TY - JOUR
T1 - The use of the defence style questionnaire in major depressive and panic disorders: A comprehensive meta-analysis
AU - Oasi, Osmano
AU - Calati, Raffaella
AU - De Ronchi, Diana
AU - Serretti, Alessandro
PY - 2010
Y1 - 2010
N2 - PURPOSE: The issue of defence mechanisms is of great importance in clinical practice. The aim of this meta-analysis is to compare different defence styles (Mature, Neurotic, and Immature), assessed using the three-factor defence style questionnaire (DSQ), in major depressive disorder (MDD), and panic disorder (PD) in order to evaluate potential differences in defence profiles among these disorders.
METHODS: We assessed all publications listed in PubMed, PsycINFO, ISI, and Lilacs databases focusing on DSQ defence styles in MDD and PD. To be included studies had to be published in English, to include psychiatric patients, to provide defence style mean scores, and to employ the three-factor DSQ versions. Data were entered into the Cochrane Collaboration Review Manager Software and analysed by RevMan version 4.2.
RESULTS: MDD patients reported significantly lower scores in Mature style and both MDD and PD patients reported significantly higher scores in Neurotic and Immature styles.
CONCLUSIONS: A dissimilarity between depressive and anxious profiles emerged, since the former profile was characterized by low Mature and high Neurotic and Immature scores while the latter by high Neurotic and Immature scores only. These results could indicate the use of specific strategies in clinical and psychotherapeutic management of patients with these diagnoses. Nevertheless, present results should be considered with caution because of the high heterogeneity of the studies and some weaknesses in the psychometric properties of the DSQ.
AB - PURPOSE: The issue of defence mechanisms is of great importance in clinical practice. The aim of this meta-analysis is to compare different defence styles (Mature, Neurotic, and Immature), assessed using the three-factor defence style questionnaire (DSQ), in major depressive disorder (MDD), and panic disorder (PD) in order to evaluate potential differences in defence profiles among these disorders.
METHODS: We assessed all publications listed in PubMed, PsycINFO, ISI, and Lilacs databases focusing on DSQ defence styles in MDD and PD. To be included studies had to be published in English, to include psychiatric patients, to provide defence style mean scores, and to employ the three-factor DSQ versions. Data were entered into the Cochrane Collaboration Review Manager Software and analysed by RevMan version 4.2.
RESULTS: MDD patients reported significantly lower scores in Mature style and both MDD and PD patients reported significantly higher scores in Neurotic and Immature styles.
CONCLUSIONS: A dissimilarity between depressive and anxious profiles emerged, since the former profile was characterized by low Mature and high Neurotic and Immature scores while the latter by high Neurotic and Immature scores only. These results could indicate the use of specific strategies in clinical and psychotherapeutic management of patients with these diagnoses. Nevertheless, present results should be considered with caution because of the high heterogeneity of the studies and some weaknesses in the psychometric properties of the DSQ.
KW - DEFENCE STYLE
KW - MAJOR DEPRESSIVE DISORDERS
KW - META-ANALYSIS
KW - PANIC DISORDERS
KW - DEFENCE STYLE
KW - MAJOR DEPRESSIVE DISORDERS
KW - META-ANALYSIS
KW - PANIC DISORDERS
UR - http://hdl.handle.net/10807/31326
U2 - 10.1348/147608309X464206
DO - 10.1348/147608309X464206
M3 - Article
SN - 2044-8341
VL - 83
SP - 1
EP - 13
JO - PSYCHOLOGY AND PSYCHOTHERAPY
JF - PSYCHOLOGY AND PSYCHOTHERAPY
ER -