 =47.6,P＜0.01),前者偏向不安全型依恋,后者偏向安全型依恋.抑郁症患者的不成熟防御机制[(5.47±1.13)分]和中间型防御机制得分[(4.93±0.56)分]高于对照组[分别为(3.79±1.09)分和(4.20±1.00)分；P＜0.01].抑郁症患者的述情障碍总分[ (76.88±8.94)分]、因子Ⅰ[(3.34±0.77)分]和因子Ⅱ得分[(3.64±0.51)分]均高于对照组[分别为(65.70±7.98)分、(2.41±0.78)分和(2.65±0.55)分；P＜0.01],因子Ⅲ得分[(2.51±0.78)分]低于对照组[(3.14±1.03),P＜0.01].抑郁症患者成人依恋的亲近、焦虑因子与述情障碍存在一定的相关.抑郁症患者成人依恋3个因子与防御方式存在一定相关.结论 抑郁症患者的依恋可能通过影响防御方式间接导致抑郁情绪；此外,抑郁会导致述情障碍,不同依恋特点的抑郁症患者表现出不同的述情障碍.

abstractsObjective To evaluate the attachment type,the level of alexitymia and the defense style of depression patients and their relativity.Methods 32 depression patients were assessed with the adult attachment scale (AAS-1996 Revised Edition),toronto alexithymia scale (TAS) and defense style questionnaire( DSQ),and 80 healthy people were involved as controls.Results The depression patients showed significantly different attachment type from the control group( x2 =47.6,P ＜ 0.01 ).Compare with the control group,the depression patients showed higher scores in immature defense style( (5.47 ± 1.13 ) vs (3.79 ± 1.09 ) ) and neurotic defense style( (4.93 ±0.56) vs (4.20 ± 1.00),(P＜0.01) ).Compared with controls,the depression patients showed higher scores in TAS total score( (76.88 ± 8.94) vs (65.70 ± 7.98 ) ) factor Ⅰ ( ( 3.34 ± 0.77 ) vs ( 2.41 ±0.78)) and factor Ⅱ ((3.64 ±0.51) vs (2.65 ±0.55),P＜0.01),and lower scores in factor Ⅲ((2.51 ±0.78) vs (3.14 ± 1.03 ),P ＜ 0.01 ).The depression patients' adult attachment was significantly correlative with their scores of alexithymia.The depression patients' adult attachment was also significantly correlative with their scores of defense style.Conclusion The attachment of depression patients may lead to depression via their defense style.Depression leads to alexitymia.Depression patients with different features of attachment show different level of alexitymia.