四川精神卫生2023，Vol.36Issue(6)：491-496,6.DOI:10.11886/scjsws20230712001
心智化家庭治疗对青少年抑郁障碍患者抑郁症状及非自杀性自伤行为的影响
Effect of mentalization-based family therapy on depressive symptoms and non-suicidal self-injury behavior in adolescents with major depressive disorder
摘要
Abstract
Background The major depressive disorder has high prevalence among adolescents,and non-suicidal self-injury(NSSI)behaviors frequently occur among patients,therefore,major depressive disorder in adolescents has become the researching focus.Objective To explore the effect of mentalization-based family therapy(MBFT)on depressive symptoms and NSSI behavior in adolescents with major depressive disorder,and to provide references for the rehabilitation of major depressive disorder in adolescents.Methods A total of 90 adolescent patients with major depression disorder who met the diagnostic criteria of International Classification of Diseases,10th edition(ICD-10)for depressive disorders and attended Wuhan Mental Health Center from January to December 2022 were selected,and were assigned into study group(n=44)and control group(n=46)using random number table method.All participants received routine intervention,based on this,study group added a 60-minute MBFT intervention once a week for 8 weeks.Before the intervention and at the end of 1st,2nd,4th and 8th week,the two groups were assessed using Hamilton Depression Scale-24 item(HAMD-24),General Self-Efficacy Scale(GSES),Pittsburgh Sleep Quality Index(PSQI)and Ottawa Self-injury Inventory(OSI).Results The repeated measures analysis of variance reported a statistical main effect of time,main effect of group,and interaction effect between time and group at the baseline and the end of 1st,2nd,4th and 8th week of treatment in HAMD-24 score(F=69.621,15.428,29.623,P＜0.05),OSI score(F=176.642,37.682,21.873,P＜0.05),GSES score(F=215.236,57.421,27.857,P＜0.05)and PSQI score(F=268.541,61.863,33.867,P＜0.05).Individual effect analysis discovered a statistical difference between study group and control group at the end of 2nd,4th and 8th week of treatment in HAMD-24 score(t=5.567,8.645,6.233,P＜0.01),OSI score(t=3.675,11.817,9.632,P＜0.01),GSES score(t=23.462,31.709,12.750,P＜0.01)and PSQI score(t=9.664,22.457,9.333,P＜0.01).Conclusion MBFT may improve depressive symptoms,NSSI behavior,sleep quality and self-efficacy in adolescents with major depressive disorder.关键词
青少年/抑郁障碍/MBFT/自我效能感/非自杀性自伤行为/睡眠质量Key words
Adolescents/Major depressive disorder/MBFT/Self-efficacy/Non-suicidal self-injury behavior/Sleep quality分类
临床医学引用本文复制引用
韩利,王娟,张小梅,石艳,唐中玉,梅翠红..心智化家庭治疗对青少年抑郁障碍患者抑郁症状及非自杀性自伤行为的影响[J].四川精神卫生,2023,36(6):491-496,6.基金项目
2022年湖北省自然科学基金项目(项目名称:基于移动医疗的青少年精神障碍患者非自杀性自伤动态管理模式与应用,项目编号:2022CFB483)Funded by 2022 Natural Science Foundation Project of Hubei Province(number,2022CFB483) （项目名称:基于移动医疗的青少年精神障碍患者非自杀性自伤动态管理模式与应用,项目编号:2022CFB483）
