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目的:研究未婚青少年女性心理防御机制和未婚先孕的关系,帮助调整性教育策略。方法:采用防御方式问卷(defensive style questionnaire,DSQ)对2009～2011年来秦皇岛市妇幼保健院就诊的14～24岁未婚非意愿妊娠拟行人工流产的青年女性236例进行测试,并选择236例14～24岁未婚女性中专和大学实习学生及十六中的初中学生作为对照组。结果:流产组和对照组心理防御机制总水平差异无统计学意义,但在躯体化、反向形成、伴无能之全能和同一化等子项目上差异有统计学意义,流产组均分高于对照组。结论:关注青少年个体性心理动力学变化对降低青少年非意愿妊娠人工流产带来的心理损害具有一定的理论和现实意义。
Objective: To study the relationship between the psychological defense mechanism of unmarried adolescent girls and unmarried pregnancies and to help adjust sexual education strategies. Methods: A defensive style questionnaire (DSQ) was used to test 236 young women 14 to 24 years old who were unmarried and unintended to undergo abortion in Qinhuangdao MCH from 2009 to 2011 and 236 ~ 24-year-old unmarried female secondary school and university internship students and 16 middle school students as a control group. Results: There was no significant difference in the overall level of psychological defense mechanism between abortion group and control group, but there was significant difference in somatization, reverse formation, omnipotence and homogenization with incompetence, the average score of abortion group was higher than Control group. Conclusion: It is of theoretical and practical significance to pay attention to the individual psychological changes of adolescents to reduce the psychological damage caused by unwanted pregnancy induced abortion among adolescents.