基于自我表露的心理弹性干预方案在伴非自杀性自伤青少年抑郁症患者中的应用OA
Application of a psychological resilience intervention program based on self-disclosure in adolescent depressive patients with non-suicidal self-injury behavior
目的 探讨基于自我表露的心理弹性干预方案在伴非自杀性自伤青少年抑郁症患者中的应用效果.方法 选取2023年12月至2024年7月该院精神康复科73例住院患者为研究对象,按基本特征匹配原则分为对照组(n=37)和干预组(n=36),对照组给予常规护理,干预组在对照组基础上给予基于自我表露的心理弹性干预方案.于干预前、干预结束时及干预后1个月对两组心理弹性、痛苦表露、焦虑抑郁进行评估.结果 干预前两组心理弹性量表、痛苦表露量表、焦虑、抑郁量表得分比较,差异无统计学意义(P>0.05).干预结束时、干预后1个月,干预组心理弹性量表总分及各维度得分、痛苦表露量表得分高于对照组,焦虑、抑郁量表得分低于对照组,差异有统计学意义(P<0.05).结论 基于自我表露的心理弹性干预能够提高伴非自杀性自伤青少年抑郁症患者的心理弹性和痛苦表露意愿,并缓解焦虑抑郁状态.
Objective To explore the application effect of a psychological resilience intervention pro-gram based on self-disclosure in adolescent depressive patients with non-suicidal self-injury(NSSI)behaviors.Methods A total of 73 inpatients from the psychiatric rehabilitation department of the hospital from Decem-ber 2023 to July 2024 were selected as the study subjects and divided into a control group(n=37)and an in-tervention group(n=36)based on the principle of matching basic characteristics.The control group received conventional nursing care,while the intervention group received a psychological resilience intervention pro-gram based on self-disclosure in addition to the control group's care.The psychological resilience,pain disclo-sure,anxiety and depression of both groups were assessed before the intervention,at the end of the interven-tion,and 1 month after the intervention.Results There was no significant difference in the scores of the psy-chological resilience scale,pain disclosure scale,anxiety scale and depression scale between the two groups be-fore the intervention(P>0.05).At the end of the intervention and 1 month after the intervention,the total score and scores of each dimension of the psychological resilience scale and the pain disclosure scale in the in-tervention group were higher than those in the control group,while the scores of the anxiety and depression scales were lower than those in the control group,with statistically significant differences(P<0.05).Conclu-sion A psychological resilience intervention based on self-disclosure can improve the psychological resilience and willingness to disclose pain in adolescent depressive patients with NSSI,and alleviate anxiety and depression.
黎林富;蒋萌;张勇辉;王维;潘虹英;张婧
云南省精神病医院精神康复科二区,昆明 650224云南省精神病医院精神康复科二区,昆明 650224云南省精神病医院精神康复科二区,昆明 650224云南省精神病医院精神康复科二区,昆明 650224云南省精神病医院精神康复科二区,昆明 650224云南省精神病医院精神康复科二区,昆明 650224
医药卫生
非自杀性自伤抑郁症青少年自我表露心理弹性
non-suicidal self-injurydepressionadolescentsself-disclosurepsychological resilience
《重庆医学》 2026 (3)
489-492,498,5
云南省昆明市卫生健康委员会卫生科研课题(2023-14-05-054).
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