阅读疗法联合叙事疗法对青少年抑郁症的干预效果OA
Intervention effects of reading therapy combined with narrative therapy on adolescent depression
目的 探讨阅读疗法联合叙事疗法对青少年抑郁症的干预效果.方法 选取 2022 年 1 月—2024 年3 月在湖北科技学院附属第二医院接受治疗的 100 例青少年抑郁症患者,采用随机法分为对照组(n=50)与观察组(n=50).对照组在常规抗抑郁药物治疗基础上接受阅读疗法干预,观察组在常规抗抑郁药物治疗基础上采用阅读疗法联合叙事疗法干预.分别于干预前及干预后 3 个月,采用认知情绪调节问卷中文版(cognitive emotion regulation questionnaire-Chinese version,CERQ-C)、情绪调节困难问卷(difficulties in emotion regulation scale,DERS)、心理弹性量表(Connor-Davidson resilience scale,CD-RISC)、青少年自我伤害问卷及世界卫生组织生存质量简表(World Health Organization quality of life scale,WHOQOL)对两组患者进行测评,比较两组患者的情绪状态、心理状态、自伤行为及生活质量,并进行组内干预前后对比.结果 干预前,两组各项指标评分的差异均无统计学意义(均P>0.05).干预后,两组患者的CERQ-C积极情绪评分、CD-RISC各维度评分及WHOQOL评分均较干预前显著提高(均P<0.05);CERQ-C消极情绪评分、DERS 评分及非自杀性自伤、身体伤害程度评分均较干预前显著降低(均P<0.05).观察组干预后各项指标改善程度均显著优于对照组(均P<0.001).结论 阅读疗法联合叙事疗法能够有效改善青少年抑郁症患者的消极情绪与负面心理状态,减少自伤行为,提高其生活质量.
Objective To explore the intervention effects of reading therapy combined with narrative therapy on adolescent depression.Methods A total of 100 adolescents diagnosed with depression and treated in the Second Affiliated Hospital of Hubei University of Science and Technology from January 2022 to March 2024 were randomly divided into a control group(n=50)and an observation group(n=50).Patients in the control group received reading therapy on the basis of routine antidepressant drug treatment,while patients in the observation group received reading therapy combined with narrative therapy on the same routine drug treatment.Before the intervention and 3 months after the intervention,the cognitive emotion regulation questionnaire-Chinese version(CERQ-C),difficulties in emotion regulation scale(DERS),Connor-Davidson resilience scale(CD-RISC),adolescent self-injury questionnaire,and World Health Organization quality of life scale(WHOQOL)were used to evaluate patients in two groups.The emotional state,psychological state,self-injury behavior,and quality of life of the two groups were compared,and intra-group comparisons were conducted before and after the intervention.Results Before the intervention,there were no significant differences in the scores of all indicators between the two groups(P>0.05).After the intervention in both groups,the positive emotion scores of the CERQ-C,the scores of all dimensions of the CD-RISC,and the scores of the WHOQOL were significantly higher than those before the intervention(P<0.05);the negative emotion scores of the CERQ-C,DERS scores,and the scores for non-suicidal self-injury and physical injury severity were significantly lower than those before the intervention(P<0.05).Moreover,all indicators in the observation group after the intervention were significantly better than those in the control group(P<0.001).Conclusion Reading therapy combined with narrative therapy can effectively improve negative emotions and negative psychologyical states in adolescents with depression,reduce self-injury behaviors,and improve their quality of life.
陈琳霞;陈明芳
湖北科技学院附属第二医院放射科(中国 咸宁 437100)咸宁市妇幼保健院儿童保健科(中国 咸宁 437100)
抑郁症阅读疗法叙事疗法青少年
depressionreading therapynarrative therapyadolescents
《教育生物学杂志》 2026 (1)
47-52,6
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