勇气概念治疗青少年焦虑和抑郁情绪的效果

Effect of the concept of courage in the treatment of adolescent patients with anxiety and depression

目的研究勇气概念治疗青少年焦虑和抑郁情绪的效果。方法选择2012年2月～2015年5月在温州市第七人民医院诊治的青少年焦虑抑郁患者120例，采用随机数字表法将其分为研究组和对照组，各60例。两组患者均给予氟西汀片剂和丁螺环酮药物治疗，在常规药物治疗的基础上给予对照组常规的用药指导及饮食指导等，研究组在对照组的基础上应用勇气这一概念对患者进行心理治疗。治疗2个月后对两组患者进行青少年生活事件量表（ASLEC）及Heah希望指数表（HHI）评分，并采用焦虑自评量表（SAS）及抑郁自评量表（SDS）对患者治疗前后的焦虑和抑郁状况进行评价。比较患者治疗前后的焦虑和抑郁状况、健康促进生活方式状况及对未来的希望水平。结果研究组患者ASLCE评分总分为（22．7±13．6）分，c明显低于对照组患者[（31．4±17．5）分]（P〈0．05）；治疗后两组患者健康促进生活方式评分均较治疗前显著提高（P〈O．05），且研究组患者的健康促进生活方式评分高于对照组（P〈0．05）；治疗后研究组患者的SAS、SDS评分明显低于对照组（P〈0．05）；治疗前两组HHI评分比较差异无统计学意义（P〉0．05），治疗后研究组HHI评分明显高于对照组（P〈0．05）。结论在青少年焦虑和抑郁患者中应用勇气这一概念，可以降低患者受负性生活事件的影响，拥有战胜负性生活事件的勇气和决心，提高患者生活质量及对未来的希望水平，并对患者的焦虑、抑郁等不良情绪有更好的保护作用。

Objective To study the effect of the concept of courage in the treatment of anxiety and depression in ado- lescents. Methods From February 2012 to May 2015, 120 cases of adolescent patients with anxiety and depression were chosen in the Seventh People＇s Hospital of Wenzhou City, who were divided into study group and control group according to random number table method, 60 cases in each group. Patients of two groups were given drug treatment of Fluoxetine Tablets and Buspirone, patients of the control group were given the routine medication and diet guidance based on the conventional drug treatment, patients of the study group were given the psychological treatment with the concept of courage on the basis of the control group. After 2 months of treatment, patients of two groups were given ASLEC score and Herth hope index （HHI） score, the self-evaluation of anxiety scale （SAS） and depression self rating scale （SDS） was used to evaluated the anxiety and depression status of patients before and after treatment, and the anx- iety and depression status before and after treatment and the health promoting lifestyle, the level of hope for future were compared between the two groups. Results Total score of ASLCE of patients in the study group was （22.7±13.6） scores, was lower than that of the control group [（31.4±17.5） scores] （P 〈 0.05）. Compared with before treatment, health promo- tion lifestyle score of the two groups after treatment were significantly increased （P 〈 0.05）; compared with the control group, health promoting lifestyle score of the treatment group was improved significantly （P 〈 0.05）. After treatment, the SAS, SDS scores of patients in study group were significantly lower than those of the control group （P 〈 0.05）. Before treatment, HHI scores in the two groups showed no statistical significance （P 〉 0.05）; after treatment, HHI scores of the study group were significantly higher than that of the control group （P 〈 0.05）. Conclusion The application of courage concept in adolescent patients with anxiety and depression can reduce the impact of negative life events, own overcome the courage and determination of the negative life events, improve the life quality of patients and the level of hope for future, and has a better protective effect in anxiety, depression and other negative emotions of the patients.