青少年心境障碍的早期认知干预的效果

Effect of Early Intervention of Cognition on Mood Disorder in Adolescent

目的:观察青少年时期出现心境障碍并早期认知模式干预后的临床效果。方法:分别对黄岗市某3个学校初中一年级4个班共827例学生采用90项症状自评量表(SCL-90)及卡特尔16种人格因素测验(16PF)进行自我填写调查,并对学生家长进行Achen bach儿童行为量表(cBcl)问卷调查。根据调查结果采用团体心理辅导方法对827例学生进行早期认知干预。6个月后学生及家长再行第2次问卷调查。结果:第1次调查结果显示827例学生中有487例(58.9%)存在不同程度的心境障碍。认知干预6个月后第2次调查显示SCL-90总分及各因子分(除恐怖、精神病性外)均较前明显降低(P<0.01);16PF评分明显上升;cBcl中社会能力因素分明显提高、行为因素分明显降低(P<0.05,0.01)。结论:青少年心境障碍的早期认知干预可尽早纠正其负性认知模式,克服心境障碍,重塑专注、执着、有毅力的良好人格。早期认知模式的干预是治疗青少年心境障碍的关键。

Objective： To observe the clinical effectiveness of early intervention of cognitive mode on mood disorder in the adolescent.Methods： A total of 827 students from 3 junior schools in the city were investigated by using symptom check list 90（SCL-90） and Cattell 16 personality factor questionnaire（16PF）,and their parents were also assessed by Achenbach Child Behavior Checklist（CBCL）.827 students received early interventions of cognition with team counseling.The students and their parents were subjected to questionnaire assessment again after 6 months.Results： The results of the first questionnaire showed that 487 out of 817（58.9%） students suffered from mood disorder problem to some extent.The total scores of SCL-90 and factors scores（except for terror,psychotics） were significantly decreased after interventions（P0.01）.Meanwhile,the scores of 16PF and the factor of social capacity in CBCL were significantly increased（P0.05）,and the factor of behavior in CBCL was decreased.Conclusion： Early intervention of cognitive mode on mood disorder in the adolescent can rectify the negative cognitive mode as soon as possible,and it can provide effective help to overcome the obstacles of mood and rebuild the personality of concentration,persistence and perseverance.