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Journals / Gülhane Tıp Dergisi / 2014 / Cilt: 56 - Sayı: 3

Endojen Depresyonda Savunma Mekanizmaları

Defense Mechanisms in Endogenous Depression

Adem BALIKÇI
Murat ERDEM
ABDULLAH BOLU
TANER ÖZNUR
Cemil ÇELİK
Pages
154–158
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results of the present study showed evidence of some differences in defense mechanisms among endogenous depression and non-endogenous depression diagnoses, specifically the maintenance of a high immature defense style in endogenous depression patients when compared with non-endogenous depression patients

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Defense mechanisms may be directly related to psychiatric diagnoses.
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Key Findings & Data:The sample was composed of 92 treatment-naive patients with major depressive disorder (MDD; 46 endogenous type and 46 non-endogenous type) and 40 controls.
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Conclusion & Impact:The results of the present study showed evidence of some differences in defense mechanisms among endogenous depression and non-endogenous depression diagnoses, specifically the maintenance of a high immature defense style in endogenous depression patients when compared with non-endogenous depression patients
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Defense mechanisms may be directly related to psychiatric diagnoses. There is an association between depression and maladaptive defenses, especially, the immature defenses. The aim of this study was to evaluate the defense mechanisms used by endogenous and non-endogenous patients by comparing those used by controls. The sample was composed of 92 treatment-naive patients with major depressive disorder (MDD; 46 endogenous type and 46 non-endogenous type) and 40 controls. The diagnosis of MDD in each participating patient was confirmed by means of the Structured Clinical Interview for DSM-IV, Turkish version, conducted by trained interviewers. Endogeneity of depression was assessed with Newcastle Depression Diagnostic Scale. Defense mechanisms were evaluated by using the Defense Style Questionnaire 40. Immature defense mechanisms differentiated controls from all patients as well as they distinguished endogenous depressive patients from non-endogenous patients. The analyses indicated that endogeneity is characterized by passive-aggression, acting out, isolation, autistic fantasy, rationalization and somatization. Additionally, total scores of the immature defenses had a positive correlation with severity of depression in the endogenous group. The results of the present study showed evidence of some differences in defense mechanisms among endogenous depression and non-endogenous depression diagnoses, specifically the maintenance of a high immature defense style in endogenous depression patients when compared with non-endogenous depression patients

Özet

Savunma mekanizmaları psikiyatrik tanılar ile doğrudan ilişkli olabilir. Özellikle immatür savunma mekanizmaları ile depresyon arasında ilişki tanımlanmıştır. Bu çalışmanın amacı, endojen ve endojen-olmayan depresyonda kullanılan savunma mekanizmalarının farklı olup olmadığını belirlemektir. Çalışma örneklemi tedavi almayan 92 majör depresif bozukluk (MDB) olgusu (endojen tip: 46 ve endojen-olmayan tip: 46) ve 40 sağlıklı kontrol olgusundan oluşturulmuştur. Katılan her hastada MDB tanısı, eğitimli görüşmeciler tarafından uygulanan, DSM-IV için Yapılandırılmış Klinik Görüşme Formunun (SCID-I) Türkçe versiyonu ile doğrulanmıştır. Depresyon endojenliğinin değerlendirmesi Newcastle Depresyon Tanı Ölçeği ile yapılmıştır. Savunma mekanizmaları Savunma Biçimleri Testi-40 ile ölçülmüştür. İmmatür savunma mekanizmalarının sağlıklı bireyleri depresyon olgularından ve endojen olguları endojen-olmayanlardan ayırt ettirdiği gösterilmiştir. Analizler; endojenitenin pasif saldırganlık, dışa vurma, izolasyon, otistik fantezi, rasyonalizasyon ve somatizasyon ile karakterize olduğunu göstermiştir. Ayrıca, immatür savunmaların toplam puanları ile endojen grupta depresyonun şiddeti arasında pozitif bir korelasyon saptanmıştır. Çalışmanın sonuçları endojen ile endojen-olmayan depresyon tanıları arasında kullanılan savunma mekanizmaları yönünden farklılık olduğunu göstermiştir. Özellikle endojen-olmayan depresyonla karşılaştırıldığında endojen depresyon hastalarında immatür savunma mekanizmaları daha fazla kullanılmıştır

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Cite This Article

BALIKÇI, A., ERDEM, M., BOLU, A., ÖZNUR, T., ÇELİK, C. (2014). Endojen Depresyonda Savunma Mekanizmaları. Gülhane Tıp Dergisi, Cilt: 56 - Sayı: 3, 154–158. https://ajindex.com/articles/212511

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References (18)

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV (4th ed.). Washington: American Psychiatric Association, 1994
  2. Freud A. The Ego and the Mechanisms of Defense. Madison (CN): International Universities Press. (Original work published in 1936), 1995
  3. Milrod D. A current view of the psychoanalytic theory of depression: With notes on the role of identification, orality and anxiety. Psychoanal Study Child 1988; 43:83-99
  4. Bond MP, Vaillant JS. An empirical study of the relationship between diagnosis and defense style. Arch Gen Psychiatry 1986; 43(3):285-288
  5. Smith C, Thienemann M, Steiner H. Defense style and adaptation in adolescents with depressions and eating disorders. Acta Paedopsychiat 1992; 55:185-186
  6. Bond M. Empirical studies of defense style: Relationships with psychopathology and change. Harv Rev Psychiatry 2004; 12:263-278
  7. Bond M, Paris J, Zweig-Frank H. Defense styles and borderline personality disorder. J Pers Disord 1994; 8:28-31
  8. Spinhoven P, Kooiman CG. Defense style in depressed and anxious psychiatric outpatients: an explorative study. J Nerv Ment Dis 1997; 185:87-94
  9. Bronnec M, Corruble E, Falissard B, et al. Reports on defense styles in depression. Psychopathology 2005; 38: 9-15
  10. Vidoviæ V, Henigsberg N, Juresa V. Anxiety and defense styles in eating disorders. Coll Antropol 2003; 27(Suppl. 1):125-134
  11. Cramer P. Defense mechanisms in psychology today: Further processes for adaption. Am Psychol 2000; 55:637-646
  12. Mullen LS, Blanco C, Vaughan SC, et al. Defense mechanisms and personality in depression. Depress Anxiety 1999; 10:168-174
  13. Corruble E, Bronnec M, Falissard B, Hardy P. Defense styles in depressed suicide attempters. Psychiatry Clin Neurosci 2004; 58:285-288
  14. Akkerman K, Lewin TJ, Carr VJ. Long-term changes in defense style among patients recovering from major depression. J Nerv Ment Dis 1999; 187:80-87
  15. Bebbington PE, Brugha T, MacCarthy B, et al. The Camberwell collaborative depression study 1. Depressed probands: adversity and the form of depression. Br J Psychiatry 1988; 152:754-765
  16. Andreasen NC, Grove WM, Maurer R. Cluster analysis and the classification of depression. Br J Psychiatry 1980; 137:256-265
  17. McConaghy N, Joffe AD, Murphy B. The independence of neurotic and endogenous depression. Br J Psychiatry 1967; 113:479-484
  18. Paykel ES, Prussoff B. Klerman GL. The endogenous-neurotic continuum in depression: rater indepe