Investigation on the defense style,social support and family function in patients with depression and anxiety

ObjectiveTo study the characteristics of the social support,defense style family function in patients with depression and anxiety. Methods40 patients with depression , 40 with anxiety and 40 healthy people were assessed with DSQ (defensive style questionnaire) , social support rating scale and family enviroment scale-Chinese version. ResultsCompared with normal group ,the objective , subjective support score and total score were markedly higher ( P 0.01~0.05),but the utilization of suppor was markedly lower( P 0.01 or 0.05 ).The scores of projection,help-rejection complaining,sutistic fantasy, regression somatization, pseudoaltruism,isolation,denial were significantly higher ( P 0.05),but the scores of suppression and humor of mature defense were lower( P 0.05). The scores of isolation,passive aggression in depression group were higer than other two group( P 0.01) ,and the scores of pseudoaltruism,reaction formation in anxiety were most highest in three group( P 0.01). In depression group, there were positive correlation between score of HAMA and projection,intercourse tendency,negative correlation between score of HAMA and isolation. In anxiety group , the score of HAMD had positive correlation with somatization,denial,negative correlation with reaction formation , idealization. Two patients have higher scores on conflict but lower scores on achievement orientation ,cultural orientation, active-recreation,and organization( P 0.01 or 0.05).Patients with depression had lower scores on intimacy and independence as compared with Chinese norms( P 0.05 or 0.01) .ConclusionPatients with depression and anxiety have social support and family function deficit , the defense styles of depression and anxiety patients tended to be immature and had different characteristics between them.