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We conducted a survey of otolaryngology fellows at 25 otolaryngology fellowship programs accredited by the Accreditation Council for Graduate Medical Education. This factor differentiates from the third one, image-distorting, although they both depict immature personality patterns, in terms of action-orientation and image-orientation, respectively. For above mentioned styles , it could be said that they are paradigm of contrasts in every way.

Studies exploring the factor structure of DSQ present altered versions revealing, three Muris et al. A manager's leadership style influences motivation, morale, and retention in staff.

Although commonly used, the DSQ has not been validated in early adolescent populations. Participants completed the Greek version of DSQ, adapted for use by this particular age group as well as measures in order to examine its convergent and discriminant validity. The findings support a four-factor solution as the most adequate for our data.

Further, it was found that defense mechanisms are related to perceived parental acceptance and rejection. Our results indicate that the DSQ is appropriate for use in late childhood. Anna Freud , p. Up to date, the concept dominates mainly in psychopathology and psychiatric research on adults.

The exploration of the psychometric properties of the relevant scales in young age samples is limited and mainly reported in the discrimination between clinical and non-clinical samples. The DSQ discriminated between psychiatric patients and normal subjects, with patients reporting more immature defense mechanisms. This version was further modified to a short item questionnaire corresponding to 20 defense mechanisms which were organized into three second order factors:

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Psychometric properties of the defense style questionnaire DSQ - 40 in adolescents. Internal consistency, factor structure, and discriminant and concurrent validity of the DSQ - 40 were studied in adolescent psychiatric outpatients aged 13 to 19 years and age-matched and sex-matched controls.

Principal components analysis yielded four internally consistent components: The outpatients reported more immature, image-distorting, and neurotic styles and less mature style than did the controls, suggesting adequate discriminant validity.

As a demonstration of convergent and concurrent validity, the severity of psychiatric symptoms assessed by the General Health Questionnaire and psychosocial adjustment assessed by the Global Assessment of Functioning Scale correlated theoretically meaningfully with the different defense styles. The DSQ - 40 appears to be a reliable and valid instrument for adolescents. Moreover, the existing studies have provided conflicting results.

The present study provides an in-depth examination of the face validity of the DSQ - Eight clinicians independently attributed each item of the DSQ - 40 to a defense mechanism.

The defense mechanisms listed in the DSM-IV Defensive Functioning Scale and their definitions were provided as a guide, along with the definition of those defense mechanisms investigated by the DSQ that are not included. It was further specified that the raters could attribute the items to defense mechanisms other than those listed or coping mechanisms.

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