理性情绪疗法(RET)联合有氧—抗阻运动对青少年抑郁症患者病耻感、心理弹性及生活质量的影响OA

Objective:To explore the effects of Rational Emotive Therapy(RET)combined with aerobic-resistance exercise on stigma,psychological resilience,and quality of life in adolescent patients with depression.Methods:A total of 104 adolescent depression patients were selected as the study subjects.They were randomly divided into an inter-vention group and a control group using a random number table,with 52 patients in each group.The control group received routine care,while the intervention group received additional RET combined with aerobic-resistance exer-cise for 8 weeks.Stigma,psychological resilience,and quality of life were compared between the two groups before and after the intervention.Results:After 8 weeks,the scores in the alienation,discrimination experience,stereotype endorsement,social withdrawal,and stigma resistance domains,as well as the total score on the Internalized Stigma of Mental Illness Scale(ISMI),were significantly lower in the intervention group than in the control group(t=-2.112,-3.052,-3.753,-5.137,-2.506,-6.778;P＜0.05).After 8 weeks,the scores in the toughness,strength,and op-timism domains of the Connor-Davidson Resilience Scale(CD-RISC)were significantly higher in the intervention group than in the control group(t=2.696,2.539,3.160;P＜0.05).Additionally,the scores in the social function,e-motional role,physical function,mental health,bodily pain,vitality domains,and the total score on the 36-Item Short Form Health Survey(SF-36)were significantly higher in the intervention group than in the control group(t=4.192,4.945,3.070,2.130,2.211,2.831,3.719;P＜0.05).However,there was no significant difference in the physical role domain score between the two groups.Conclusion:The intervention model combining RET with aerobic-resist-ance exercise can effectively reduce stigma,enhance psychological resilience,and comprehensively improve the quality of life in adolescent patients with depression.