正念认知联合叙事疗法对非自杀性自伤青少年的干预OA

Objective:To explore the effects of mindfulness-based cognitive jiont narrative therapy on depressive mood,self-efficacy,and learned help lessness in adolescents with non-suicidal self-injury(NSSI).Methods:62 NSSI adolescents admitted to the psychology department of a tertiary hospital from January to December 2024 were selected as the research subjects.They were randomly divided into an observation group and a control group,with 31 cases in each group.The control group received treatment with sertraline hydrochloride,while the observation group received mindfulness based cognitive jiont narrative intervention on the basis of sertraline hydrochloride treatment.The Ottawa Self Injury Survey(OSI),Hamilton Depression Scale(HAMD),General Self Efficacy Scale(GSES),and Learned Helplessness Scale(LHS)were used to compare the incidence of self injury behavior,depression level,emo-tional regulation ability,and learned helplessness score between the two groups;And compared the correlation be-tween OSI,HAMD,GSES,and LHS.Results:After 8 weeks,the incidence of self harm behavior in the mindfulness intervention group was lower than that in the control group(x2=13.90,P＜0.05);The HAMD and LHS scores were lower than those of the control group(t=-2.791,-5.444;P＜0.05),while the GSES score was higher than that of the control group(t=4.630,P＜0.05),with statistical significance;And emotional regulation was significantly negatively correlated with learned helplessness,non suicidal self injury,and depression level(r=-0.714,-0.708,-0.531;P＜0.05).Conclusion:Mindfulness based cognitive intervention can improve the emotional regulation ability of NSSI ado-lescents,reduce their learned helplessness and depression levels,and thus reduce the incidence of NSSI.