目的 探讨叙事治疗对青少年抑郁症患者非自杀性自伤和焦虑、抑郁情绪的干预效果.方法 采用抛掷硬币法将60例伴非自杀性自伤(non-suicidal self-injury,NSSI)的青少年抑郁症患者随机分配至干预组和对照组.对照组给予常规心理支持,干预组在常规心理支持的基础上进行个体叙事治疗(每周2次,每次60 min,共计3周).采用青少年自我伤害问卷、儿童抑郁量表、儿童焦虑情绪筛查量表在干预前、干预结束时和干预结束后1个月对两组患者进行疗效评估.结果 干预组26例、对照组29例患者参与全程研究.干预结束时和干预结束后1个月,干预组NSSI次数得分、NSSI水平、焦虑得分和抑郁得分均较干预前显著减少(P<0.017).干预结束时和干预结束后1个月,干预组NSSI次数得分、NSSI程度得分、NSSI水平、焦虑得分和抑郁得分均显著低于对照组(P<0.05).结论 叙事治疗能有效减少青少年抑郁症患者的NSSI次数,缓解NSSI程度,且有助于缓解青少年抑郁症患者的焦虑和抑郁情绪.[中国当代儿科杂志,2024,26(2):124-130]
Objective To study the intervention effect of narrative therapy on non-suicidal self-injury(NSSI),as well as anxiety and depression symptoms in adolescents with depressive disorder.Methods Sixty adolescents with depressive disorder and NSSI were randomly assigned to either the intervention group or the control group using coin flipping.The control group received conventional psychological support,while the intervention group received individual narrative therapy in addition to the conventional psychological support(twice a week,60 minutes per session,for a total of 3 weeks).Assessment of treatment efficacy was conducted using the Adolescent Self-Harm Questionnaire,Children's Depression Inventory,and Children's Anxiety and Mood Scale before the intervention,at the end of the intervention,and one month after the intervention for both groups.Results A total of 26 adolescents in the intervention group and 29 adolescents in the control group completed the entire study.At the end of the intervention and one month after the intervention,the intervention group showed a significant reduction in the NSSI frequency score,NSSI level,anxiety score,and depression score compared to before the intervention(P<0.017).Moreover,at the end of the intervention and one month after the intervention,the intervention group exhibited significantly lower NSSI frequency score,NSSI severity score,NSSI level,anxiety score and depression score compared to the control group(P<0.05).Conclusions Narrative therapy is effective in reducing NSSI frequency and alleviating NSSI severity,as well as anxiety and depression symptoms in adolescents with depressive disorder.[Chinese Journal of Contemporary Pediatrics,2024,26(2):124-130]
张雅怡;李晓娟;李明玉;高雪屏;黄伶智
中南大学湘雅二医院临床护理学教研室,湖南长沙 410011||中南大学湘雅二医院精神病学科/国家精神心理疾病临床医学研究中心/湖南省精神医学中心,湖南长沙 410011中南大学湘雅三医院护理部,湖南长沙 410013中南大学湘雅二医院精神病学科/国家精神心理疾病临床医学研究中心/湖南省精神医学中心,湖南长沙 410011||精神疾病诊疗技术工程实验室/湖南省精神病学与精神卫生重点实验室,湖南长沙 410011中南大学湘雅二医院临床护理学教研室,湖南长沙 410011
叙事治疗;非自杀性自伤;抑郁症;青少年
Narrative therapy;Non-suicidal self-injury;Depressive disorder;Adolescent
《中国当代儿科杂志》 2024 (002)
124-130 / 7
科技创新2030-"脑科学与类脑研究"重大项目(2022ZD0209100).
10.7499/j.issn.1008-8830.2308030
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