Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms
ObjectiveThis study aimed to analyze the patterns of life events (LEs) and defense mechanisms in outpatients with depression and investigate the mediating role of defense mechanisms in the association between LEs and depressive symptoms in a psychosomatic outpatient sample in China.Materials and met...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1341288/full |
| _version_ | 1797357691083948032 |
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| author | Dandan Ma Jinya Cao Jing Wei Jing Jiang |
| author_facet | Dandan Ma Jinya Cao Jing Wei Jing Jiang |
| author_sort | Dandan Ma |
| collection | DOAJ |
| description | ObjectiveThis study aimed to analyze the patterns of life events (LEs) and defense mechanisms in outpatients with depression and investigate the mediating role of defense mechanisms in the association between LEs and depressive symptoms in a psychosomatic outpatient sample in China.Materials and methodsAll of 2,747 outpatients (aged 18–65) from psychosomatic department were investigated in this study. LEs, depressive symptoms, and defense mechanisms were assessed by the Life Events Scale (LES), Patient-Health-Questionnaire-9 (PHQ-9), and the Defense Style Questionnaire (DSQ), respectively.ResultsBased on the optimal cut-off point of PHQ-9, 1840 (67.0%) patients had a PHQ-9 score of 10 or higher (depression group), and 907 (33.0%) had a score below 10 (non-depression group). The scores of Negative Life Events (NLEs), immature and intermediate defense mechanisms in the depression group were significantly higher than those in the non-depression group, while the scores of mature defense mechanisms were the opposite (p < 0.001). NLEs was directly related to depressive symptoms (b = 0.010, p < 0.001), and significant indirect effect via immature defense mechanisms (b = 0.008, p < 0.001) was observed.ConclusionImmature defense mechanisms play an important mediating role in the relationship between NLEs and depressive symptoms. Helping patients improving defense mechanisms and dealing with NLEs may be of great help in the treatment of relevant patients. |
| first_indexed | 2024-03-08T14:48:47Z |
| format | Article |
| id | doaj.art-31b62c6827464ffea9a40b8e7c8b4bcf |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T14:48:47Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-31b62c6827464ffea9a40b8e7c8b4bcf2024-01-11T04:47:06ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-01-011410.3389/fpsyt.2023.13412881341288Immature defense mechanisms mediate the relationship between negative life events and depressive symptomsDandan MaJinya CaoJing WeiJing JiangObjectiveThis study aimed to analyze the patterns of life events (LEs) and defense mechanisms in outpatients with depression and investigate the mediating role of defense mechanisms in the association between LEs and depressive symptoms in a psychosomatic outpatient sample in China.Materials and methodsAll of 2,747 outpatients (aged 18–65) from psychosomatic department were investigated in this study. LEs, depressive symptoms, and defense mechanisms were assessed by the Life Events Scale (LES), Patient-Health-Questionnaire-9 (PHQ-9), and the Defense Style Questionnaire (DSQ), respectively.ResultsBased on the optimal cut-off point of PHQ-9, 1840 (67.0%) patients had a PHQ-9 score of 10 or higher (depression group), and 907 (33.0%) had a score below 10 (non-depression group). The scores of Negative Life Events (NLEs), immature and intermediate defense mechanisms in the depression group were significantly higher than those in the non-depression group, while the scores of mature defense mechanisms were the opposite (p < 0.001). NLEs was directly related to depressive symptoms (b = 0.010, p < 0.001), and significant indirect effect via immature defense mechanisms (b = 0.008, p < 0.001) was observed.ConclusionImmature defense mechanisms play an important mediating role in the relationship between NLEs and depressive symptoms. Helping patients improving defense mechanisms and dealing with NLEs may be of great help in the treatment of relevant patients.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1341288/fulllife eventsdefense mechanismsdepressionmediatepsychosomatic |
| spellingShingle | Dandan Ma Jinya Cao Jing Wei Jing Jiang Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms Frontiers in Psychiatry life events defense mechanisms depression mediate psychosomatic |
| title | Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms |
| title_full | Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms |
| title_fullStr | Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms |
| title_full_unstemmed | Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms |
| title_short | Immature defense mechanisms mediate the relationship between negative life events and depressive symptoms |
| title_sort | immature defense mechanisms mediate the relationship between negative life events and depressive symptoms |
| topic | life events defense mechanisms depression mediate psychosomatic |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1341288/full |
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