The relationship between defence mechanisms and clinical variables in myocardial infarction patients.

Archives of Medical Sciences. Atherosclerotic Diseases Pub Date : 2022-10-18 eCollection Date: 2022-01-01 DOI:10.5114/amsad/154594
Hasan Korkmaz, Mehdi Karasu, Metin Ateşçelik, Filiz Özsoy, Sevda Korkmaz
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Abstract

Introduction: Although patients with myocardial infarction (MI) history exhibit individual differences, several psychological problems can be observed in these patients. The present study aimed to investigate the correlation between defence mechanisms and other clinical and sociodemographic data in the early period in patients with MI history.

Material and methods: Sixty patients diagnosed with MI and hospitalized in the cardiology department were included in the study. The Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Defence Styles Questionnaire (DSQ) were applied.

Results: It was determined that the mean BDI score of the participants was 15.9 ±11.2, and the mean BAI score was 15.98 ±10.9. There was a positive correlation between the depression and immature defence mechanism scores of the patients, and there was a negative correlation between the depression and mature defence mechanism scores of the patients (p = 0.001, r = 0.412; p = 0.005, r = -0.359). A negative correlation was determined between anxiety scores and mature defence mechanism scores (p = 0.002, r = -0. 397).

Conclusions: The findings demonstrated that depressive complaints of the post-MI patients increased as the immature defence mechanism score increased, and depressive complaints decreased as the maturity defence mechanism score increased. The correlation between the defence mechanisms adopted by MI patients and depression and anxiety symptoms should not be neglected.

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心肌梗死患者防御机制与临床变量的关系。
导读:虽然有心肌梗死(MI)病史的患者存在个体差异,但在这些患者中可以观察到一些心理问题。本研究旨在探讨心肌梗死患者早期防御机制与其他临床和社会人口学数据之间的相关性。材料和方法:60例诊断为心肌梗死并在心内科住院的患者纳入研究。采用贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和防卫风格问卷(DSQ)。结果:测定受试者BDI平均得分为15.9±11.2分,BAI平均得分为15.98±10.9分。抑郁症与患者未成熟防御机制得分呈正相关,抑郁症与患者成熟防御机制得分呈负相关(p = 0.001, r = 0.412;P = 0.005, r = -0.359)。焦虑评分与成熟防御机制评分呈负相关(p = 0.002, r = -0)。397)。结论:研究结果表明,心肌梗死后患者的抑郁主诉随未成熟防御机制评分的增加而增加,随成熟防御机制评分的增加而减少。心肌梗死患者采取的防御机制与抑郁、焦虑症状之间的相关性不容忽视。
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