接纳承诺疗法对伴NSSI行为心境障碍青少年患者负性情绪及应对方式的影响

Influence of Acceptance and Commitment Therapy on Negative Emotions and Coping Styles of Teenagers Patients with Mood Disorder Associated with NSSI Behavior

目的:探讨接纳承诺疗法(acceptance and commitment therapy,ACT)对伴非自杀性自伤(non-suicidal selfinjury,NSSI)行为心境障碍青少年患者负性情绪及应对方式的影响。方法:选取2022年1—12月广西医科大学第二附属医院心理卫生科收治的80例伴NSSI行为心境障碍青少年患者。随机将其分为对照组和研究组,各40例。对照组给予常规护理,研究组在对照组基础上给予ACT。比较两组干预前后负性情绪、应对方式及NSSI行为。结果:干预后,研究组焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分均低于对照组,差异有统计学意义(P<0.05)。干预后,研究组积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05)。出院1个月时随访,研究组NSSI行为发生率为12.5%(5/40),低于对照组的32.5%(13/40),差异有统计学意义(χ^(2)=4.588,P=0.032)。结论:ACT能有效地改善伴NSSI行为心境障碍青少年患者的负性情绪,改善其应对方式,减少NSSI发生率,从而促进患者心理康复。

Objective:To explore the influence of acceptance and commitment therapy(ACT)on negative emotions and coping styles of teenagers patients with mood disorder associated with non-suicidal self-injury(NSSI)behavior.Method:A total of 80 teenagers patients with mood disorder associated with NSSI behavior admitted to the Mental Health Department of the Second Affiliated Hospital of Guangxi Medical University from January to December 2022 were selected.They were randomly divided into control group and study group,40 cases in each group.The control group was given routine nursing,and the study group was given ACT based on the control group.Negative emotions,coping styles before and after intervention and NSSI behaviors were compared between the two groups.Result:After the intervention,the self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the positive coping style score of the study group was higher than that of the control group,and the negative coping style score was lower than that of the control group,the differences were statistically significant(P<0.05).At 1-month follow-up after discharge,the incidence of NSSI in the study group was 12.5%(5/40),which was lower than 32.5%(13/40)in the control group,and the difference was statistically significant(χ^(2)=4.588,P=0.032).Conclusion:ACT can effectively improve the negative emotions of teenagers patients with mood disorder associated with NSSI behavior,improve their coping styles,reduce the incidence of NSSI,and thus promote the psychological rehabilitation of patients.