2011
DOI: 10.1007/s11136-011-9884-9
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Ego defense mechanisms in COPD: impact on health-related quality of life and dyspnoea severity

Abstract: COPD patients exhibit a relatively immature and neurotic defensive profile. Clinicians and consultation-liaison psychiatrists should consider the patients' underlying personality structure, especially somatization tendencies, since it is independently associated with HRQoL and dyspnoea severity.

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Cited by 18 publications
(12 citation statements)
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“…Most previous research examining defense mechanisms and health is cross-sectional (see e.g., Albuquerque et al, 2011; Eriksen et al, 1997; Flannery & Perry, 1990; Olff, 1999; Olff et al, 1993). In addition, we used a multi-method approach including clinician-coded personality data, health outcomes assessed objectively through medical records, and social support ratings derived from multiple sources (e.g., narrative interviews, self-report).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Most previous research examining defense mechanisms and health is cross-sectional (see e.g., Albuquerque et al, 2011; Eriksen et al, 1997; Flannery & Perry, 1990; Olff, 1999; Olff et al, 1993). In addition, we used a multi-method approach including clinician-coded personality data, health outcomes assessed objectively through medical records, and social support ratings derived from multiple sources (e.g., narrative interviews, self-report).…”
Section: Discussionmentioning
confidence: 99%
“…For example, Albuquerque et al (2011) found that patients with chronic obstructive pulmonary disorder were more likely than healthy controls to have immature and neurotic defenses, and that immaturity of defenses related to lower health-related quality of life and greater perceived severity of symptoms. In a longitudinal study of midlife defenses and physical health in men from lower socioeconomic strata, Vaillant (2000) found that maturity of defenses in midlife (prior to age 47) predicted lower self-reported level of physical disability at age 65.…”
Section: Introductionmentioning
confidence: 99%
“…Hyphantis et al (28) reported lower repression scores and improvement in depressive symptoms predicted physical health-related quality of life (HRQoL) improvement. In a study on patients with chronic illness, the researchers concluded that patients showed an immature defense and neurological profile (25). Also, in sciatica patients, the findings showed that exponential action of defense-style and depression with pain related to QoL were correlated and in these patients immature and neurotic defensive profile was diagnosed from defense mechanisms (29).…”
Section: Discussionmentioning
confidence: 99%
“…It is possible that these defenses have conformity aspect depending on the circumstances and may be socially acceptable. Neurotic defense includes control, displacement, analysis, externalization, inhibition, intellectualization, isolation, rationalization, reaction formation, repression, sexualization, altruism, anticipation, asceticism, humor, sublimation and suppression (25).…”
Section: Introductionmentioning
confidence: 99%
“…Some researchers, such as Vaillant (8), have tried to assess the share of defense mechanisms in positive psychology and in healthy individuals; others like Cramer (9) have said of their use in modern psychology. Several studies have indicated a positive or negative role of these mechanisms in mental health (10)(11)(12)(13). Therapists may see that some of these adaptive mechanisms may somehow be related to finding meaning and perspective in life.…”
Section: Introductionmentioning
confidence: 99%